敷料與傷口換藥疼痛

Dressing and Wound Care Pain

傷口換藥為促進傷口癒合的必要措施，卻也是造成患者傷口疼痛的主要原因。調查顯示經歷傷口換藥疼痛的患者包括住院及門診病患，且換藥疼痛問題並不侷限於燒傷病患。敷料黏附於傷口是導致傷口換藥疼痛的主要因素。雖然有些廠商宣稱其敷料產品黏著性低，可無痛性移除，但敷料減輕傷口疼痛之成效應以臨床實證研究進行探討。臨床研究顯示：香蕉葉敷料、煮熟馬鈴薯皮敷料、奈米銀、非黏著性之矽膠網狀敷料及矽膠附著之Mefix，可減輕某些種類傷口的換藥疼痛。

Wound care is an important step for promoting wound healing. Nevertheless it is also a major source of pain for patients with wounds. The results of a survey showed that not only burn patients but also non-burn ones suffered from wound care pain which occurred in inpatients and outpatients. One of the significant factors causing wound care pain was that the dressing adhered to the wound bed. Although some agencies claimed that particular dressings with low adhesion can result in painless removal, the actual effects needed to be verified. Results of clinical trials revealed that for relieving wound care pain of certain kinds of wound, it was recommended to use particular dressings, such as banana leaf dressing, boiled potato peel bandage, Acticoat, Mepital or Mefix.