傷口換藥疼痛護理

Nursing Management of Wound Care Pain

傷口換藥為促進傷口癒合之重要措施，卻可能造成個案傷口疼痛。本文探討影響傷口換藥疼痛之相關因素以及緩解傷口換藥疼痛措施之成效。傷口換藥疼痛之相關因素包括：不適當的換藥技術、發炎反應、情緒、認知與社會文化因素。為緩解傷口換藥疼痛，護理人員應採行合宜換藥技術，選用非黏著性之敷料或使用換藥頻率較低之換藥方式。可運用音樂治療與芳香療法以緩解換藥後之傷口疼痛，但運用分散注意力法時，應考量個案之個別差異性。

Wound care is an important step in promoting wound healing, but it may cause wound care pain. This article aims to explore factors influencing wound care pain and the effectiveness of various interventions to alleviate it. Five major factors that influence wound care pain include inappropriate dressing change techniques, inflammation response, emotion, cognition, and social-cultural factors. Nurses should apply appropriate dressings and dressing change techniques to relieve wound care pain. Music therapy and aromatherapy can alleviate wound pain after dressing change. But distraction techniques should be used in conjunction with consideration of the needs of the individual subject.