應用新型敷料於大面積傷口之疼痛照護

Modern Dressings for the Management of Pain from Large Wounds

傷口所所引起的疼痛是很常見也是很令人苦惱的一件事，大面積的傷口必然帶來影響生活的疼痛也會對照顧者的生活品質造成影響。未能緩解的疼痛不僅衝擊患者的生活而且阻礙傷口的正常癒合。很多研究指出，大面積傷口的患者常需要換藥，而這換藥過程常常會加劇疼痛的程度。隨著醫療與科技的發展，過去數十年間很多的敷料被發展出來。因敷料種類繁多，臨床醫師需充分了解傷口癒合的機制、區分各種敷料間的差異以及了解各種敷料適用的場合。本篇文章討論有效處理大面積傷口疼痛的策略，並主要著重在敷料的選擇與使用方面。在此，我們回顧並整理了有關『應用新型敷料於大面積傷口之疼痛照護』的眾多文獻。

Wound related pain is common, highly susceptive, and can be particularly distressing. It is well-established that pain is a si 師 ficant feature of living with large wound and adversely affects a patient's and caregivers'quality oflife. Unresolved pain negatively affects wound healing and has an impact on quality of life. Several studies have shown that patients living with large wound are often subjected to dressing changes, which exacerbate their pain. Many dressings have been introduced during thepast decades. The dressing modalities available at present demand that the clinicians to have a better understanding of wound healing process, to distinguish between the various types of dressing materials and to identify the conditions for which each class of dressing should be use. The vision for this article therefore was to discuss strategies for effective pain management and considers the role of dressings in inimizing or preventing pain of large wounds. We review current principles about pain management from large wounds with modem dressing.