Topical Negative Pressure Therapy in Care of Pressure Ulcer

Year 2011, Volume: 18 Issue: 1, 93 - 102, 01.03.2011

Öğr. Gör. Dr. Fatoş Korkmaz

Abstract

The incidence of pressure ulcers is one of the indicator of quality of health care centers' services. The most effective step in reducing the incidence of pressure ulcers is determining the factors associated with pressure ulcers, hence preventing ulcers. Once ulcers occur, the selection of appropriate method is very important to help healing. Topical Negative Pressure Therapy is a non-invasive method which started to be used especially in advanced stages (III and IV. Stage) of pressure ulcers. This method works based on implementation of negative or subatmosferik pressure over wound tissue to promote healing. This article aimed at increasing the awareness of nurses about Topical Negative Pressure Therapy, and to provide a theoretical framework for the mechanism of this method.

Keywords

Pressure ulcers, topical negative pressure therapy, wound care

Basınç Yarası Bakımında Topikal Negatif Basınç Terapisi

Abstract

Basınç yaralarının görülme sıklığı, günümüzde sağlık hizmeti sunan merkezlerin hizmet kalitelerinin göstergelerinden biri olarak kullanılmaktadır. Basınç yaralarının görülme sıklığını azaltmada en etkili adım yara oluşmasına neden olan faktörlerin belirlenmesi ve dolayısı ile yaraların oluşmadan önlenmesidir. Yaralar oluştuktan sonra ise, iyileşmeye yardımcı olacak uygun yöntemin seçimi oldukça önemlidir. Topikal Negatif Basınç Terapisi özellikle III. ve IV. evre basınç yaralarının bakımında kullanılan / kullanılmaya başlanılan girişimsel olmayan bir yöntemdir. Bu yöntem; yaranın iyileşmesini desteklemek üzere yara dokusuna subatmosferik ya da negatif basınç uygulanması esasına göre çalışmaktadır. Bu makale ile son yıllarda özellikle III. ve IV. evre basınç yaralarının bakımınında kullanılmaya başlanılan Topikal Negatif Basınç Terapisi hakkında hemşirelerde farkındalık yaratmak ve yöntemin mekanizması hakkında teorik bir çerçeve oluşturmak amaçlanmıştır.

Keywords

Basınç yarası, topikal negatif basınç terapisi, yara bakımı

References

• Horn SD, Buerhaus P, Bergstrom N Smouth RJ. RN staffing time and outcomes of long-stay nursing home residents. American Journal of Nursing 2005; 105 (11): 58-70.
• Isago T, Nozaki M. Negative-pressure dressings in the treatment of infected pressure ulcers. Wound Repair and Regeneration January-February 2005: (s.A14).
• Baldwin KM. How to prevent and treat pressure ulcers. LPN 2005;1(2): 18-25.
• Kurtuluş Z, Pınar R. Braden Skalası ile belirlenen yüksek riskli hasta grubunda albümin düzeyleri ile bası yaraları arasındaki ilişki. C.Ü. Hemşirelik Yüksek Okulu Dergisi 2003;7(2):1-10.
• Hug AKME, Ünalan H, Karamemetoğlu ŞS, Tüzün Ş, Gürgöze M. Tüzün F.Bir Eğitim Hastanesinde Bası Yarası Prevalansı ve Bası Yarası Gelişiminde Etkili Risk Faktörleri. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi 2001;47(6).
• Karadağ M, Gümüşkaya N. The incidence of pressure ulcers in surgical patients: a sample hospital in Turkey. Journal of Clinical Nursing 2006;15(4):413-421.
• Sayar S, Turgut S, Doğan H, Ekici A, Yurtsever S, Demirkan F. et al. Incidence of pressure ulcers in intensive care unit patients at risk according to the Waterlow scale and factors influencing the development of pressure ulcers. Journal of Clinical Nursing 2009;18(5):765-774.
• Bennett G, Dealey C and Posnett J.The cost of pressure ulcers in the UK. Age and Ageing 2004;33(3):230- 235.
• Casimiro C, Garcia-de-Lorenzo A. Usan L. Prevalence of decubitus ulcer and associated risk factors in an institutionalized Spanish elderly population. Nutrition 2002;18(5):408-414.
• Keller AJBP, Wille J, Ramshorst VB Werken VDC. Pressure ulcers in intensive care patients: a review of risks and prevention. Intensive Care Medicine 2002;28(10): 1379-1388.
• Wurster J. What role can nurse leaders play in reducing the incidence of pressure sores?. Nursing Economics 2007;25(5): 267-269.
• Brem H, Lyder C. Protocol for the successful treatment of pressure ulcers. The American Journal of Surgery 2004;188:9S-17S.
• Butler F. Essence of care and the pressure ulcer benchmark-an evaluation. Journal of Tissue Viability 2008;17(2):44-59.
• Francis GM. Pressure ulcers: a role for thymosin beta4. Annals of the New York Academy of Sciences 2007;1112: 413–417.
• Nayak D, Srinivasan K, Jagdish S, Rattan R. Chatram SV. Bedsores: “top to bottom” and “bottom to top”. Indian Journal of Surgery 2008;70(4): 161-168.
• Theaker C. Pressure sore prevention in the critically ill: what you don’t know, what you should know and why it’s important. Intensive and Critical Care Nursing 2003;19(3): 163-168.
• Bergquised S.The quality of pressure ulcer prediciton and prevention in home health care. Applied Nursing Research 2005;18(3): 148-154.
• Boogaard VDM, Laat ED, Spauwen P Schoonhoven L. The effectiveness of topical negative pressure in the treatment of pressure ulcers: a literature review. European Journal of Plastic Surgery 2008;31: 1-7.
• Cooper SM, Young E. Topical negative pressure. International Journal of Dermatology 2000;39(12): 896-898.
• Pearson A, Francis K, Hodgkinson B. Curry G. Prevelance and treatment of pressure ulcers in Northern New South Wales. The Australian Journal of Rural Health 2000;8(2): 103-110.
• Smith M. A comprehensive review of risk factors related to the development of pressure ulcers. Journal of Orthopaedic Nursing 2003;7(2): 94 – 102.
• National Pressure Ulcer Advisory Panel (NPUAP2007). http://www.npuap.org/pr2.htm 23Aralık, 2008.
• Wann-Hansson C, Hagell P, Willman A. Risk factors and prevention among patients with hospital- acquired and pre-existing pressure ulcers in an acute care hospital. Journal of Clinical Nursing 2008;17:1718-1727.
• Fisher AR, Wells G Harrison MB. Factors associated with pressure ulcers in adults in acute care hospitals. Advanced SkinWound Care 2004;17: 80–90.
• Vanderwee K, Grypdonck MHF, De Bbacquer D loor T. Effectiveness of turning with unequal time intervals on the incidence of pressure ulcer lesions. Journal of Advanced Nursing 2007;57(1):59–68.
• Defloor T. The effect of position and mattress on interface pressure. Applied Nursing Research 2000;13: 2–11.
• Lee BY. The Wound Management Manual. Newyork: The McGraw – Hill Companies Inc. 2005.
• Mani R. Chronic wound management: the evidence for change. Newyork: The Parthenon Publishing Group.2003.
• Copson D. Topical negative pressure and necrotising fasciitis. Nursing Standard 2003;18(6):71-80.
• Lambert KV, Hayes P. McCarthy M. Vacuum assisted closure: a review of development and current applications. Europen Journal of Vascular and Endovascular Surgery 2005;29(3):219-226.
• Milne TC, Corbett QL. Dubuc LD. Wound Ostomy and Continence Nursing Secrets. Elsevier Health Sciences 2003.
• O’Rourke ME. Vacuum-assisted closure therapy. Clinical Journal of Oncology Nursing 2006;10(6):825- 826.
• V.A.C. Dressing Technology. http://www.kci1.com/KCI1/vacdressingtechnology 01 Ocak, 2012.
• Benbow M. Modern wound therapies. Journal of Community Nursing 2008;22(2):20-28.
• Tauro LF, Ravikrishnan J, Satish Rao BS, Shenoy HD, Shetty SR. Menezes LT. A comparative study of the efficacy of topical negative pressure moist dressings and conventional moist dressings in chronic wounds. Indian Journal of Plastic Surgery 2007; 40(2):133-140.
• Hunter JE, Teot L, Horch R. Banwell PE. (2007). Evidence-based medicine: Vacuum-assisted closure in wound care management. International Wound Journal 2007; 4:256-269.
• Caniano DA, Ruth B. Teich S. Wound management with Vacuum-assisted closure: experience in 51 pediatric patients. Journal of Pediatric Surgery 2005;40: 128-132.
• Ferreira MC, Wada A. Tuma P. The Vacuum assisted closure of complex wounds: report of 3 cases. Revista do Hospital das Clinicas Faculdade de Medicina Sao Paulo2003;58(4):227-230.
• Fette, A. Treatment of pressure ulcers with topical negative pressure versus traditional wound management methods. Plastic Surgical Nursing 2005;25(4):176-180.
• Joseph E, Hamori CA, Bergman S, Roaf E, Swann NF. Anastasi, GW.New therapeutic approaches in wound care. A prospective randomized trial of TNBTuum-assisted closure versus Standard therapy of chronic nonhealing wounds. Wounds 2000; 12(3): 60-67.
• McCallon SK, Knight CA, Valiulus JP, Cunningham MW, McCulloch JM. Farinas LP (2000). Vacuum- assisted closure versus saline moistened gauze in the healing of postoperative diabetic foot wounds. Ostomy Wound Management 2000;46(8):28-34.
• Greene AK, Puder M, Roy R, Arsenault D, Kwei S, Moses MA. et al. Microdeformational wound therapy: effects on angiogenesis and matrix metalloproteinases in chronic wounds of 3 debilitated patients. Annals of Plastic Surgery 2006;56(4):418-422.
• Kaufman MW, Pahl DW. Vacuum-assisted closure therapy: wound care and nursing implications. Dermatology Nursing 2003;15(4):317-325.
• Dini V, Bertone MS Romanelli M. Prevention and management of pressure ulcers. DermatologicTherapy 2006;19:356-364.
• Erhan, B. Bası yaraları. FTR Bil Der2006; 9:64-68.
• Genecov DG, Schneider AM, Morykwas MJ, Parker D, White WWL, Argenta LC. A controlled sub- atmospheric pressure dressing increases the rate of skin graft donor site reepithelialization. Annals of Plastic Surgery 1998;40(3):219-225.
• Greene AK, Puder M, Roy R, Arsenault D, Kwei S, Moses MA. et al. Microdeformational wound therapy: effects on angiogenesis and matrix metalloproteinases in chronic wounds of 3 debilitated patients. Annals of Plastic Surgery 2006;56(4):418-422.
• Gwan-Nulla, DN, Casal RS. Toxic shock syndrome associated with the use of the Vacuum assisted closure device. Annals of Plastic Surgery 2001;47(5):552-554.
• Hampton S. Death by pressure ulcer: being held to account when ulcer develop. Journal of Community Nursing 2005;19(7):26-29.
• Harnett JM. (1998). Use of Vacuum-assisted wound closure in three chronic wounds. Journal of Wound Ostomy Continence Nursing 1998;25(6):281-290.
• Weed T, Ratliff C. Drake DB. Quantifying bacterial bioburden during negative pressure wound therapy: does the wound TNBT enhance bacterial clearance?. Annals of Plastic Surgery 2004;52(3):276-279.