Patient experience of negative pressure wound therapy: A qualitative study.
Aiko Miyanaga, Toru Miyanaga, Keiko Sakai and 3 others
PMID 36199166WHAT IT FOUND
Hospitalized Japanese patients on negative pressure wound therapy reported pain, especially at dressing changes, and stress about cords, odour, noise, toilet transfers, and being unable to go out.
They valued rapid healing but worried about disturbing others.
Key findings
01Twelve of 17 participants experienced pain or discomfort after treatment began, and six could not tolerate pain without medication.
02Patients with lower-limb wounds, patients aged 75 or over, and wheelchair users worried about unplugging or plugging the power cord for toilet use and about tube problems while moving.
03Six of 17 could not sleep because the attached device bothered them, another six found carrying the IV stand stressful, and seven could sleep despite device noise.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study was conducted at one Japanese plastic surgery ward with hospitalized patients, so experiences may not apply to outpatient or other settings. The analysed sample was 17 adults, stopped after no new data emerged, and most were older than 65 years and unemployed. Participants had to be able to talk about experiences and cooperate, and dementia, mental instability, and motor aphasia were excluded, so people with communication or cognitive difficulties were not represented. The methods state interviews lasted approximately 30 minutes, but results report 8 to 28 minutes, mean 16 minutes. The methods require patients able to independently perform daily living activities, but the limitation section says patients were incapable of independently performing daily living activities. One interview per participant was used because hospitalization was brief, and all participants were inpatients because NPWT remained inpatient-only in Japan.
Declared interests
The authors declare no conflicts of interest.
The easy way to misread this
Do not conclude that one negative pressure wound therapy device causes less pain than another. Five participants who received both systems said the ULTA device felt less painful, but this was a qualitative interview study, not a trial comparing devices.