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Vacuumassisterad sårbehandling på en kärlkirurgisk vårdavdelning – Utvärdering av behandlingsresultat på olika sårtyper och hur patienter skattar sin smärta i samband med byte av VAC-svamp: En journalgranskningsstudie
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
2013 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
Abstract [en]

Background: Vacuum assisted closure, VAC, is a method which can benefit wound closure. There are not many reliable studies about the effects of VAC in different types of wounds. Previous studies have shown that patients have experienced pain during dressing changes.

Aim: The aim of the study was to survey in what kind of wounds the vascular surgery ward have been using VAC, to study the treatment process of VAC and how it has been documented and also to investigate if patients with VAC experienced pain during dressing changes.

Method: The patients were chosen from a ledger, which contained 77 patients that had been treated with VAC on the vascular surgery ward. Data were collected with a journal survey protocol.

Results: The result is based on 67 patients with a total of 79 wounds. VAC was shown to have a good effect on wound healing and infected surgical wounds were the most commonly wound category undergoing treatment with VAC. There was a lack of documentation concerning VAC and the number of wounds, which were not being measured or photographed, before, during and after VAC was 41, 44 and 56. The complications that occurred was bleeding, the suction cup came off or that the patient experienced great pain. The number of days the wound was treated with VAC differed from one to 70 days. The average of numbers of days treated with VAC was 18,5 days. The dressings were changed most commonly two to three times a week. In 18 wounds (23 %), the patients reported pain during dressing changes. Due to lack of documentation, it was impossible, in 45 cases (57 %) to see if the patient had experienced pain during dressing change.

Conclusion: Despite the lack in the documentation about the VAC treatment the study shows good results in the majority of the wounds treated with VAC. Some patients experienced pain during dressing changes and therefore it is important to recognize, treat, evaluate and document this. 

Abstract [sv]

Bakgrund: Vacuumassisterad sårbehandling, VAC, är en metod vilken kan underlätta sårläkning. Det har utförts alldeles för få studier med hög kvalitet som har studerat effekterna av behandlingen på olika typer av sår. Tidigare studier har visat att patienter upplever smärta vid omläggning av VAC-svamp.

Syfte: Studiens syften var att kartlägga vilka typer av sår den kärlkirurgiska avdelningen behandlar med VAC, studera behandlingsprocessen vid VAC och hur den dokumenteras samt undersöka om patienter upplever smärta i samband med byte av VAC-svamp.

Metod: Patienterna valdes ut från en liggare på den kärlkirurgiska avdelningen vilken innehöll 77 patienter. Data samlades in med hjälp av ett journalgranskningsprotokoll.

Resultat: Resultatet baseras på 67 patienter vilket innefattar 79 sår. VAC som behandlingsmetod visade sig ha bra effekt på sårläkning av de flesta sår och infekterade operationssår var den sårkategori som genomgick flest behandlingar med VAC. Dokumentationen om VAC var sparsam och de antal sår som varken var mätta eller fotograferade innan, under och efter behandling med VAC upp gick till 41 respektive 44 och 56 sår. De komplikationer som uppstod var blödning, att sugproppen lossnade eller att patienten upplevde stor smärta. Omläggning skedde vanligen två till tre gånger per vecka. Medelvärdet på antalet dagar såret behandlades med VAC uppgick till 18,5 dagar. Antalet dagar såret behandlades med VAC varierade från en till 70 dagar. I 18 fall (23 %) har patienten rapporterat smärta vid omläggning av VAC. I 45 fall (57 %) gick det inte att se om patienten hade känt någon smärta vid omläggning.

Slutsats: Trots att dokumentationen om behandlingen var bristfällig på flera plan visar studien ett gott resultat av VAC-behandlingen i majoriteten av de sår som behandlades. Vissa patienter upplevde smärta vid omläggning och därför är det viktigt att uppmärksamma, behandla, utvärdera och dokumentera denna. 

Place, publisher, year, edition, pages
2013. , 49 p.
Keyword [en]
vacuumassisted closure, VAC, wound healing, pain, analgesia
Keyword [sv]
vacuumassisterad sårbehandling, VAC, sårläkning, smärta, smärtlindring
National Category
Nursing
Identifiers
URN: urn:nbn:se:uu:diva-200416OAI: oai:DiVA.org:uu-200416DiVA: diva2:623833
Subject / course
Caring Sciences
Educational program
Registered Nurse Programme
Supervisors
Examiners
Available from: 2013-06-03 Created: 2013-05-27 Last updated: 2013-06-03Bibliographically approved

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