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. 2021 Sep 15;13(9):10625-10632.
eCollection 2021.

Nursing countermeasures for VSD treatment of orthopedic trauma and infected wounds

Xin Xu  1 , Yanhua Sun  1
Affiliations

Nursing countermeasures for VSD treatment of orthopedic trauma and infected wounds

Xin Xu et al. Am J Transl Res. .

Abstract

Objective: This study intended to investigate the effect of vacuum sealing drainage (VSD) in the treatment of orthopedic trauma and its role in the clinical care.

Methods: A total of 104 patients with orthopedic trauma infection admitted to our hospital from January 2019 to January 2020 were divided into control group (n=53, receiving VSD) and study group (n=51, receiving VSD and nursing interventions) by random number table. Surgical outcomes, satisfaction, size of trauma and visual analogue scoring scale (VAS) scores were compared between the two groups.

Results: The study group had shorter time to achieve granulation tissue coverage of wound base, trauma recovery and hospital stay than the control group (P<0.05). The satisfaction rate in the study group was higher compared with that in the control group (P<0.05). Before intervention, the VAS scores of the two groups and size of trauma were not significantly different (P>0.05). After intervention, VAS scores were significantly lower and trauma area was significantly smaller in both groups, and the difference was more pronounced in the study group compared with that in the control group (P<0.05). Quality of life scores were higher in the study group compared with the control group (P<0.05). Tumor necrosis factor-α (TNF-α) and interleukin-6 (IL-6) levels were lower in the study group compared with those in the control group (P<0.05). Packed cell volume (PCV), plasma viscosity, and low-cut versus high-cut whole blood viscosity were lower in the study group compared with those in the control group (P<0.05).

Conclusion: VSD treatment combined with clinical nursing interventions in patients with orthopedic trauma infection could shorten the time to granulation coverage, wound healing and hospitalization time, and improve indicators of blood rheology. It could also shrink the size of trauma, decrease the level of pain and inflammatory factors, and improve the quality of life, resulting in high satisfaction.

Keywords: Vacuum sealing drainage; pain level; quality of life; satisfaction; size of trauma; trauma infection.

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Conflict of interest statement

None.

Figures

Figure 1
Figure 1
Comparison of quality of life. #Compared with the control group, P<0.05.
Figure 2
Figure 2
Comparison of blood indicators. #Compared with the control group, P<0.05.
Figure 3
Figure 3
Comparison of TNF-α and IL-6 levels. A: TNF-α; B: IL-6. #Compared with control group, P<0.05.
See this image and copyright information in PMC

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References

    1. Haesler E, Swanson T, Ousey K, Carville K. Clinical indicators of wound infection and biofilm: reaching international consensus. J Wound Care. 2019;28:S4–S12. - PubMed
    1. Li S. Nursing of a child with wound infection and bowel evisceration following ileostomy: a case report. Ann Palliat Med. 2020;9:2367–2374. - PubMed
    1. Sanger PC, Simianu VV, Gaskill CE, Armstrong CA, Hartzler AL, Lordon RJ, Lober WB, Evans HL. Diagnosing surgical site infection using wound photography: a scenario-based study. J Am Coll Surg. 2017;224:8–15.e1. - PMC - PubMed
    1. Timmins BA, Thomas Riché C, Saint-Jean MW, Tuck J, Merry L. Nursing wound care practices in Haiti: facilitators and barriers to quality care. Int Nurs Rev. 2018;65:542–549. - PubMed
    1. Lumbers M. TIMERS: undertaking wound assessment in the community. Br J Community Nurs. 2019;24:S22–S25. - PubMed

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