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Case Report

The Effectiveness of Pressure Injury Care by Negative Pressure Wound Therapy

Jeerawan Phakaew*, Pornthep Sirimahachaiyakul and Jintana Rittharomya

Corresponding Author: Jeerawan Phakaew, Department of surgery, Faculty of Medicine Vajira Hospital Navamindradhiraj University, Thailand.

Received: December 12, 2024 ;    Revised: December 24, 2024 ;    Accepted: December 27, 2024 ;   Available Online: December 30, 2024

Citation: Phakaew J, Sirimahachaiyakul P & Rittharomya J. (2024) The Effectiveness of Pressure Injury Care by Negative Pressure Wound Therapy. J Nurs Midwifery Res, 3(2): 1-9.

Copyrights: ©2024 Phakaew J, Sirimahachaiyakul P & Rittharomya J. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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Pressure injuries are one of the most common complications in patients with impaired mobility and limited movement. They cause illness, increase healthcare costs, and can lead to further complications from pressure injury. Wound care is complex, difficult, and costly. Currently, there are various methods of wound treatment, and negative pressure wound therapy is a popular treatment method. This case study aims to study pressure injury care's effectiveness using negative pressure wound therapy. The case study focuses on a 75-year-old Thai female patient diagnosed with a fracture of the left femur neck, infected grade 4 bedsore, and sepsis. Using a case study report model, the researcher studied the patient over four months (June-September 2022). Data was collected, and nursing problems were assessed using Gordon's 11 health patterns as a conceptual framework for assessment and nursing care planning. The issues identified included the wound not healing within a reasonable timeframe, requiring frequent dressing changes due to contamination with excretions, high material costs for wound care, and patient pain during dressing changes with no visible improvement in the wound. Consequently, the wound care method was switched to negative pressure wound therapy. Results: The wound healed rapidly, and the wound cavity became shallower. The number of dressing changes decreased, reducing the workload and time spent on wound care. Costs were reduced, and patient discomfort during dressing changes was minimized. Conclusions: negative pressure wound therapy is an effective method for healing pressure ulcers, reducing costs, alleviating staff workload, and decreasing patient pain from dressing changes. Both the patient and healthcare staff were satisfied with the outcome.

Keywords: Pressure injury, Negative pressure wound therapy, Wound therapy

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