PMID- 34650735
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20211016
IS  - 1943-8141 (Print)
IS  - 1943-8141 (Electronic)
IS  - 1943-8141 (Linking)
VI  - 13
IP  - 9
DP  - 2021
TI  - Nursing countermeasures for VSD treatment of orthopedic trauma and infected 
      wounds.
PG  - 10625-10632
AB  - 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-alpha (TNF-alpha) 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.
CI  - AJTR Copyright (c) 2021.
FAU - Xu, Xin
AU  - Xu X
AD  - Department of Orthopedics, Huzhou Cent Hosp, Affiliated Cent Hosp Huzhou 
      University Huzhou 313000, Zhejiang, China.
FAU - Sun, Yanhua
AU  - Sun Y
AD  - Department of Orthopedics, Huzhou Cent Hosp, Affiliated Cent Hosp Huzhou 
      University Huzhou 313000, Zhejiang, China.
LA  - eng
PT  - Journal Article
DEP - 20210915
PL  - United States
TA  - Am J Transl Res
JT  - American journal of translational research
JID - 101493030
PMC - PMC8507021
OTO - NOTNLM
OT  - Vacuum sealing drainage
OT  - pain level
OT  - quality of life
OT  - satisfaction
OT  - size of trauma
OT  - trauma infection
COIS- None.
EDAT- 2021/10/16 06:00
MHDA- 2021/10/16 06:01
PMCR- 2021/09/15
CRDT- 2021/10/15 06:36
PHST- 2021/02/03 00:00 [received]
PHST- 2021/05/11 00:00 [accepted]
PHST- 2021/10/15 06:36 [entrez]
PHST- 2021/10/16 06:00 [pubmed]
PHST- 2021/10/16 06:01 [medline]
PHST- 2021/09/15 00:00 [pmc-release]
PST - epublish
SO  - Am J Transl Res. 2021 Sep 15;13(9):10625-10632. eCollection 2021.