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A randomized crossover investigation of pain at dressing change comparing 2 foam dressings

Woo, Kevin Y., Coutts, Patricia M., Price, Patricia Elaine, Harding, Keith Gordon and Sibbald, R. Gary 2009. A randomized crossover investigation of pain at dressing change comparing 2 foam dressings. Advances in Skin & Wound Care 22 (7) , pp. 304-310. 10.1097/01.ASW.0000305483.60616.26

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Abstract

NTRODUCTION: Pain at dressing change is the result of several factors including trauma and skin stripping caused by the repeated removal of adhesive dressings. GOALS: To evaluate pain during dressing changes comparing a soft silicone foam dressing (Mepilex Border; Mölnlycke Health Care AB, Gothenburg, Sweden) with an adhesive hydrocellular polyurethane foam dressing (Allevyn Adhesive; Smith & Nephew, Hull, United Kingdom). METHODS: In this randomized crossover study, subjects were randomized to 1 of the 2 foam dressings for the first 2 scheduled follow-up visits. At visit 3, local wound treatment was switched to the alternate dressing until the end of the study (visits 4 and 5). Pain was measured with a visual analog scale and the Short-Form McGill Pain Questionnaire. The characteristics of the wound and the occurrence of adverse events were documented at each scheduled visit. RESULTS: A total of 32 patients entered into the study, and 26 patients completed all 5 follow-up study visits. Results indicated lower levels of pain at dressing removal and less periwound maceration in patients who were randomized to the silicone dressings. CONCLUSIONS: The results of this study indicate that soft silicone dressing is associated with less pain before and during dressing changes along with decreased periwound maceration.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Healthcare Sciences
Subjects: R Medicine > RZ Other systems of medicine
Publisher: Lippincott Williams & Wilkins
ISSN: 1527-7941
Last Modified: 04 Jun 2017 03:53
URI: http://orca.cf.ac.uk/id/eprint/28574

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