ASSESSING NEGATIVE PRESSURE THERAPY IN MANAGEMENT OF MUSCLE LOSS NURSING CARE AT VIET TIEP HOSPITAL, HAI PHONG PROVINCE

Abstract

Objective: Describe clinical features and evaluate the nursing care outcome of muscle loss injury using negative pressure therapy at Viet Tiep hospital, Hai Phong province. Method: Progressive research, observational and descriptive studies on 312 patients who applied negative pressure therapy at Hai Phong Viet Tiep Hospital from 2014 to 2018. The NPT conswasts of 5 steps, suction mode at 18-20 Kpa (135-150 mmHg) or 16-18 Kpa (120-135 mmHg). Evaluate the results of negative pressure therapy by assessing patient pain, dressing change time, wound size, level of exudate at wound, growth of granulation and NPT time. Results: The most common cause of muscle loss was pressure ulcers, accounting for 64.74%. The most common position of muscle loss was the coccyx region with 46.47%. Muscle loss level IV accounts for the highest rate with 51.6%, the area of muscle loss from 50-100 cm2 accounts for the highest rate with 56.73%. Chronic wound was the most common wound type with 51.7%. The after-therapy assessment showed that: The pain level (according to the VAS scale) of the patient decreased; the local exudate remains very little, just enough moisture to create a healing environment. Granulation tissues grow quickly. The wound bed was red and clean. Dressing change time in negative pressure therapy was shorter. Conclusion: The study showed that the negative pressure therapy brought in many advantages over conventional wound care techniques. Inflammatory fluid was eliminated, local circulation was strengthened, the wound was clean, the granulation tissues growedp, the size of the wound was reduced, the patient was less painful, the time to change the dressing was shortened, which are favorable for treatment.