Negative pressure wound therapy versus standard wound care on quality of life: A systematic review

Janssen, A.H.J. and Mommers, E.H.H. and Notter, J. and De Vries Reilingh, T.S. and Wegdam, J.A. (2016) Negative pressure wound therapy versus standard wound care on quality of life: A systematic review. Journal of Wound Care, 25 (3). pp. 154-159. ISSN 09690700 (ISSN)

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Abstract

Objective: Negative pressure wound therapy (NPWT) is a widely accepted treatment modality for open or infected wounds. Premature ending of NPWT occasionally occurs due to negative effects on the quality of life (QoL), however, the actual impact on QoL is unknown. The aim of this review is to analyse the effect of NPWT versus standard wound care (SWC) on QoL when used for the treatment of open or infected wounds.
Method: a systematic literature search in a range of databases (PubMed, CINAHL, Medline, Web of Science, Science Direct Freedom collection, SwetsWise, PSYCArticles and Infrotrac Custom Journals) using the following search terms; 'standard wound care', 'wound dressing', 'dressing', 'treatment', OR 'negative pressure wound therapy [MESH]', OR 'vacuum assisted closure' AND 'quality of life [MESH]', 'patient-satisfaction', OR 'experiences' was performed. Methodological quality was assessed using the methodological index for non-randomised studies (MINORS) check list.
Results: There were 42 studies identified, five matched the inclusion criteria: two randomised clinical trials (RCTs), one clinical comparative study, one exploratory prospective cohort study and one quasi experimental pilot study. Median MINORS-score was 75% (58%-96%). There were seven different questionnaires used to measure QoL or a subsidiary outcome. QoL in the NPWT group was lower in the first week, though no difference in QoL was observed thereafter.
Conclusion: This systematic review observed that QoL improved at the end of therapy independent of which therapy was used. NPWT led to a lower QoL during the first week of treatment, possible due to anxiety, after which a similar or better QoL was reported when compared with SWC. It could be suggested that NPWT might be associated with increased anxiety.
Declaration of interest: All authors of this publication have received no financial support or have personal interests conflicting with the objectivity of this manuscript.

Item Type: Article
Uncontrolled Keywords: Negative pressure wound therapy, Quality of life, Standard wound care
Subjects: B700 Nursing
Divisions: Faculty of Health, Education and Life Sciences > Centre for Social Care, Health and Related Research (C-SHARR) > Quality of Care
UoA Collections > UoA 03: Allied Health Professions, Dentistry, Nursing & Pharmacy
Depositing User: Miss Jessica Baylis
Date Deposited: 08 Nov 2016 11:51
Last Modified: 12 Apr 2017 11:10
URI: http://www.open-access.bcu.ac.uk/id/eprint/508

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