Venöz Bacak Ülseri Tedavisinde Uygulanan Negatif Basınçlı Pansumanın Yara İyileşmesi Üzerine Etkisi

Yıl 2019, Cilt: 8 Sayı: 3, 245 - 249, 30.09.2019

Kezban Koraş Sözen , Neziha Karabulut Fırat Durna Hakan Öntaş

Öz

Bu çalışmada, kan dolaşımı
bozukluğu nedeni ile ortaya çıkan venöz bacak ülseri tedavisinde hastalara
uygulanan negatif basınçlı pansumanın yara iyileşmesi üzerine etkisinin belirlenmesi
amaçlandı. Kesitsel- tanımlayıcı olan bu araştırma, bir üniversite hastanesinin
kalp damar cerrahisi kliniğine venöz bacak ülseri tanısı ile gelen ve araştırma
kriterlerine uyan 21 hasta ile yürütüldü. Araştırmada ’Tanıtıcı Özellikleri
Belirleme Formu’ kullanıldı ve takip kriteri olarak yara alanında azalma ile
yara iyileşmesi baz alındı. Negatif basınçlı pansuman uygulanan hastaların yara
boyutlarında küçülme, yara sekresyonunda azalma, granülasyon dokusu gelişiminde
artma tespit edildi. Tedavi öncesi yara alanının ortalaması 47.4cm²
ve tedavi sonrası yara alanının ortalaması 29.7cm² olarak
hesaplandı. Yara boyutlarında ortalama %20.2 oranında azalma olduğu saptandı. Negatif
basınçlı  pansuman tedavisinin, venöz
bacak ülseri tedavisinde iyileşmeyi hızlandıran, granülasyon ve yara
kontraksiyonunu artıran, cerrahi girişim öncesi bir ara tedavi seçeneği olduğu
belirlendi.

Anahtar Kelimeler

Negatif Basınçlı Pansuman, Venöz Bacak Ülseri, Yara İyileşmesi

Kaynakça

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