Morphological characteristics of and factors related to moisture-associated dermatitis surrounding malignant wounds in breast cancer patients
Morphological characteristics of and factors related to moisture-associated dermatitis surrounding malignant wounds in breast cancer patients
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DOI：
10.1016/j.ejon.2013.05.005
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发表时间：
2013-10-01
影响因子：
2.8
通讯作者：
Sanada, Hiromi
中科院分区：
文献类型：
--
作者：
Tamai, Nao;Horii, Motoko;Sanada, Hiromi
目的：恶性乳腺创伤(MBW)患者具有多种症状。尤其是渗出物或笔部伤口湿气相关性皮炎(MAD)的护理是困难的。然而，MAD并未与笔创性皮炎区分开来。因此，对MAD患者的护理还没有得到很好的建立。本研究的目的是描述MBW中MAD的形态特征，并将MAD的形态特征与相关因素联系起来。方法：采用定性描述性研究和横断面研究。通过定性的参与者观察和结构化访谈收集数据。定性描述性研究采用形态定性分析方法。数据分析采用定性研究方法。在横断面研究中，参与者被分成两组进行比较：有MAD组(MAD组)和无MAD组(非MAD组)。结果：检查了24例MBW的特征。数据的形态定性分析产生了17个子类别和3个类别。我们可以通过“放射状与敷料相匹配”和“敷料上有半梭形”的发现来从形态上定义MAD。在与MAD相关的因素中，MAD组的坏死组织类型明显比非MAD组严重(p=0.048)。MAD组创面渗漏发生率明显高于非MAD组(p=0.013)。结论：本研究为MBW的护理提供了几点建议。MAD的形态定性分析对于评估MAD的可能原因以及选择有效的干预措施非常重要。(C)爱思唯尔有限公司出版的2013年。
Purpose: Patients with malignant breast wounds (MBWs) have multiple symptoms. In particular, care for exudates or pen-wound moisture-associated dermatitis (MAD) is difficult. However, MAD has not been distinguished from pen-wound dermatitis. Therefore, care for patients with MAD has not been well established. The aim of this study was to describe morphological characteristics of MAD in MBWs and link morphological characteristics of MAD to related factors.Methods: We conducted a qualitative descriptive study and a cross-sectional study. Data were collected by qualitative participant observation and structured interviews. The qualitative descriptive study was conducted using the 'morphoqualitative analysis' method. Data analyses were performed using qualitative research methods. In the cross-sectional study, the participants were classified into 2 groups for comparison: with MAD (MAD group) and without MAD (non-MAD group).Results: Characteristics of 24 MBWs were examined. Morphoqualitative analyses of data generated 17 subcategories and 3 categories. We could morphologically define MAD by findings of 'radial shape matching the dressing' and 'half-fusiform shape over the dressing'. Regarding factors related to MAD, necrotic tissue type was significantly more severe in the MAD group than in the non-MAD group (p = 0.048). Wound exudate leakage was significantly more frequent in the MAD group than in the non-MAD group (p = 0.013).Conclusion: Our study provides several points for nursing MBWs. Morphoqualitative analyses of MAD are quite important for evaluating possible causes of MAD as well as selecting effective interventions. (C) 2013 Published by Elsevier Ltd.