The semi-occlusive dressing - development of the confidence of the patients in the treatment and the odour emission during the treatment period

Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Mikrochirurgie der Peripheren Nerven und Gefässe : Organ der Vereinigung der Deut
Markus Ordosch, Valentin Maucher

Abstract

This study aims to analyse how the confidence of patients with a fingertip injury treated with a semi-occlusive dressing develops during treatment. In addition, the development of odour emission was recorded. 17 patients with a fingertip injury were treated by use of a semi-occlusive dressing. On each appointment, before the dressing was changed, patients were interviewed about their confidence in the type of treatment and the amount of odour emission. Confidence in type of treatment and amount of odour emission were graded on a numeric analogue scale with 0 = no confidence and 10 = absolute confidence, and 0 = no odour emission and 10 = extreme odour emission, respectively. After the fingertip injury healed, pulp thickness was measured by ultrasound and compared with the uninjured finger of the opposite hand. Already at the beginning of treatment, patient confidence in the type of treatment was high (8.5 ± SD 1.1). Odour emission reached a maximum of 5.6 ± SD 2.5 at the third dressing change. As odour emission decreased, confidence in type of treatment peaked between the third and fourth dressing change. After healing of the fingertip injury, the pulp of the injured finger was measured to be 3.0 ± 0.6 mm on ultrasound; pulp th...Continue Reading

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