Prevention and treatment of radiodermatitis using a non-adhesive foam dressing

被引:0
作者
Lupianez Perez, Y. [1 ]
Medina Carmona, J. A. [1 ]
Lupianez Perez, I. [2 ]
Mata Garcia, C. [1 ]
机构
[1] Virgen Victoria Hosp, Radiol & Oncol Dept, Malaga, Spain
[2] Malaga Hlth Care Dist, Ctr Salud Carlinda, Malaga, Spain
关键词
radiodermatitis; radiotherapy; dressing; Mepilex Lite; pain; comfort; ALOE-VERA GEL; RADIATION DERMATITIS; DOUBLE-BLIND; SKIN REACTIONS; PHASE-III; RADIOTHERAPY; MANAGEMENT; CREAM; TOXICITY; EFFICACY;
D O I
暂无
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
Objective: To validate the efficacy of a radiodermatitis management protocol (which involves preventive measures, the application of preventive creams and the use of a non-adhesive, foam dressing with a silicone contact layer) at a radiation oncology department in southern Spain. Method: An observational study was carried out on consecutive patients undergoing radiation therapy for sarcomas, ear nose and throat, breast, cervix and lung cancers, excluding patients with other tumours and those who stopped radiation treatment, or who died during its course. Variables that were assessed included: average healing time, general progression of the injury, degree of trauma caused by removing the dressing, convenience and comfort, patient's aesthetic perception, ease of use for health professionals, adaptability, and the length of time for which the dressing stays in place. Results: 20 patients were included in the study and radiodermatitis was resolved in 100% (20/20). Optimal progression of all lesions was observed. No infections occurred, and the average total healing time ranged from one to two weeks, even during radiation therapy Patients reported a high level of satisfaction with the dressing, which scored highly in terms of convenience and comfort, atraumatic dressing, ease of use, adaptability, patients' aesthetic perception and adhesive durability. Conclusion: Our action protocol is effective in the prevention and treatment of radiodermatitis. We achieved optimal results in the current study, which supports the continued use of the test dressing in our department. Conflict of interest: None.
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页码:130 / 135
页数:6
相关论文
共 43 条
[1]  
Acton C., 2007, WOUNDS UK, V3, P61
[2]  
Agencia de evaluacion de tecnologias sanitarias (AETS), 2001, EF AP ESP TRAT ULC P
[3]  
[Anonymous], PAIN WOUND DRESS CHA
[4]  
[Anonymous], 2004, PRINC BEST PRACT MIN
[5]   Consensus guidelines for the management of radiation dermatitis and coexisting acne-like rash in patients receiving radiotherapy plus EGFR inhibitors for the treatment of squamous cell carcinoma of the head and neck [J].
Bernier, J. ;
Bonner, J. ;
Vermorken, J. B. ;
Bensadoun, R-J. ;
Dummer, R. ;
Giralt, J. ;
Kornek, G. ;
Hartley, A. ;
Mesia, R. ;
Robert, C. ;
Segaert, S. ;
Ang, K. K. .
ANNALS OF ONCOLOGY, 2008, 19 (01) :142-149
[6]   Potent corticosteroid cream (mometasone furoate) significantly reduces acute radiation dermatitis:: results from a double-blind, randomized study [J].
Boström, Å ;
Lindman, H ;
Swartling, C ;
Berne, B ;
Bergh, J .
RADIOTHERAPY AND ONCOLOGY, 2001, 59 (03) :257-265
[7]  
British Columbia Cancer Agency, 2000, CAR RAD SKIN REACT
[8]  
Bruner D.W., 1998, ONCOLOGY NURSING SOC
[9]   A silicone-coated nylon dressing reduces healing time in burned paediatric patients in comparison with standard sulfadiazine treatment: a prospective randomized trial [J].
Bugmann, P ;
Taylor, S ;
Gyger, D ;
Lironi, A ;
Genin, B ;
Vunda, A ;
La Scala, G ;
Birraux, J ;
Le Coultre, C .
BURNS, 1998, 24 (07) :609-612
[10]   Management of skin reactions during radiotherapy in Flanders (Belgium) A study of nursing practice before and after the introduction of a skin care protocol [J].
D'haese, Sven ;
Van Roy, Marleen ;
Bate, Trees ;
Bijdekerke, Paul ;
Vinh-Hung, Vincent .
EUROPEAN JOURNAL OF ONCOLOGY NURSING, 2010, 14 (05) :367-372