Efficacy of Negative Pressure Therapy on Wound Healing and Patientˈs Satisfaction among Patients with Diabetic Foot Ulcer

Sharaf, Safaa Ahmed Hegazy; Soliman, Gehan H.; Knouna, Amal Ahmed; Kareem, Sanaa Ibrahim Abd El Gaffar; Aborahma, Amr M.

doi:10.21608/menj.2025.461480

Efficacy of Negative Pressure Therapy on Wound Healing and Patientˈs Satisfaction among Patients with Diabetic Foot Ulcer

Document Type : Original Article

Authors

¹ MsC Nursing sciences

² Professor of Medical Surgical Nursing, Faculty of Nursing- Menoufia University

³ Assistant Professor of Medical Surgical Nursing, Faculty of Nursing- Menoufia University,

⁴ Professor of Vascular and endovascular surgery, Faculty of Medicine, Tanta University

10.21608/menj.2025.461480

Abstract

Abstract: Background: Diabetic foot ulcer has become a major chronic health problem worldwide, described as an infection, ulceration, lead to tissue breakdown, resulting in morbidity and possible amputation. Negative pressure wound therapy represents a significant technological advancement in wound healing. Purpose was to determine efficacy of negative pressure wound therapy versus conventional moist wound dressings on wound healing and patient satisfaction among diabetic foot ulcers patients. Design: A quasi-experimental research design was utilized. Setting: Study was carried out at general surgical department of El-Menshawy Hospital which affiliated to Ministry of Health –Tanta - Gharbia Governorate. Sample: A convenience sample of 60 adult patients with diabetic foot wound were selected and divided alternatively and randomly into two equal groups (30 study -30 control).Instruments of the study: Three instruments were used for data collection:Structured interview questionnaire, Bates-Jensen wound assessment tool (BWAT), The short assessment of patient’s satisfaction (SAPS).Results: There was highly statistically significant difference in wound healing among study group than control group regarding total mean scores of BWAT assessment .The mean total BWATscores of the study group assessed at first week, second week and third week were(50.50±8.67,37.03±11.09 &19.96 ± 9.04 respectively) while the total mean score of the control group were (50.73 ± 8.63, 48.96 ± 9.83&47.43 ± 11.18 respectively). Majority of the study group of the current study were satisfied with negative pressure wound therapy. The mean total satisfaction score of the study group was 38.70 ± 1.85 ranging from 34 to 43 and all 30 (100.0%) patients were very satisfied. compared by the majority (83.3%) of the control group were dissatisfied. Conclusions: Negative pressure wound therapy was safe and effective on wound healing and didn’t cause any side effects, accelerate wound healing and increase patient’s satisfaction. Recommendations: Negative pressure wound therapy should be used as an alternative therapy for wound healing as it safe, cost effective, accelerate wound healing, promote patient satisfaction and decrease length of hospital stay for patients with diabetic foot ulcer.

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