Abstract
The sight and smell of larvae in the wound may cause negative visual and olfactory impressions in sensitive individuals because of decaying body parts, carrion, and suffering. However, Maggot Debridement Therapy (MDT) is highly effective, safe, and cheap in wound healing and tissue revitalization for both the patient and health systems. The aim of the study was to assess the readiness to undertake MDT in a group of qualified nurses who perform therapeutic procedures in patients treated for chronic wounds. A diagnostic survey was used. The research tool was a scientific research protocol consisting of three questionnaires (sociodemographics, MDT perception questionnaire, pictures of wounds for visual assessment). The study included 290 nurses; the mean age was over 42.6 ± 9.9 years, and the median was 44 years. The perception and readiness to implement the method in the tested sample is at the average (standard) level. The image of maggots in the wound causes negative emotions among medical personnel. The higher the knowledge of the MDT method, the greater the motivation to implement it in practice.
Highlights
Chronic wounds affect over 1% of the world’s population, and constitute a serious and still underestimated problem for health care systems, medical personnel, and patients [1–3].The implementation of targeted actions to debride the wound from devitalized and necrotic tissues, eliminate biofilm, and reduce the risk of infection, becomes prolonged and ineffective in some cases [4]
The sight and smell of the larvae in the wound may cause negative visual and olfactory impressions in sensitive individuals because of decaying body parts, carrion, and suffering caused by the presence of larvae feeding on human tissue [5]
The study group consisted of 290 nurses caring for patients with chronic wounds, declaring knowledge of Maggot Debridement Therapy (MDT) who were undergoing postgraduate education at the Postgraduate Training Center of Nurses and Midwives in Rzeszów
Summary
Chronic wounds affect over 1% of the world’s population, and constitute a serious and still underestimated problem for health care systems, medical personnel, and patients [1–3]. The implementation of targeted actions to debride the wound from devitalized and necrotic tissues, eliminate biofilm, and reduce the risk of infection, becomes prolonged and ineffective in some cases [4]. Aging of the population is accompanied by the growing number of patients suffering from chronic diseases that predispose to the skin and tissues injuries, leading to the development of pressure ulcers and other wounds, e.g., resulting from diabetes complications. Chronic wounds result in significant impairment of social and physiological functions, lower quality of life, and high financial costs both in patients and in the entire health care system [3].
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