University of Worcester Worcester Research and Publications

The Impact of Atraumatic vs Conventional Dressings on Pain and Stress

Upton, Dominic and Solowiej, Kazia (2012) The Impact of Atraumatic vs Conventional Dressings on Pain and Stress. Journal of wound care, 21 (5). pp. 209-215. ISSN 19661848

Full text not available from this repository. (Request a copy)


Objective: To compare the pain and stress experiences of patients with chronic wounds being treated with atraumatic vs conventional dressings at dressing change. Method: This exploratory study adopted an independent samples design to identify any differences between reported levels of pain and stress associated with the use of atraumatic and conventional dressings used in treatment regimens of patients with chronic wounds. Physiological and psychological assessments of pain and stress were recorded at dressing change (including numerical ratings, heart rate, blood pressure, respiration rate, GSR, salivary cortisol and the Perceived Stress Scale (PSS) and State Trait Anxiety Inventory (STAI) questionnaire surveys). Results: In total, 49 patients with chronic wounds took part in the study. Fifty-three percent of patients were male (n=26) and 47% were female (n=23). Patients were aged 38-95 years, with a mean age of 69.11 ± 14.08 years. Overall, 10 patients were receiving atraumatic dressings with Safetac technology as part of their routine wound treatment and 39 were receiving conventional dressings. Patients receiving atraumatic dressings reported significantly lower numerical pain and stress ratings and experienced significantly lower GSR at dressing change. Mean heart rate, blood pressure, salivary cortisol were also lower for patients with atraumatic dressings. However, patients' PSS (atraumatic=24.60, conventional=22.72) and STAI (atraumatic=34.90, conventional=33.21) scores were similar for both dressing type groups. Conclusion: This study provides a basis for understanding how different dressing types can impact pain and stress at dressing change. Acute episodes of pain and stress were much lower in patients receiving atraumatic dressings;0 however factors associated with the overall experience of living with a chronic wound may be contributing to underlying and ongoing feelings of stress and anxiety. The impact of these implications on selection of dressings and cost of care are also discussed. Declaration of interest: This research was commissioned by Mölnlycke Health Care. None of the authors work for Mölnlycke Health Care or have any financial interests with the company. There are no additional conflicts of interest to declare..

Item Type: Article
Additional Information:

Staff and students at the University of Worcester can access the full-text of this article via the Get it from ILS service. External users should check availability with their local library or Interlibrary Requests Service.

Subjects: R Medicine > RT Nursing
B Philosophy. Psychology. Religion > BF Psychology
Divisions: College of Business, Psychology and Sport > School of Psychology
Depositing User: Kazia Anderson
Date Deposited: 12 Nov 2012 16:50
Last Modified: 09 Dec 2019 15:02

Actions (login required)

View Item View Item
Worcester Research and Publications is powered by EPrints 3 which is developed by the School of Electronics and Computer Science at the University of Southampton. More information and software credits.