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Larvterapins påverkan vid behandling av kroniska bensår: Litteraturstudie
Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
2017 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
Larval therapies impact at treatment for chronic leg ulcers (English)
Abstract [sv]

Bakgrund: Larvterapi är en alternativ behandlingsmetod i bensårsläkning. Sårläkning med larver har förekommit i mer än 70 år men vid antibiotikans introduktion minskades användandet av larvterapi. Då det idag finns problem med antibiotikaresistens introducerades larvterapi åter. Syftet med denna studie var att belysa hur larvterapi påverkar bensårsbehandlingen för patienter med kroniska bensår. Metod: En integrativ litteraturstudie genomfördes utifrån två kvalitativa och sju kvantitativa vetenskapliga artiklar.  Resultat: Det som belystes var fysiologisk påverkan av bensåret såsom debridering och läkning samt upplevelsen av larvterapi såsom smärta, obehagskänslor och lukt. Studien visade att debridering vid bensår med larvterapi gav bättre resultat än med hydrogelbehandling. Larverna debriderade såren från nekrotisk vävnad så att bensårens omfång minskade drastiskt. Anmärkningsvärt var att sex av nio studier nämnde att smärta upplevdes under behandlingsprocessen men att acceptansen av larvterapi som behandlingsform var över förväntan trots smärtan. En del patienter hade initialt en negativ inställning inför larvterapi men var villiga att prova behandlingsmetoden. Larvterapi kunde förbättra patienters välbefinnande och vid smärtförekomst gick behandlingsmetoden att genomföra med hjälp av information och smärtstillande läkemedel varvid den totala läkningstiden förkortades.

Abstract [en]

Background: Larval therapy is an alternative treatment method in wound healing. Wound healing with larvae has occurred for more than 70 years. The introduction of antibiotics decreased larval therapy, but though there are problems with the resistance of antibiotics, larval therapy returned. The objective of this study was to highlight the impact of larval therapy for chronic leg ulcers.  Method: An integrative literature study was performed based on two qualitative and seven quantitative scientific articles.  Results: The impacts of the leg ulcers that were highlighted were physiological such as debridement and healing, also the experience of larval therapy such as pain, feelings of discomfort and wound odor. The study showed that the debridement in leg ulcers with larval therapy gave better results than hydrogel treatment. The larvae debrided necrotic tissue from the wounds and decreased the wound dramatically. Remarkably, six out of nine studies mentioned pain as a big factor during treatment but the acceptance of larval therapy was beyond expectation. Although some patients were reluctant to try larval therapy, most patients were willing to go through with the treatment. Larval therapy improved the wellbeing of patients and if pain occurred during larval therapy patients were motivated with information and were relieved with painkillers so the total time of healing was shortened. 

Place, publisher, year, edition, pages
2017. , 19 p.
Keyword [en]
Larval therapy, nursing, leg ulcers
Keyword [sv]
Larvterapi, omvårdnad, bensår
National Category
Nursing
Identifiers
URN: urn:nbn:se:hh:diva-34887OAI: oai:DiVA.org:hh-34887DiVA: diva2:1138553
Subject / course
Nursing
Educational program
Primary Health Care Specialist Nursing, 75 credits
Supervisors
Examiners
Available from: 2017-09-06 Created: 2017-09-05 Last updated: 2017-09-06Bibliographically approved

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CiteExportLink to record
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Citation style
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