Interventions to reduce pain at dressing change of chronic wounds: a mixed-methods systematic review.
This review looked at ways to reduce pain when changing dressings on chronic wounds, including diabetic foot ulcers. Pain during dressing changes is a big problem for patients and can cause stress and fear. The researchers reviewed 29 studies, including tests of treatments, surveys, and interviews with patients and health workers. They found that pain varies greatly and depends on the wound type and healing stage. Some non-adhesive dressings and certain sprays or gels helped reduce pain, but results were mixed and not all methods worked for everyone. The study also showed that how doctors and nurses talk with patients and prepare them before changing dressings can make a difference. This is important because better pain control can help wounds heal and improve quality of life. However, because the studies were very different, it's hard to give one clear recommendation, and more research is needed.
Key takeaways
- Pain during dressing changes is common for chronic wounds like diabetic foot ulcers, causing distress and fear.
- This review of 29 studies found that pain varies by wound type and healing stage, and no single method always works.
- Non-adhesive dressings and topical sprays or gels may reduce pain, but results were mixed across studies.
- Good communication and preparing patients before dressing changes can help lower anxiety and perceived pain.
- Ask your doctor whether non-adhesive dressings or pain-relief sprays might be suitable for your wound.
- Always tell your healthcare team if dressing changes are painful, so they can adjust your care plan.
Editor's note
In China, diabetic foot ulcer care is becoming more specialised, with dedicated centres focusing on wound management and pain control. This review supports what many Chinese clinicians are already doing, such as using advanced dressings and taking time to talk with patients. While some specific products mentioned may not be available everywhere, the principle of reducing pain during dressing changes is widely accepted. Patients in China should feel empowered to discuss pain management with their doctors and ask about options like non-adhesive dressings or topical anaesthetics if available.