Perception and Readiness to Undertake Maggot Debridement Therapy with the Use of Lucilia sericata Larvae in the Group of Nurses

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.

Perceived stress and readiness to undertake biodebridement in the group of nurses undertaking prevention and treatment of chronic wounds

“…Our study focused on a group of nurses qualified and experienced in undertaking therapeutic interventions in patients with chronic wounds. In our study ( 20 ) concerning readiness to implement biodebridment with the use of L. Sericata larvae, the subjects showed motivation but declared a deficit of knowledge, skills and experience in wound treatment with MDT. These variables may result in reluctance as well as some concerns about MDT implementation.…”

“…Maggot-induced loathing and disgust often stem from associations, negative experiences, and childhood images of decaying carcasses, animal excrement, or rotten garbage. It is associated with unpleasant images and smells, which may cause negative psychosomatic symptoms ( 20 , 26 ). Our study focused on a group of nurses qualified and experienced in undertaking therapeutic interventions in patients with chronic wounds.…”

“…50 points, the higher the number of points, the greater the level of readiness to implement MDT. The reliability of the MDT 10 perception assessment questionnaire was determined at the level of Cronbach's Alpha level α = 0.76 ( 20 ). The third tool used in the course of the study was the perceived stress scale (PSS-10) by Cohen et al in Polish adaptation by Juczyński and Ogińska-Bulik.…”

Debridement of hard-to-heel wounds provided in the home-care setting. Practical and legal possibilities

“…Utrudniony dostęp do podstawowych i zaawansowanych świadczeń zdrowotnych spowodował, że część personelu medycznego zaczęła chętniej stosować MDT w warunkach opieki niestacjonarnej. To spowodowało, że wiele ran trudno gojących się było z powodzeniem opracowywanych i leczonych w warunkach domowych przez wykwalifikowany personel pielęgniarski [22].…”

Lucilia sericata defensins and their capacity to stimulate wound regenerative processes. A review of the literature and our own observations

“…Czynniki osobiste po stronie pacjenta lub personelu medycznego oraz bariery systemowe mogą w pewnym [60]. Najczęściej obserwowanym niepożądanym efektem terapii z wykorzystaniem larw są nieprzyjemne doznania, takie jak świąd, parestezje i ból o różnym nasileniu.…”