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烧伤与伤口(B&W)/牛蒡叶疗法对阿米什烧伤患者的影响:一项测量疼痛程度、感染率和愈合时间的初步研究。

The effect of Burns & Wounds (B&W)/burdock leaf therapy on burn-injured Amish patients: a pilot study measuring pain levels, infection rates, and healing times.

作者信息

Kolacz Nicole M, Jaroch Mark T, Bear Monica L, Hess Rosanna F

机构信息

Joel Pomerene Hospital, Millersburg, OH.

Research for Health Inc., Cuyahoga Falls, OH

出版信息

J Holist Nurs. 2014 Dec;32(4):327-40. doi: 10.1177/0898010114525683. Epub 2014 Mar 25.

Abstract

PURPOSE

The purposes of this pilot study were to measure pain associated with dressing changes, assess the presence of infection, and document healing times of burn-injured Amish in central Ohio using an herbal therapy consisting of Burns and Wounds™ ointment (B&W) and burdock (Arctium ssp.) leaves. B&W contains honey, lanolin, olive oil, wheat germ oil, marshmallow root, Aloe vera gel, wormwood, comfrey root, white oak bark, lobelia inflata, vegetable glycerin, bees wax, and myrrh.

DESIGN

A prospective, case series design guided the study within a community-based participatory research framework.

METHODS

Amish burn dressers provided burn care. Registered nurses monitored each case and documented findings. Pain scores were noted and burns were inspected for infection during dressing changes; healing times were measured from day of burn to complete closure of the skin. All cases were photographed.

RESULTS

Between October 2011 and May 2013, five Amish were enrolled. All had first- and second-degree burns. B&W/burdock leaf dressing changes caused minimal or no pain; none of the burns became infected, and healing times averaged less than 14 days.

CONCLUSION AND IMPLICATIONS

The use of this herbal remedy appears to be an acceptable alternative to conventional burn care for these types of burns. The trauma of dressing changes was virtually nonexistent. Nurses working in communities with Amish residents should be aware of this herbal-based method of burn care and monitor its use when feasible.

摘要

目的

本初步研究的目的是测量与换药相关的疼痛,评估感染情况,并记录俄亥俄州中部烧伤的阿米什人使用由烧伤与伤口™软膏(B&W)和牛蒡叶组成的草药疗法后的愈合时间。B&W含有蜂蜜、羊毛脂、橄榄油、小麦胚芽油、药蜀葵根、库拉索芦荟凝胶、艾草、紫草、白橡树皮、北美山梗菜、植物甘油、蜂蜡和没药。

设计

在基于社区的参与性研究框架内,采用前瞻性病例系列设计指导本研究。

方法

阿米什烧伤护理人员提供烧伤护理。注册护士监测每个病例并记录结果。在换药时记录疼痛评分并检查烧伤处是否感染;从烧伤当天开始测量愈合时间,直至皮肤完全闭合。所有病例均拍照。

结果

2011年10月至2013年5月期间,纳入了5名阿米什人。所有患者均为一度和二度烧伤。使用B&W/牛蒡叶换药引起的疼痛极小或无疼痛;所有烧伤均未感染,愈合时间平均不到14天。

结论与启示

对于这类烧伤,使用这种草药疗法似乎是传统烧伤护理的一种可接受的替代方法。换药带来的创伤几乎不存在。在有阿米什居民的社区工作的护士应该了解这种基于草药的烧伤护理方法,并在可行时监测其使用情况。

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