Gümüş Kenan, Özlü Zeynep Karaman
Department of Surgical Nursing, Amasya Health School, Amasya University, Amasya, Turkey.
Department of Surgical Nursing, Faculty of Health Sciences, Atatürk University, Erzurum, Turkey.
Complement Ther Med. 2017 Oct;34:66-73. doi: 10.1016/j.ctim.2017.08.001. Epub 2017 Aug 10.
This study was planned to investigate the effect of a mixture of beeswax, olive oil and A. Tinctoria (L.) Tausch on burn wounds to determine the impact on burn healing, pain during dressing changes and duration of hospital stay.
The study was conducted between May 2014 and August 2015 in the Burn Unit of Ataturk University Research Hospital. The sample of this experimental study consisted of 64 patients (31 experimental group and 33 control group) who met its inclusion criteria. While the specially prepared dressing material was applied to the experimental group, the control group was administered the clinic's routine dressing. The injuries were photographed before each dressing. Each picture was uploaded to a computer for measurement with ImageJ software. Numbers, percentages, chi square, Independent samples t-test and Mann-Whitney U tests were used to assess the data.
The patients in the experimental and control groups had similar descriptive characteristics and burn injury features (p>0.05). The average age of the patients in the control group was 5.52±0.64years, and 6.68±1.09years in the experimental group. The majority of the patients were male (control: 54.5%, experimental: 58.1%). Boiling liquids were the most common cause of both groups' burns (control: 93.9%, experiment: 83.9%). The most common first aid practice used was the application of cold water (control: 75.0%, experimental: 43.6%). The epithelization initiation time average of the experimental group patients (3.00±0.85days) was found to be earlier than that of the control group patients (6.90±1.77days), and this difference was statistically significant (p<0.05). The mean pain scores experienced by the patients in the experimental group during dressing (8.12±1.38) were determined to be lower than those of the control group (9.39±1.05), and this difference was statistically significant (p<0.05). It was also found that mean hospitalization durations of the patients in the experimental group (8.22±3.05) were shorter than those of the control group (14.42±7.79), and this difference was also found to be statistically significant (p<0.05).
When a beeswax, olive oil and A. tinctoria (L.) Tausch mixture was applied to second degree burns, this accelerated epithelization, reduced the pain experienced during dressing changes and shortened the hospital stay durations of the patients.
本研究旨在调查蜂蜡、橄榄油和染色矢车菊(A. Tinctoria (L.) Tausch)混合物对烧伤创面的影响,以确定其对烧伤愈合、换药时疼痛及住院时间的影响。
本实验研究于2014年5月至2015年8月在阿塔图尔克大学研究医院烧伤科进行。该实验研究的样本包括64例符合纳入标准的患者(31例实验组和33例对照组)。实验组应用特制的敷料材料,对照组采用临床常规敷料。每次换药前对创面进行拍照。每张照片上传至计算机,用ImageJ软件进行测量。采用数字、百分比、卡方检验、独立样本t检验和曼-惠特尼U检验对数据进行评估。
实验组和对照组患者具有相似的描述性特征和烧伤损伤特征(p>0.05)。对照组患者的平均年龄为5.52±0.64岁,实验组为6.68±1.09岁。大多数患者为男性(对照组:54.5%,实验组:58.1%)。两组烧伤最常见的原因均为沸腾液体(对照组:93.9%,实验组:83.9%)。最常用的急救措施是应用冷水(对照组:75.0%,实验组:43.6%)。发现实验组患者上皮化开始时间平均为(3.00±0.85天),早于对照组患者(6.90±1.77天),且差异具有统计学意义(p<0.05)。实验组患者换药时的平均疼痛评分(8.12±1.38)低于对照组(9.39±1.05),且差异具有统计学意义(p<0.05)。还发现实验组患者的平均住院时间(8.22±3.05)短于对照组(14.42±7.79),且差异也具有统计学意义(p<0.05)。
将蜂蜡、橄榄油和染色矢车菊(A. tinctoria (L.) Tausch)混合物应用于二度烧伤时,可加速上皮化,减轻换药时的疼痛,并缩短患者的住院时间。