Miraj Sepideh, Pourafzali Seyedmehdi, Ahmadabadi Zohre Vakili, Rafiei Zahra
Department of Obstetrics and Gynecology, Infertility Fellowship, Qom University of Medical Sciences, Qom, Iran.
Department of Emergency Medicine, School of Medicine, Shahrekord University of Medical Sciences, Shahrekord, Iran.
Int J Prev Med. 2020 Feb 17;11:23. doi: 10.4103/ijpvm.IJPVM_545_18. eCollection 2020.
Detecting pressure ulcer is an important nursing diagnostic care required for the patients hospitalized in ICU. The purpose of this study is to examine the effect of olive oil in preventing the development of pressure ulcer grade one in ICU patients.
In this clinical trial, 72 patients eligible for hospitalization in hospitals of Isfahan University of Medical Sciences were divided randomly into two groups; control and intervention (receiving olive oil). The standard program of skincare was implemented on both the groups; in addition, olive oil was applied topically in the intervention group. The data was collected on the first day through demographic information and Braden pressure ulcer risk assessment scale. An infrared thermometer was used to record the local temperature of the ulcers daily. Assessments were made based on pressure ulcer scale for healing (PUSH) tool and the pressure ulcer area was examined per square cm on the first, fourth, and seventh day. The data collected was analyzed by Fisher's exact test, independent sample -test and repeated measure analysis using SPSS (version 22).
On the fourth and seventh day, the PUSH score was lower in the olive oil group (7.50 ± 2.823 and 5.44 ± 3.806) than in the control group (9.50 ± 1.732 and 8.83 ± 2.864) (-value <0.001). Also, a significant improvement of ulcer was observed in the olive oil group (mean difference = 3.56; value <0.001) but no change was observed in the control group (mean difference = 0.75; value = 0.052).
Based on the effect of olive oil in the reduction of ulcer area and the average PUSH score obtained in ICU patients, the application of olive oil is recommended for healing grade one pressure ulcers.
检测压疮是重症监护病房（ICU）住院患者所需的一项重要护理诊断工作。本研究的目的是探讨橄榄油在预防ICU患者发生一级压疮方面的效果。
在这项临床试验中，72名符合入住伊斯法罕医科大学附属医院条件的患者被随机分为两组：对照组和干预组（接受橄榄油治疗）。两组均实施标准的皮肤护理方案；此外，干预组局部应用橄榄油。第一天通过人口统计学信息和Braden压疮风险评估量表收集数据。每天使用红外温度计记录溃疡部位的局部温度。根据愈合压疮量表（PUSH）工具进行评估，并在第一天、第四天和第七天每平方厘米检查压疮面积。使用SPSS（版本22）通过Fisher精确检验、独立样本检验和重复测量分析对收集的数据进行分析。
在第四天和第七天，橄榄油组的PUSH评分（分别为7.50±2.823和5.44±3.806）低于对照组（分别为9.50±1.732和8.83±2.864）（P值<0.001）。此外，橄榄油组溃疡有显著改善（平均差异=3.56；P值<0.001），而对照组未观察到变化（平均差异=0.75；P值=0.052）。
基于橄榄油在减少ICU患者溃疡面积和平均PUSH评分方面的效果，建议应用橄榄油治疗一级压疮。
