Sadeghi Samira Sadat, Azami Hiva, Borzou Seyed Reza, Bashar Farshid Rahimi, Tapak Leily, Haddadi Rasoul
Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran.
Chronic Diseases Home Care Research Center, Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Hamadan, University of Medical Sciences, Hamadan, Iran.
Contemp Clin Trials Commun. 2023 Jan 16;32:101063. doi: 10.1016/j.conctc.2023.101063. eCollection 2023 Apr.
Today, the anti-inflammatory property of fish oil is used to heal wounds, but this property has not been investigated to prevent the occurrence of pressure ulcers. So the research team decided to evaluate this feature as well.
This clinical trial study was performed on 102 patients admitted to the intensive care unit located at Besat Hospital in 2020. Samples were assigned to three groups control, placebo, and intervention using permutation blocks. Before the intervention, the questionnaire of demographic and clinical variables, level of consciousness, Braden scale, and short nutritional status questionnaire was completed by the main researcher. In the intervention group, in addition to routine care, 2 cc of fish oil was gently rubbed into the sacrum once a day for 5 days. The same intervention was repeated in the placebo group, with the difference that soybean oil was used instead of fish oil, and the control group received only the usual care. The daily evaluation of pressure ulcers by one of the ICU nurses lasted up to 6 days.
The results showed that there was a significant difference in the incidence of pressure ulcers in the three groups (P = 0.043). The risk of pressure ulcers in the control group was 11.9 and 2.7 times higher than the fish oil group and placebo group (P = 0.023) & (P = 0.132).
The use of topical fish oil can be effective in preventing pressure ulcers.
如今，鱼油的抗炎特性被用于伤口愈合，但尚未对其预防压疮发生的特性进行研究。因此，研究团队决定也对这一特性进行评估。
这项临床试验研究于2020年对入住贝萨特医院重症监护病房的102例患者进行。使用排列分组法将样本分为三组：对照组、安慰剂组和干预组。在干预前，由主要研究者完成人口统计学和临床变量问卷、意识水平、Braden量表和简短营养状况问卷。在干预组中，除常规护理外，每天一次将2毫升鱼油轻轻涂抹于骶骨部位，共进行5天。安慰剂组重复相同的干预，不同之处在于使用大豆油代替鱼油，对照组仅接受常规护理。由一名重症监护病房护士对压疮进行每日评估，持续6天。
结果显示，三组压疮发生率存在显著差异（P = 0.043）。对照组发生压疮的风险分别比鱼油组和安慰剂组高11.9倍和2.7倍（P = 0.023）&（P = 0.132）。
局部使用鱼油可有效预防压疮。
