scholarly journals Modern and Classic Wound Dressing Comparison in Wound Healing, Comfort and Cost

Jurnal NERS ◽  
2020 ◽  
Vol 15 (1) ◽  
pp. 31
Author(s):  
Ferdiansyah Mahyudin ◽  
Mouli Edward ◽  
M Hardian Basuki ◽  
Yunus Basrewan ◽  
Ansari Rahman
Keyword(s):  
Wound Healing ◽  
Cost Effectiveness ◽  
Assessment Tool ◽  
Wound Care ◽  
Sampling Technique ◽  
Pain Scale ◽  
Patient Comfort ◽  
Satisfactory Outcome ◽  
The Mean ◽  
Prospective Study Design

 Introduction: Wound care has also developed rapidly after the dissemination of the concept of TIME (Tissue, Infection, Moisture, and Wound Edge) in modern dressing (MD). The aim of this study was to compare modern dressings (MDs) and classic dressings (CDs) in terms of patient comfort, cost effectiveness and wound healing.Methods: A prospective study design with total of 25 participants. The sampling technique used was consecutive sampling. Patient comfort was assessed through the frequency of wound care and pain scale using the Visual Analogue Scale (VAS). Cost-effectiveness was assessed using direct and indirect costs. Wound healing was assessed using the Bates-Jensen Wound Assessment Tool (BWAT) score. The data was analyzed using the independent t and Mann-Whitney tests.Results: In terms of comfort, the mean for the number of times that wound care was performed and the pain scale in the participants using MD was (3.07 ± 0.88 times and VAS 4.59  ± 0.72, respectively), which is less compared to using CD (4.60  ±  1.84 times each and VAS 5.43  ± 0.75). Referring to the indirect and direct costs, MD (13.67  ± 6.09 and 527.63  ± 84.47, respectively) has the same cost-effectiveness as CD (14.00  ± 7.64 and 482.68 ± 98.08, respectively). In terms of healing, the mean of the BWAT score in MD (31.26  ± 1.69) was better compared to CD (33.07  ± 1.65).Conclusion: The application of MD has the same cost-effectiveness as CD with a more satisfactory outcome for the wounds in terms of comfort and healing.

Experience of negative pressure wound therapy over sternal wound healing: A retrospective review

WCET Journal ◽  
2019 ◽  
Vol 39 (2) ◽  
pp. 9-18
Author(s):  
Wai Sze Ho ◽  
Wai Kuen Lee ◽  
Ka Kay Chan ◽  
Choi Ching Fong
Keyword(s):  
Wound Healing ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Assessment Tool ◽  
Wound Care ◽  
Wound Therapy ◽  
Treatment Pathways ◽  
Wound Assessment ◽  
One Year

Objectives The aim of this study was to retrospectively review the effectiveness of negative pressure wound therapy (NPWT) in sternal wound healing with the use of the validated Bates-Jensen Wound Assessment Tool (BWAT), and explore the role of NPWT over sternal wounds and future treatment pathways. Methods Data was gathered from patients' medical records and the institution's database clinical management system. Seventeen subjects, who had undergone cardiothoracic surgeries and subsequently consulted the wound care team in one year were reviewed. Fourteen of them were included in the analysis. Healing improvement of each sternal wound under continuous NPWT and continuous conventional dressings was studied. In total, 23 continuous NPWT and 13 conventional dressing episodes were analysed with the BWAT. Results Among conventional dressing episodes, sternal wound improvement was 2.5–3% over 10 days to 3.5 weeks, whereas 4–5% sternal healing was achieved in 5 days to 2 weeks with sternal wire presence. Better healing at 11% in 1 week by conventional dressing was attained after sternal wire removal. In NPWT episodes, 8–29%, 13–24%, and 15–46% of healing was observed in 2 weeks, 3.5 to 5 weeks and 6 to 7 weeks, respectively. Only 39% wound healing was acquired at the 13th week of NPWT in one subject. With sternal wire present, 6%–29% wound healing progress was achieved by NPWT in 1–4 weeks, and 16–23% wound improvement in 2 to 4.5 weeks by NWPT after further surgical debridement. After sternal wire removal, 6–34% sternal wound healing occurred by continuous NPWT for 1–2 weeks, and maximum healing at 46% after 2.5 weeks of NPWT were observed. Conclusions Better wound healing was achieved in the NPWT group in comparison to conventional dressings alone. However, suboptimal sternal wound healing by NPWT alone was observed. Removal of sternal wire may improve the effectiveness of NPWT. Successful tertiary closure after NPWT among subjects supports the important bridging role of NPWT in sternal wound healing. Factors causing stagnant sternal wound healing by NPWT alone are discussed.

scholarly journals USIA DAN BUDAYA PANTANGMAKANAN MEMPENGARUHI PENYEMBUHAN LUKA PERINEUM PADA IBU NIFAS HARI KE 7

2015 ◽  
Vol 6 (2) ◽  
Author(s):  
Sondang Sidabutar
Keyword(s):  
Wound Healing ◽  
Wound Care ◽  
Healing Process ◽  
Sampling Technique ◽  
Perineal Wound ◽  
Wound Healing Process ◽  
Birth Canal ◽  
Perineal Wound Healing ◽  
Health Officer ◽  
Long Time

Wound healing is a long time in there covery process because of damage to the skin or skin tissue disintegritas. According to Rustam Mochtar(1998), the injured in the birth canal when not accompanied by infection will heal within6-7days. Based on the results of a survey on BPS Ny. Arifin S. Surabaya, from as many as7 of 10 respondents (70%) found the wound is still wet. The purpose of this study was to determine age and cultural picture of incontinence on postpartum mother's perineal wound healing on the seventh day in the BPS Ny. Arifin S. Surabaya. In this research using descriptive method with the study population was all mothers with post natal on the seventh day stit chesin the perineum which controls BPS Ny. Arifin S. Surabaya period from July to August 2008 as many as 49 people. Sampling of non-probability sampling with a sampling technique is saturated. By using questionnaires and observation sheets as research instruments. Data created frequency tables and cross tabulations and then summed. Based on the results of research on maternal postnatal day 9 to 7, obtained the majority of postnatal mother saged <35 years of the perineal wound healed as many as 24 people (66.66%) and in postpartum mothers who do not abstain from the majority of the perineal wound healed as many as17 people (77.27%). By looking at these result it can be concluded that the perineal wound healing can be influenced byculture age and abstinence from food. Therefore, the provision of good information and right by the health officer of the perineal wound care will affect the success of the perineal wound healing process.

scholarly journals EFFECTIVENESS OF MUSIC PLAYBACK ON INTRAVENOUS CANNULATION PAIN AMONG CHILDREN

THE GENESIS ◽  
2020 ◽  
Vol 7 (3) ◽  
Author(s):  
Ms. Reshma P. S* s ◽  
Mrs. Anju A r ◽  
Mrs. Evangeline j ◽  
Mrs. Sabitha r
Keyword(s):  
Pain Score ◽  
Sampling Technique ◽  
Pain Scale ◽  
Control Group ◽  
Nursing Theory ◽  
Chi Square ◽  
Quasi Experimental ◽  
The Mean ◽  
Level Of Significance ◽  
Experimental Group

A quasi experimental study was conducted to assess the effectiveness of music playback on intravenous cannulation pain among children in a selected hospital. Objectives: to assess the mean posttest pain score among children in the experimental and control group, to find out the effectiveness of music playback on intravenous cannulation pain among children and to find out the association between posttest pain score and selected socio demo graphic variables of children in control group. Quasi experimental posttest only controls group design and convenience sampling technique was used to select 60 children in a selected hospital at Alappuzha district. Conceptual framework: Ernestine Wiedenbach’s Helping Art of Clinical Nursing Theory (1969). Posttest was conducted in the control and the experimental group by using FLACC Behavioral Pain Scale and Socio demographic proforma. Music playback was played to the experimental group for 10 minutes during intravenous cannulation. The data were tabulated and analysed using descriptive and inferential statistics. The mean posttest pain score of children in the experimental group was 4.1 with SD 1.33 which was significantly lower than the mean posttest pain score of children in the control group which was 7.8 with SD 1.27 with a mean difference of 3.6. The calculated ‘t’ value 10.910 was greater than the table value 2.00, is significant at p<0.05 level with degree of freedom 58. Hence, we can conclude that the music playback was effective in reducing the pain level of children during intravenous cannulation. The analysis showed that the calculated chi square value for family monthly income, number of previous hospitalisations, previous exposure of cannulation were greater than that of the table value at p < 0.05 level of significance. Hence null hypothesis (H02) can be rejected and research hypothesis (H2) can be accepted. So, it can be concluded that there was significant association between posttest pain score an

scholarly journals DIFFERENCES OLD PERINEAL WOUND HEALING POST HECTING WITH ANESTHESIA AND WITHOUT ANESTHESIA IN POSTPARTUM MOTHERS IN BPM "Y" AND BPM "G" LUBUK ALUNG 2015

2018 ◽  
Vol 9 (1) ◽  
pp. 49
Author(s):  
Angelia Rovina Septya ◽  
Debby Ratno Kustanto
Keyword(s):  
Wound Healing ◽  
Design Research ◽  
Health Workers ◽  
Wound Care ◽  
Sampling Technique ◽  
Perineal Wound ◽  
Bivariate Analysis ◽  
P Value ◽  
Not Given ◽  
Normal Delivery

Tailoring perineum is the effort to improve the function of the reproductive organs of women with rupture during childbirth. The use of anesthesia in suturing perineal laceration is dear mother's care. Practical experience in D-III of Midwifery, anesthetic administration before done throughout the midwife with the grounds for granting anesthesia can slow wound healing. This study aims to determine whether there are differences in wound healing post heating perineum between the mother given anesthesia before suturing the perineum with mothers who are not given anesthesia before suturing the perineum. This type of research is pre-experimentation, design research group intact comparison. research conducted on 1 October to 20 October 2015 in BPM "G" and BPM "Y" Lubuk Alung with a total sample of six people, the sampling technique accidental sampling. Data analysis was done by Independent T statistical test. The results showed long wound healing using anesthesia is 10 days while the healing of wounds that do not use anesthesia is 6 days. Bivariate analysis results can be concluded there is a difference in the rate of wound healing between the mother given anesthetic before action is taken by the mothers perineal suturing were not given anesthesia before action is taken perineal suturing with a P value of Value 0.013 (<0.05). Health workers must increase their skills and communication in case of normal delivery in order to rupture perineum reduced and teach patients how to wound care of perineal is good and right that wound healing is rapid and normal in hope of decreasing the risk of infection during childbirth.

The Hemostatic and Wound Healing Effect of Chitosan Following Debridement of Chronic Ulcers

2021 ◽  
Vol 33 (10) ◽  
pp. 263-270
Author(s):  
David Keast ◽  
Ashrafunissa Janmohammad
Keyword(s):  
Wound Healing ◽  
Wound Dressing ◽  
Assessment Tool ◽  
Thrombus Formation ◽  
Hemostatic Agent ◽  
Provider Satisfaction ◽  
Wound Debridement ◽  
Pain Scores ◽  
Patient Reported ◽  
The Mean

Introduction. Chitosan has been proven to be helpful in wound care as a hemostatic agent. The hemostatic effect is due to the positively charged chitosan interacting with negatively charged red blood cell membranes, initiating the agglutination of red blood cells and platelets. This promotes the activation of thrombin, which activates the clotting pathway, leading to thrombus formation. Objective. Based on the properties of chitosan as a rapidly acting hemostatic agent, the authors sought to determine if a chitosan gelling fiber wound dressing could control bleeding of freshly debrided wounds. The effect of the chitosan dressing on overall healing and patient and provider satisfaction was also evaluated. Materials and Methods. Wounds of any etiology requiring sharp debridement in patients older than 18 years who were capable of consent were eligible. Wounds were sharply debrided by curettage, scalpel, electrosurgery, or a combination of methods. A chitosan dressing was applied to the freshly debrided wound with gentle pressure. The time from application to hemostasis as assessed by non-progression of blood pattern was measured. Other outcome measures also included digital photography, wound surface area, numerical pain scores, and Photographic Wound Assessment Tool (PWAT) scores. Patient and provider satisfaction were measured. Results. Twenty patients with a variety of etiologies and ulcer types were evaluated. After debridement, wound bleeding was rated as mild (n=9), moderate (n=9), or severe (n=2). The mean time to hemostasis was 75 seconds ± 41 SD (range, 28–221 seconds). In 1 week, the mean wound area decreased from 6.9 cm2 ± 7.8 to 6.2 cm2 ± 7.9 and mean PWAT scores decreased from 17.7 ± 4.9 to 11.4 ± 5.0 (lower score indicates wound healing). Pain scores associated with wound debridement were reduced in all but 1 patient evaluated at week 1. Overall, the rating scores from the Patient Reported Acceptance Questionnaire (PRAQ) and Provider Acceptance Questionnaire (PAQ) developed by this research group were high. The mean total PRAQ score was 30.5 ± 3.9 out of 35 (35 being most satisfied). The PAQ score was 15 out of 15 for all but 1 patient (15 being most satisfied). Conclusions. The chitosan gelling fiber wound dressing was simple to use and rapidly promoted hemostasis in fresh sharply debrided wounds. It was safe and easy to use in an outpatient setting and was highly rated by the patients.

scholarly journals PENGARUH TERAPI BEKAM BASAH TERHADAP PERUBAHAN SKALA NYERI PADA PASIEN MIGRAIN

2019 ◽  
Vol 1 (2) ◽  
pp. 54-62
Author(s):  
Mulia Mayangsari
Keyword(s):  
Health Workers ◽  
Sampling Technique ◽  
Pain Scale ◽  
Wilcoxon Test ◽  
P Value ◽  
Minimum Value ◽  
Migraine Pain ◽  
Maximum Value ◽  
Before And After ◽  
The Mean

The research design used was Experimental with Kunsekutive Sampling technique. The population in this study were patients who had migraine in Noreh village. The working area of Puskesmas Sreseh was 18 respondents and the result was analyzed using Shapiro Wilk and Wilcoxon test. The results of the study in migraine patients can be seen that the mean pretest scale of migraine pain scale is 4.67 whereas, for the mean posttest of migraine pain scale is 2.22. In the pretest of migraine pain scale the minimum value found is 4 whereas, the maximum value is 6. While in posttest skalanyeri migraine the minimum value found is 1 whereas, the maximum value is 3. In the Shapiro Wilk analysis showed that there were differences in the scale of migraine pain before and after wet bruise therapy. In the Wilcoxon analysis comparing migraine patients, a p-value of 0,000 indicated that there was an effect of wet-brushing therapy on changes in the pain scale. To health workers and educational institutions are expected to use wet brewing therapy as a complementary alternative and as a non-pharmacological treatment that can reduce the scale of pain.

scholarly journals Effectiveness of prenatal teaching on prevention of breast engorgement

2017 ◽  
Vol 6 (9) ◽  
pp. 3927 ◽  
Author(s):  
Padmasree S. R. ◽  
Linda Varghese ◽  
Aswathy S. Krishnan
Keyword(s):  
Assessment Tool ◽  
Sampling Technique ◽  
Knowledge Score ◽  
Control Group ◽  
Control Group Design ◽  
Significant Difference ◽  
Post Test ◽  
The Mean ◽  
Experimental Group ◽  
Test Level

Background: Breast engorgement is a major issue in the early postpartum period under the influence of hormonal shift and increase milk production. The purpose of this study was to evaluate the prevention, recognition and management of breast engorgement.Methods: Quasi Experimental, quantitative study conducted in AIMS, Kochi among sixty mothers by Convenience sampling technique. The design used was pre-test post-test control group design. A semi structured knowledge questionnaire, Bristol Breastfeeding Assessment Tool and an Observational checklist were used to collect the data. Prenatal teaching provided to the Experimental group.Results: The mean pre-test knowledge level of control group was 9.83 and the post-test knowledge was 10.03. In the Experimental group, the mean pre-test level was 10.20 and the post-test level is 20.76. The ‘t’ value of control group was 0.71 and that of Experimental group was 12.83 which was highly significant at 0.001 level. There was a significant increase in knowledge score in Experimental group. Comparing the breastfeeding practices regarding positioning and attachment in both groups, showed a significant difference at the level of 0.001 but other two aspects, sucking and swallowing were not significant. Comparing the incidence, 13.3% mothers reported in experimental group whereas 63.3% in the control group, which showed a remarkable decrease in the incidence of breast engorgement in the former group.Conclusions: The prenatal teaching was effective in improving the health of mothers as well as practices of breastfeeding and it helped in reduction of the incidence of breast engorgement.

scholarly journals Application of International Best Practice Guideline in Diabetic Ulcer Patients

2019 ◽  
Vol 3 (1) ◽  
pp. 50-62
Author(s):  
Mayusef Sukmana ◽  
Roni Sianturi ◽  
Muhammad Aminuddin
Keyword(s):  
Practice Guideline ◽  
Best Practice ◽  
Assessment Tool ◽  
Health Workers ◽  
Wound Care ◽  
Sampling Technique ◽  
Assessment Tools ◽  
Base Temperature ◽  
Diabetic Ulcer ◽  
Diabetic Ulcers

Background: Diabetic ulcer is one of the complications of Diabetes mellitus. Assessment of diabetic ulcers is done as a basis in determining wound care and therapy provided so that it needs to know its characteristics.Purpose: This study was to determine the characteristics of wounds assessment tools diabetic ulcer International Best Practice Guideline (IBPG).Method: The study design was descriptive with a case study approach, the sampling technique was purposive sampling carried out in May 2019 with three respondents. The instrument used is the wound assessment tool International Best Practice Guideline which contains: sensation, callus, wound base, temperature and location.Results: Respondents 1 experienced neuroiskemic injuries. Respondent 2 suffered neuropathic injuries and Respondent 3 had ischemic injury.Conclusion: Characteristics of ulcers based on the International Best Practice Guidelines respectively, neuroiskemic, neuropathic and ischemic ulcers. Health workers are expected to apply a more detailed assessment of diabetic ulcers so that they can determine the appropriate treatment.

scholarly journals A STUDY TO ASSESS THE EFFECTIVENESS OF ACUPRESSURE IN REDUCING DYSMENORRHOEA AMONG NURSING STUDENTS OF A SELECTED COLLEGE OF NURSING AT MANGALURU.

2020 ◽  
pp. 11-13
Author(s):  
Nilima Kalai ◽  
Selinamma Devasia (Sr. Dhanya)
Keyword(s):  
Time Series ◽  
Nursing Students ◽  
Repeated Measures ◽  
Invasive Procedure ◽  
Sampling Technique ◽  
Pain Scale ◽  
Control Group ◽  
Relieve Pain ◽  
Significant Difference ◽  
The Mean

Background Acupressure is an ancient healing art that uses fingers to press key points on the surface of the skin to stimulate body’s natural self-curative abilities. When these points are pressed, they release muscular tension and promote the circulation of blood and body’s life force to aid healing. It has been reported that dysmenorrhoea can be successfully relieved by acupressure at Qihai (CV6), Guanyuan (CV4), Taichong (LIV3), Xuehai(SP10), Sanyinjiao (SP6). The sanyinjio acupoint is commonly used to induce labour and relieve pain during dysmenorrhoea. Dysmenorrhoea is a common problem among girls and acupressure is an effective non-invasive procedure to relieve pain. Acupoint Sanyinjiao (SP6) was selected for the study because it is the acupoint of choice in gynaecology and easy for girls to locate and apply pressure to without medical assistance. The aim of the study was to assess the effectiveness of acupressure in reducing dysmenorrhoea among nursing students. Materials and Method A quasi experimental time series non-equivalent control group time series design was used for the present study. Forty nursing students who met the inclusion criteria was selected by using purposive sampling technique. Baseline proforma and numeric pain scale was used to assess the level of pain. Data analysis was done by using descriptive and inferential statistics such as frequency, range, mean, median, standard deviation, uppaired “t” tet and ANOVA for repeated measures. Result There was significant difference in pain between the two group soon after, after 30 minutes and after 1 hour. The mean score of dysmenorrhoea among students before acupressure (7.95) was higher than immediately after the intervention (6.35). After 30 minutes the mean score was 4.25 and after 1 hour the mean score was (1.25). The computed value of ANOVA (F= 344.881) was found to be significant (p<0.05) in reducing dysmenorrhoea. Unpaired‘t’ test was done comparing the experimental and control group at different time series was higher than the table value (t38 = 1.69) at p< 0.05 level of significant, hence research hypothesis was accepted i.e. acupressure was effective in reducing dysmenorrhoea.

scholarly journals Comparison of L-Shape and Side-Lying Positions on Breastfeeding Outcomes among Mothers Delivered by Cesarean Section: A Randomized Clinical Trial

2021 ◽  
Vol 10 (3) ◽  
pp. 121-128
Author(s):  
Gunjot Arora ◽  
Prasuna Jelly ◽  
Rajlaxmi Mundhra ◽  
Rakesh Sharma
Keyword(s):  
Rating Scale ◽  
Assessment Tool ◽  
Block Size ◽  
Sampling Technique ◽  
Maternal Satisfaction ◽  
Medical Sciences ◽  
Significant Difference ◽  
Numeric Pain Rating Scale ◽  
The Mean ◽  
Rating Scale Data

Introduction: Ineffective breastfeeding techniques is one of the factors contributing to poor breastfeeding outcomes in post-cesarean mothers. To assist post-cesarean mothers to find a comfortable breastfeeding position, a trial was conducted to compare different positions of breastfeeding in these individuals. Methods: A randomized clinical parallel trial was carried out on primipara post-cesarean mothers admitted to All India Institute of Medical Sciences (AIIMS), Rishikesh, Uttarakhand, India. Participants were enrolled by convenience sampling technique, which was further randomized (block size= 4) and allocated to receive either "L" shape (n= 30) or side-lying (n= 30) position for breastfeeding. The assigned intervention was provided at least six times a day for four consecutive days. Data were collected using breastfeeding assessment Tool, maternal breastfeeding evaluation scale and numeric pain rating scale. Data were analyzed using SPSS software version 23. Results: The baseline characteristics of participants in both groups were similar. The mean comparison of breastfeeding outcome and maternal satisfaction indicated no significant difference between the two positions. However, the mean scores of maternal pain were statistically significant. Hence, it was inferred that the maternal pain was significantly less in post-cesarean mothers in "L" shape compared to side-lying. Conclusion: There is significantly less pain in post-cesarean mothers during breastfeeding in "L" shape than side-lying. Furthermore, maternal satisfaction and breastfeeding outcomes were found to be similar in both positions.

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