بررسی تأثیر کرم بابونه بر بهبود زخم فشاری درجه‌ی یک در بیماران بستری در بخش‌های مراقبت ویژه: مطالعه‌ی کارآزمایی بالینی تصادفی

نوع مقاله : مقاله های پژوهشی

نویسندگان

1 دانشجوی کارشناسی ارشد، گروه پرستاری مراقبت ویژه، دانشکده‌ی پرستاری و مامایی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

2 مربی، مرکز تحقیقات مراقبت‌های پرستاری و مامایی و گروه پرستاری مراقبت ویژه، دانشکده‌ی پرستاری و مامایی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

3 استادیار، مرکز تحقیقات مراقبت‌های پرستاری و مامایی و گروه پرستاری مراقبت ویژه، دانشکده‌ی پرستاری و مامایی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

4 دکتری شیمی فیزیک، مرکز تحقیقات گیاهان دارویی باریج، کاشان، ایران

چکیده

مقدمه: پژوهش حاضر با هدف تعیین تأثیر کرم بابونه بر بهبودی زخم فشاری درجه‌ی ‌یک بیماران بستری در بخش‌های مراقبت ویژه بیمارستان‌های الزهرا (س) و امین اصفهان و بیمارستان امام حسین (ع) گلپایگان، انجام شد.روش‌ها: این مطالعه بر روی دو گروه 35 نفره از بیماران بخش‌های مراقبت ویژه که دارای زخم فشاری درجه‌ی یک در نواحی مختلف بدن بودند، انجام‌ شد. در گروه شاهد، برای بیماران فقط مراقبت‌های معمول استاندارد پیش‌گیری از زخم فشاری مانند تغییر وضعیت، استفاده از تشک مواج و... استفاده ‌شد و زخم آن‌ها با سرم نرمال سالین شستشو داده شد. در گروه مداخله، علاوه بر روش‌های ‌گفته شده، از کرم بابونه بر روی محل زخم استفاده گردید و این کار به مدت 7 روز پی‌گیری شد. با استفاده از ابزار Pressure ulcer scale for healing (PUSH)، در روزهای اول، چهارم و هفتم مطالعه، میزان بهبود زخم فشاری مشخص و ثبت شد و پرسش‌نامه‌ها در دو گروه با هم مقایسه گردید.یافته‌ها: در روزهای چهارم و هفتم، میانگین نمره‌ی زخم فشاری گروه مداخله به‌ طور معنی‌داری کمتر از گروه شاهد بود (001/0 > P). ﻗﺒﻞ از ﻣﺪاﺧﻠﻪ، ﻣﯿﺎﻧﮕﯿﻦ نمره‌ی زخم فشاری در گروه مداخله، 25/2 ± 44/6 گزارش شد که اﯾﻦ ﻧﻤﺮه در روز هفتم به 12/1 ± 33/0 کاهش‌ یافت. در ﮔﺮوه شاهد، نمره‌ی زخم فشاری اوﻟﯿﻦ ارزﯾﺎﺑﯽ، 93/1 ± 86/5 ﺑﻮد و در روز هفتم به 40/2 ± 14/8 افزایش ‌یافت.نتیجه‌گیری: به نظر می‌رسد که استفاده از کرم بابونه در درمان زخم‌های فشاری درجه‌ی یک تأثیرگذار است. پیشنهاد می‌گردد به ‌منظور بررسی تأثیر بابونه بر بهبودی زخم‌های فشاری درجه‌ی دو، تحقیقات گسترده‌تری صورت پذیرد.

کلیدواژه‌ها

عنوان مقاله [English]

The Effect of Chamomile Cream on First-Degree Pressure Ulcer in Patients Admitted to Intensive Care Units; A Randomized Clinical Trial Study

نویسندگان [English]

  • Maryam Hashemi 1
  • Narges Kheirollahi 2
  • Ahmad Reza Yazdannik 3
  • Mohammad Reza Memarzadeh 4
1 MSc Student, Department of Critical Care Nursing, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
2 Instructor, Nursing and Midwifery Care Research Center AND Department of Critical Care Nursing, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
3 Assistant Professor, Nursing and Midwifery Care Research Center AND Department of Critical Care Nursing, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
4 PhD in Physical Chemistry, Medicinal Plants Research Center of Barij, Kashan, Iran
چکیده [English]

Background: The aim of this study was to determine the effect of chamomile cream on healing of first-degree pressure ulcer in patients admitted to intensive care units (ICUs) of Alzahra and Amin hospitals of Isfahan City, and Imam Hossein hospital of Golpayegan City, Iran.Methods: This study was performed on two groups of 35 patients in ICUs who had first-degree pressure ulcer in different parts of the body. In the control group, patients received only standard care for pressure ulcer prevention, including positional change, use of wavy mattresses, etc. The wound was washed with normal saline. In intervention group, more than the standard care, chamomile cream was used in ulcer for 7 days. The work was followed up for 7 days according to Pressure Ulcer Scale for Healing (PUSH) on the first, fourth, and seventh days of the study of pressure ulcer healing, and the questionnaires were compared between the two groups.Findings: At the fourth and seventh days of the study, the mean PUSH scores of pressure ulcer were significantly lower in intervention group (P < 0.001). Before intervention, the mean PUSH score of pressure ulcer in intervention group was 6.44 ± 2.25, which reduced to 1.33 ± 1.12 at the seventh day. In control group, the first assessment of the PUSH score was 5.86 ± 1.93, which increased to 8.14 ± 2.40 at the seventh day.Conclusion: It seems that using chamomile cream is effective in the treatment of first-degree pressure ulcers. Further studies are suggested to investigate the effect of chamomile on healing of second-degree pressure ulcers.

کلیدواژه‌ها [English]

  • Pressure ulcer
  • Chamomile
  • Intensive care units

مراجع

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مجله دانشکده پزشکی اصفهان
دوره 37، شماره 541 - شماره پیاپی 541
مهر و آبان 1398
صفحه 1026-1032

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سابقه مقاله

  • تاریخ دریافت: 27 بهمن 1397
  • تاریخ بازنگری: 11 آبان 1403
  • تاریخ پذیرش: 17 فروردین 1401

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