جستجوی مقالات مرتبط با کلیدواژه « Dressing » در نشریات گروه « پزشکی »

Pain is a process of daily burn dressing changes. Evidence shows the effect of God’s name on reducing pain.

This study aimed to evaluate the effect of Islamic dhikr on pain severity and quality of burn dressing change.

This clinical trial was performed on 71 patients with burns in 2017. Patients were selected by convenience sampling and randomly assigned to intervention and control groups. Then, 10 minutes before the start of the dressing change, the participants were asked to repeat the praises of Hazrat Fatima (PBUH). Patients in the control group received routine care. Pain severity was measured in patients before and 15, 30, 45, and 60 minutes after the dressing change with the Visual Analog Scale (VAS). The pain quality of patients was measured 15 minutes after the dressing change with the modified McGill Pain Questionnaire (MPQ). Data were analyzed using SPSS version 22 software with descriptive and analytical statistics.

The independent t-test showed a statistically significant difference between the experimental and control groups in terms of meanpain severity 15, 30, and 45 minutes after the dressing change (P = 0.001, P = 0.04, and 0.007, respectively). Also, the repeatedmeasures analysis showed that the variation of the mean pain severity scores was statistically significant across all phases of the study (F = 30.42, P < 0.001). The results showed a statistically significant difference in the mean scores of sensory and emotional dimensions and the total score of pain quality between the two groups (P = 0.003, P = 0.07, and P = 0.047, respectively).

Islamic dhikr can reduce pain during burn dressing changes.

Silver-containing dressings are the latest and biggest invention in wound care products. There are many dressing materials available to treat  burn wounds but none of them has strong evidence to support their use. This study was done to compare the efficacy of nanocrystalline silver (Acticoat) and silver sulfadiazine (SD-Ag) in the treatment of burn wounds.

This clinical trial was done in Arak city. Sixty-nine burn patients were enrolled and divided into two groups of the Acticoat group and silver sulfadiazine group. Acticoat was changed once every 3 days. Silver sulfadiazine was used as control group whose members were treated under the usual clinical routine. Healing time was observed up to 15 days. Healing percentage was determined on the 15th day after treatment.

By comparing the mean values of the size of the wound in three turns, it was observed that the size of the wound significantly decreased over the difference of the size between the two groups (p=0.000, F=143.716).

Acticoat with nanocrystalline silver promotes the healing process of wounds post-burn effectively. No adverse reaction of Acticoat was observed during the study.

There are numerous dressings used to treat pressure ulcers (PUs), depending on their advantages to achieve optimum patient outcomes. This study aimed to compare hydrocolloid dressings and silver nanoparticles in treating PUs among patients with spinal cord injury (SCI).

This randomized clinical trial was conducted on 70 patients with SCI in Iran. Participants were randomly divided into two equal groups (n=35) receiving silver nanoparticle dressing and hydrocolloid dressing, respectively. The groups were evaluated in four assessment periods using the Bates-Jensen Wound Assessment Tool (BWAT). Data analysis was performed using SPSS software version 13, repeated measures ANOVA, non-parametric tests, and chisquare.

Chi-square test was used to investigate the difference between the scores before the intervention, the results of which were not statistically significant. In repetitive measurements, the results of the analysis of variance showed that the average assessment score in both groups decreased and both dressings were effective in the treatment process. Although PU improvement status in the group that received silver nanoparticles was better, between-group analysis of variance did not show any statistically significant difference between the two groups.

Our results indicated that silver nanoparticles and hydrocolloid dressings can be used interchangeably in the treatment of PUs.

Gauze dressing is a barrier against microbial infection in wounds. The seed gums of Tamarindus indica</em> and Cassia fistula</em> are abundant in tropical countries; we used them as a coating material of cotton gauzes to improve the liquid absorption ability. Moreover, Chromolaena odorata</em> leaf extract was loaded on the gums for antibacterial gauze dressing with hemostatic activity.

 Crude gums were extracted from T. indica</em> and C. fistula</em> seeds and carboxymethyl gums were then derived and chracterized. C. Odorata ethanolic extract was also prepared by maceration and its antimicrobial and blood clotting activities were determine coated gauze dressing containing different concentrations of carboxymethyl gum was prepared in the presence of various concentrations of C. odorata</em> extract. Then, the physical properties, antibacterial activity, and skin-irritating effects of the coated gauze were analyzed.Findings/

The results indicated that the amount of carboxymethyl gum affected the physical properties and absorption capacity of the coated gauze. C. odorata</em> extract exhibited better bactericidal activity against Staphylococcus aureus</em> than against Escherichia coli</em>. The blood clotting effects of C. odorata</em>  extract indicated that it had dramatic hemostatic efficacy. The coated gauze exhibited bactericidal activity against S. aureus</em>. In the human skin irritation test, the coated gauze caused no adverse effects on human skin.

Conclusion and implication:

Coated gauze has the potential to serve as a prototype for primary hemostasis in first aid for opened wounds such as abrasions and lacerations.

Wound healing can have a very important impact on the patients’ quality of life. For its treatment, wound dressings have vital and effective uses. Indeed, the use of a proper wound dressing can improve the healing process and duration. Recently, wound dressings with unique properties have been prepared using natural hydrogels. In addition to the general wound characteristics, new generations of wound dressings, such as those lasting longer on the wound, can have specific properties such as transferring allogeneic cells to enhance the healing effect and speed up the healing process. The present study aimed to prepare a gelatin-based hydrogel and to characterize it for therapeutic purposes.

In this experimental-laboratory study, a gelatin hydrogel was made using a microbial transglutaminase (mTG) enzyme. The prepared hydrogel was evaluated in terms of appearance, physical, and chemical properties. To investigate the biological properties of the hydrogel, cells were cultured on it and the toxicity of the hydrogel for the cells was investigated. The location of the cells on the hydrogel was imaged via an electron microscope. The absorption and reflectance characteristics of the hydrogel were recorded by optical spectroscopy. Data were collected and statistical analysis was performed.

The results showed that the mTG gelatin hydrogel had a uniform pore size and good physical, chemical, and mechanical properties for use in wound healing. Cell experiments showed evident cell proliferation and high viability. The results also revealed that the cells grew vigorously and adhered tightly to the hydrogel.

The preparation of a gelatin hydrogel under GMP conditions can be considered in the healing of diabetic wounds and burns.

Stress can effect all aspects of life, including eating and dressing behavior. These changes impact the health and wellness of individuals. With less known research on men, the purpose of this study was to report preliminary findings using an original research instrument to assess the perceived effects of stress on eating and dressing behaviors among undergraduate college males.

The sample included 32 male undergraduate students enrolled at a Midwestern University in the United States in 2017 completed the survey. The participants completed the survey two weeks apart. The instrument, Male Stress Dressing and Eating Survey, included 42 questions divided into four sections: 1) demographics, 2) effort put forth to control dressing and making healthy eating choices, 3) patterns of dressing and eating when stressed, and 4) clothing items worn and foods eaten when under non-stressful and stressful conditions. Cohen’s Kappa (κ) was used to analyze test-retest reliability. The Wilcoxon signed ranks test, a nonparametric, paired sample test, was used to ascertain preliminary results pertaining to eating and dressing during perceived conditions.

Kappa values for these dressing question ranged from κ = -0.01
to κ = 0.60. All Infraclass Correlation Coefficient test-retest coefficients were statistically significant (p < 0.05), with the median being .66 demonstrating good reliability. Descriptive statistics and nonparametric tests indicated that men under perceived stress were more likely to choose mixed dishes, salty-crunchy foods, sweet foods, and modify their diet. When under perceived stress, these men used fewer accessories and did not dress formally, were not engaged in hair maintenance behaviors, were less likely to use scent enhancer, and did not enhance their appearance.

This survey has the potential to be reliable and useful in research related to stress, food, and dressing. Specifically, the instrument appears to be a useful tool for practitioners and researchers in the applied and academic areas associated with this age group and gender.

The pain and anxiety experienced by burn patients during dressing change cannot be thoroughly controlled by painkillers and anxiolytics. Evidence has documented that reciting the name of God can positively impact the reduction of pain and anxiety caused by aggressive procedures. Therefore, the present study aimed to investigate the effect of reciting the name of God on the pain and anxiety caused by dressing change in patients with burn injuries.

The present clinical trial study was performed on 71 patients admitted to the burn ward of Nekouei-Hedayati-Forghani Hospital affiliated to Qom University of Medical Sciences in 2017. Patients were selected by the convenience sampling method and randomly assigned to experimental and control groups using the stratified randomization method. Thereafter, 10 min before dressing change, the patients in the experimental group were asked to recite the name of God, while the cases in the control group received the routine care. Patients' pain intensity was measured before mentioning the name of God and immediately after dressing change. Anxiety caused by burn pain was measured before mentioning the name of God, before dressing change, immediately after dressing change, and 15 min later. Data were analyzed in SPSS software (version 22) using descriptive and analytical statistics (chi-square, independent t-test, and paired t-test).

The mean age of participants was reported as 44.59±9.13. The result of the independent t-test showed that the mean score of pain immediately after dressing change was found to be lower in the intervention group, compared to the control group (P=0.04). Moreover, the result of pair t-test in the intervention group demonstrated that the mean score of pain-induced anxiety was lower immediately after dressing change, in comparison with the time before reciting the name Of God (P<0.001).

As evidenced by the obtained results, reciting the name of God can reduce the anxiety and pain associated with wound dressing changes in burn patients. Therefore, it is suggested that the name of God be used along with pharmaceutical interventions to control pain and anxiety experienced at dressing change.

Burning is one of the worst accidents that people may now experience in modern society. One of the most critical problems of burn patients is the anxiety caused by medical treatments such as burn dressing. The present study aimed to determine the effect of rhythmic breathing on the anxiety of dressing change in burn patients.

This experimental clinical trial was done on 60 burn hospitalized patients in Ayatollah Mousavi educational-therapeutic hospital of Zanjan province in 2007. The sampling was performed continuously and the samples were randomly assigned to control and experimental groups (30 subjects in each group). The data collection tool included a demographic questionnaire and numerical anxiety scale. First, the demographic characteristics questionnaire was completed by the samples. Then, the rhythmic breathing was taught to the experimental group for 20 minutes until complete learning, and they were asked to perform the rhythmic breathing during dressing. Before and after dressing, anxiety was evaluated in the experimental and control groups for 3 consecutive days. After collecting data and entering them into SPSS 20, data were analyzed using descriptive statistics, chi-square test, independent and dependent t test, and Friedman test.

Based on the findings of the study, both groups were homogeneous in terms of age, gender, education, percentage and the degree of burn, and there was no statistically significant difference. The results of the Friedman test showed that the anxiety severity had a statistically significant difference in both control and experimental groups before and after the intervention (P < 0.001). However, the severity of anxiety after the intervention further reduced in the experimental group compared to the control group, and this reduction was statistically significant in the experimental group (P < 0.001).

In general, rhythmic breathing is effective in reducing anxiety caused by a dressing change in burn patients. Thus, this method can be used to decrease the anxiety of dressing.

Burn is the worst tragedy among modern societies that individuals may experience. One of the most important problems of burns is pain; particularly at the time of treatment including burn dressings, debridement, surgical incisions and physiotherapy. The aim of this study was to determine the effect of rhythmic breathing on pain of dressing change in patients with burns.
This semi-experimental clinical trial study with a control group was conducted on 60 eligible burn patients who were selected using convenient sampling method and allocated randomly in two groups of test and control (each n=30). Data collection tools included demographic data and pain observation questionnaires. The rhythmic breathing was individually and orally trained to the patients of test group in a room separated by dividers for a 20-minute session. The pain intensity in test and control groups before and after dressing was investigated for three consecutive days.
Friedman test results showed that pain intensity in both control and test groups had statistically significant differences. The pain intensity after rhythmic breathing reduced more in the test group, and this reduction was more significant during 3 days.
Rhythmic breathing is an effective method on pain reduction of dressing change in patients with burn injuries.

Hydrogels based on natural ingredients, such as alginate, are considered promising wound dressings. Alginic acid, a polysaccharide polymer, is a structural component of the cell walls of brown algae. The important features of alginates used in biological dressings include non-toxicity, biocompatibility, biodegradability, hydrophilicity, and excellent swelling behavior.

In this study, the effects of alginate hydrogels and commercial alginate dressings were studied with regard to wound recovery in a rat model.

Fifteen Wistar rats were divided into three groups of five. One wound measuring 1 × 1 cm square was made on each rat using a template. One rat in each group was euthanized on the 4th, 7th, 14th, and 21st days, and skin samples were taken for histopathological analysis.

The findings showed that the average total time of wound healing in the synthetic alginate dressing group was similar to that of the commercial dressing group. In this study, we found that synthetic alginate hydrogels were much more convenient for wound dressings and for the treatment of surface wounds.

The treatment outcomes showed that our synthetic alginate hydrogel dressing was highly promising as an alternative wound-healing system, opening a new path toward future research and development.

Statement of the Problem: Researchers have long been in search of products to enhance healing and patient comfort postoperatively.
This study aimed to assess the efficacy of propolis extract in combination with Coe-PakTM dressing for pain relief and wound healing after crown lengthening surgery.
This randomized clinical trial was performed on 36 patients who were randomly divided into two groups of Coe-PakTM dressing with (trial group) and without (control group) propolis extract. Pain and burning sensation by use of visual analog scale (VAS) and number of analgesics taken were asked from patients. Gingival color and consistency, bleeding on probing (BOP) and presence of infection were studied 7 days after dressing removal.
Although a large number of patients in the trial group did not have burning sensation, this difference was not significant between the two groups (p> 0.05). In both groups, the majority of patients experienced moderate and mild pain and there was no pain in the trial group after three days. No significant difference was noted between the two groups in pain score and number of analgesics taken (p> 0.05). The two groups were not significantly different in terms of inflammation and healing process (BOP, gingival consistency and color), after 7 days (p> 0.05).
The study results showed no difference in use of Coe-PakTM dressing with and without propolis extract in terms of postoperative pain and healing process following the crown lengthening surgery. More studies are required to confirm these results.

To compare the healing process of pressure ulcers treated with cryopreserved human amniotic membrane allograft and routine pressure ulcer care in our hospital.
From January 2012 to December 2013, in a prospective randomized clinical trial (IRCT201612041335N2), 24 patients with second and third stage of pressure ulcers were enrolled in this study. All patients needed split-thickness skin grafts for pressure ulcer-wound coverage. Selected patients had symmetric ulcers on both upper and lower extremities. The patients were randomly divided into two groups: amnion and control. In the amnion group, the ulcer was covered with cryopreserved amniotic membrane and in the control group it was treated with local Dilantin powder application. The duration and success rate of complete healing was compared between the two groups.
The study group was composed of 24 pressure ulcers in 24 patients (19 males and 5 females) with a mean age of 44±12.70 years. The demographic characteristics, ulcer area, and underlying diseases were similar in both groups. The early sign of response, such as decrease in wound discharge, was detected 12-14 days after biological dressing. Complete pressure ulcer healing occurred only in the amnion group (p Cryopreserved amniotic membrane is an effective biologic dressing that promotes re-epithelialization in pressure ulcers.

Many items are needed for dressing including sterile dressing set, antiseptic and washing solutions, leucoplast tape, waste bin for infectious garbage, waste bin for noninfectious garbage, safe disposal trash for sharp cutting instruments, bedpan and sometimes drugs. All the items are laid out on a simple wheeled trolley. The multiplicity of items together with problems in placing tools on trolley, forgetting some items, disturbing sterile condition, falling and damaging equipment and the need for at least two people for each procedure, all are the reasons to design and develop Automatic Trolley for Washing and Dressing the Wounds.
Material and To develop a mobile unit which meets our needs for dressing, the trolley patents registered in America and different companies were evaluated as well as the materials and methods used while dressing were considered.
Automatic Trolley for Washing and Dressing the Wounds was designed and developed. It comprises the followings: drawer, waste bin for infectious garbage, waste bin for noninfectious garbage, shelves for serum and betadine solution, serum stand, peristaltic pump, flexible tube for connecting serum, a place for bedpan, foot pedal for serum flow, two eye-sensor chambers for solution betadine and scrub, an auxiliary work surface.
Due to the usual requirements for dressing, we have designed an equipped mobile unit which covers all the objectives of dressing and increases the speed of procedure. Moreover, due to the contrived equipment on the trolley, procedures are done quickly and second person is not required to assist. Automatic Trolley for Washing and Dressing the Wounds is made up of stainless steel which could be mass housing and commercializing which would play a deserving role in improving the fundamentals of health care and wound treatment.