The Effect of Polyurethane Contains Silver Particles Dressing on the Healing Process in Diabetic Foot Ulcers in Patients Admitted in a Selected Military Hospital

Diabetes and the wounds caused by it are considered to be one of the most important health and treatment issues in the world, which impose a high economic burden on the society, therefore, effective measures to heal diabetic wounds are of great importance.

The aim of this study was determining the effect of Polyurethane contains silver particles dressing on the healing process in diabetic foot ulcers in patients admitted to Shahid Dr. Chamran Hospital.

This study was a randomized clinical trial that was conducted on patients with diabetic foot ulcers who referred to the wound clinic department of Shahid Dr. Chamran military Hospital in Tehran in 2021 -2022. A total of 48 eligible patients were selected with informed consent and randomly assigned to the intervention and control groups with block randomization. In the intervention group, polyurethane foam dressing containing silver particles was used for diabetic wounds, and in the control group, routin sterile dressing was used for dressing. The size, depth and degree of infection were checked on the first, seventh, fourteenth and twenty-second days after the start of dressing in both groups. Demographic information form and Bates-Jenson wound assessment checklist were used to collect data. Data were analyzed with SPSS version 21 software and statistical tests using repeated measures, Chi-square, Fisher and independent t -Test.

There was no significant difference in the evaluation process of the wound before the intervention in the two groups (P=0.418). However, there was no change after the intervention (P=0.02). Also the severity of the wound before the intervention was not significantly different in the two groups (P=0.231), but it changed after the intervention (P=0.049).

Polyurethane dressing containing silver particles was more effective on the healing process of diabetic wounds of patients than simple sterile dressing. It is recommended that nurses use the above dressing in addition to simple sterile dressings for faster treatment of diabetic foot wounds.