Effectiveness of topical oxygen therapy in wound healing for patients with diabetic foot ulcer

Q4 Nursing Frontiers of Nursing Pub Date : 2023-03-01 DOI:10.2478/fon-2023-0010
Marvin Queg, J. de Leon
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Abstract

Abstract Objectives: Non-healing wounds have been one of the major challenges in health care because of increased morbidity, especially for those who have diabetes mellitus. Numerous regimens are being innovated to produce an evidence-based practice that would minimize complications and promote healing. Topical oxygen therapy is an innovation in wound care that has been considered influential in the wound healing process. This intervention aims to increase the oxygen concentration in the affected limb to promote wound healing. Methods: This research applied an experimental design that targeted a total of 60 adult patients aged 45–64 years with diabetic foot ulcers. A randomized systematic sampling technique was used to allow equal chances and prevent bias. In total, 30 patients in the control group received usual care for diabetic foot ulcers, and the remaining 30 patients in the experimental group received topical oxygen therapy together with standard care for diabetic foot ulcers. Subjects were assessed using the Wagner-Meggitt Wound Classification System. Results: The result proved that there was a significant difference in the wound grade of patients in the experimental group after the application of the usual wound care plus the topical oxygen therapy using Friedman’s test. The control and experimental groups were compared using Mann–Whitney statistical analyses, and the results showed that there was a significant difference between the control and experimental groups after the application of topical oxygen therapy. Conclusions: Topical oxygen therapy was demonstrated to be effective to aid in the wound healing process of patients with diabetic foot ulcers. Further research was recommended to improve the application of topical oxygen therapy to patients with chronic wounds and promote the wound healing process.
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局部氧疗对糖尿病足溃疡创面愈合的影响
摘要目的:由于发病率的增加,尤其是糖尿病患者,不愈合的伤口一直是医疗保健的主要挑战之一。许多方案正在创新,以产生一种循证实践,最大限度地减少并发症并促进愈合。局部氧疗是伤口护理的一项创新,被认为对伤口愈合过程有影响。这种干预旨在提高受影响肢体的氧气浓度,以促进伤口愈合。方法:本研究采用了一项实验设计,共针对60名年龄在45-64岁之间的糖尿病足溃疡成年患者。随机系统抽样技术被用于允许平等的机会和防止偏见。对照组共有30名患者接受了糖尿病足溃疡的常规护理,实验组的其余30名患者则接受了局部氧气治疗和糖尿病足溃疡标准护理。受试者采用Wagner-Megitt创伤分类系统进行评估。结果:应用Friedman检验证明,在应用常规伤口护理加局部氧疗后,实验组患者的伤口等级有显著差异。使用Mann-Whitney统计分析对对照组和实验组进行了比较,结果显示,应用局部氧气治疗后,对照组和试验组之间存在显著差异。结论:局部氧疗对糖尿病足溃疡患者的伤口愈合过程是有效的。建议进一步研究,以改进局部氧疗在慢性伤口患者中的应用,促进伤口愈合过程。
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来源期刊
Frontiers of Nursing
Frontiers of Nursing Nursing-Nursing (all)
CiteScore
0.70
自引率
0.00%
发文量
38
审稿时长
16 weeks
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