Elshenawie, H., Weheida, S., El Said, A. (2016). The Effect of Vacuum Assisted Closure Dressing Technique versus Conventional Dressing on Diabetic Foot Wound Healing. test, 18(2), 59-78. doi: 10.21608/asalexu.2016.208672
Hend Abdel Monem Elshenawie; Soheir Weheida; Aziza El Said. "The Effect of Vacuum Assisted Closure Dressing Technique versus Conventional Dressing on Diabetic Foot Wound Healing". test, 18, 2, 2016, 59-78. doi: 10.21608/asalexu.2016.208672
Elshenawie, H., Weheida, S., El Said, A. (2016). 'The Effect of Vacuum Assisted Closure Dressing Technique versus Conventional Dressing on Diabetic Foot Wound Healing', test, 18(2), pp. 59-78. doi: 10.21608/asalexu.2016.208672
Elshenawie, H., Weheida, S., El Said, A. The Effect of Vacuum Assisted Closure Dressing Technique versus Conventional Dressing on Diabetic Foot Wound Healing. test, 2016; 18(2): 59-78. doi: 10.21608/asalexu.2016.208672

The Effect of Vacuum Assisted Closure Dressing Technique versus Conventional Dressing on Diabetic Foot Wound Healing

Alexandria Scientific Nursing Journal
Volume 18, Issue 2, December 2016, Pages 59-78    PDF (263.23 K)
Document Type: Research articles
DOI: 10.21608/asalexu.2016.208672
Authors
Hend Abdel Monem Elshenawie* 1; Soheir Weheida1; Aziza El Said2
1Medical Surgical Nursing, Faculty of Nursing, Alexandria University
2Medical Surgical Nursing, Institute of Nursing, Alexandria University
Abstract
Diabetic foot ulcers affect millions of people in all the world and impose tremendous
medical, psychosocial and financial loss. They also represent a major use of health resources,
incurring costs not only for dressings, but also staff costs (for podiatrists, nurses, doctors), tests
and investigations, antibiotics and specialist foot wear. Therefore, nurses need up to date
knowledge concerning managing wounds with using appropriate strategies to control infection,
promote wound healing and prevent recurrence to ensure successful out comes for those
patients. Negative pressure wound therapy (NPWT) is generally well tolerated and appears to
stimulate a granulation tissue response compared with other wound healing modalities. This
device may be a cost-effective adjunctive wound healing therapy. Objective: Determine the effect
of vacuum assisted closure dressing technique versus conventional dressing on diabetic foot
wound healing: the present study follows aquasi-experimental research design. Setting: The
study was conducted at Diabetic Foot Care Unit of Alex University and Royal Vascular Center.
Subjects: The study was conducted on a convenient sample of 40 patients, who were divided into
two sequential groups. One group received VAC dressing while the other group received
conventional saline moistened gauze dressing. Tools: Tool I: Diabetic Foot Wound Assessment
Structural Interview Schedule and Tool II: Wound Healing Assessment Observational Checklist.
Results: There was a statistically significant difference in the rate of appearance of granulation
tissue between the two groups; with granulation tissue appearing earlier in the study group. The
study group promised a better outcome as compared to the control group. Conclusion: Using of
VAC therapy yield improved wound healing in comparison to their control in patient with
diabetes mellitus more over the majority of studied patients who had faster and more effective
wound healing. Recommendations: Study of the effect of VAC therapy on infected diabetic
wound healing VAC therapy should be used in all grades of diabetic foot wound.
Keywords
Vacuum Assisted Closure Dressing; Diabetic Foot
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