The effectiveness of biological and synthetic dressings from burn wounds of patients admitted to the burn ward of Ibn Sina Hospital in Shiraz
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zeinab sadat moosavi fard,1,*
- Introduction: Over time, many scientific and practical studies have been conducted in the field of burn wound care, including a variety of dressings. Dressing is generally done in two new and traditional ways in the care of burn wounds. Various types of new dressings such as biological and synthetic dressings are currently available. Modern dressings are thought to facilitate wound healing and do not have the limitations of traditional dressings. On the other hand, studies show that the cost of caring for burn patients is high. In this regard, cost-effectiveness analysis of care can help nurses to eliminate multiple approaches, choose measures that are appropriate for the patient and at the same time cost effective. The aim of this study was to evaluate the cost-effectiveness of biological, synthetic and traditional dressings in nursing care of burn wounds.
- Methods: The present study is a clinical trial that was performed on 45 people with second degree burn wounds hospitalized in the burn ward of Ibn Sina Educational and Medical Center in Shiraz for 4 months in 2009. The study population was patients admitted to this center and among them, people who had the characteristics of the study units after informing the family about the research and obtaining written consent were selected as a sample and were randomly divided into two experimental groups and a control group. In experimental group A, 15 patients were treated with synthetic dressings, in group B, 15 patients were treated with biological dressings and in the control group, 15 patients were treated with traditional dressings. Duration of hospitalization, time of onset of healing, pain intensity, infection rate, direct and indirect costs were assessed using research tools including checklist and questionnaire. Analyzes were performed using SPSS software and descriptive and inferential tests (Chi-square-Kruskal-Wallis).
- Results: The results showed that there was a significant difference between the three dressing methods in terms of length of hospital stay, time of onset of healing, pain intensity, direct and indirect costs (P <0.001), meaning that in two synthetic groups compared to the other two groups, healing It happened earlier, the length of hospital stay and the severity of the pain were shorter, and less direct and indirect costs were incurred. There was no significant difference between the three dressing methods in terms of infection rate.
- Conclusion: In this study, our hypothesis that there is a statistical difference between the three dressing methods in terms of cost and effectiveness was confirmed. This means that synthetic dressings were more cost effective than other dressings. This shows that not using new products and methods is not reasonable just because of the high cost of Rials and it is necessary to pay more attention to the cost-effectiveness of new methods in this regard.
- Keywords: biological dressing, synthetic dressings, burn wounds
