Comparação do uso de solução à base de C. Cytratus com solução salina a 0,9% no processo de limpeza de úlceras vasculogênicas : ensaio clínico

• Autor(a) principal: Sousa, Alana Tamar Oliveira de
• Data de Publicação: 2011
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UFPB
• Texto Completo: https://repositorio.ufpb.br/jspui/handle/tede/5075
• topic: Úlcera da perna; Úlcera varicosa; Ensaio clínico controlado aleatório; Cymbopogon; Enfermagem; Leg ulcer; Varicose ulcer; Randomized controlled trial; Cymbopogon; Nursing; CIENCIAS DA SAUDE::ENFERMAGEM

Introduction: The vascular ulcer is the most meaningful complication regarding venous or arterial insufficiency, which has recurrent character and affects different age groups with prevalence above 65 years old. It is chronic wound which results in financial burden and affects the life quality of its carriers. The research development, for the fulfillment of new products which aid the treatment of this kind of wound as well as others, aims to provide benefits for society that needs to have access to advanced technology and with low cost. Objectives: To compare the solution use, while in test, at 0,9% sodium chloride and essential oil of Cymbopogon citratus Stapf leaves with saline at 0,9% in the cleaning process of vasculogenic ulcers; to investigate whether the solution, being tested, is coadjuvant in the healing process of such lesions; to evaluate the odor reduction of the vasculogenic ulcers during the use of the solution being tested; and to identify complication signs in the healing process of vasculogenic ulcers during the use of the solution, being tested, and saline. Methodology: It is a clinical, prospective, randomized, double-blind trial developed in the dressing sector of the outpatient clinic of the Lauro Wanderley University Hospital (HULW). The research encompassed vasculogenic ulcer carriers, with the sample of eighteen lesions (n=18) distributed in two groups, the experimental group (n = 11), which used the solution in test, and the control one (n = 07), which used saline at 0,9%. For data collection, several instruments were used, such as: an instrument with sociodemographic data and health conditions, including anamnesis and other files for lesions evaluations, once a week, such as Pressure Ulcer Scale for Healing (PUSH), TELER indicator and self-evaluation for odor, numerical scale for pain and complication register (bleeding, increase of necrosis area, increase of infection signs) and file for the dressing accomplishment of each group. The research was approved under the CEP/HULW no. 054/10 protocol. The data collection phase occurred in the period from June 8th, 2010 to August 2nd, 2010. In the data analysis, the SPSS statistical package (Statistical Package for Social Sciences) version 17.0, with inferential statistic techniques was used. The significance level used concerning the decisions of the statistical tests was 5%. Results and Data Analysis: The results point out that there was no meaningful difference between the groups for none of the variables: wound size, exudate, kind of tissue, pain and odor (p > 0,05) in each evaluation. However, it could be perceived meaningful difference in regard to the following variables: lesion size, kind of tissue, pain and odor when the paired comparison tests were used in evaluations of the same group, with results favorable to solution in test. Final Comments: the solution in test aids the reepithelialization process; it did not present any effect on the reduction of lesion exudate; it provides comfort for the patient and the professional who carries out the dressing, neutralizing unpleasant odors originated from the wound bed; it is safe to be used in human beings once it does not cause either irritation or infection signs; it can easily remove dirt of the wound bed; and it helps cleaning the perilesional area. It is suggested that further research should be fulfilled with a greater number of participants.