Compare the Effectiveness of Honey Dressing Vs Existing Dressing Practices on Wound Healing, Wound Infection and Pain among Patients with Diabetic Foot Ulcer in Selected Hospital, Kanyakumari District

Abstract

Patients with diabetes are at great risk of developing lower extremity ulcers. The management of diabetic foot ulcers typically includes early recognition and appropriate clinical care. Recent advances in wound treatment include honey dressing, which has been successful in diabetic wounds. The present study was conducted to compare the effectiveness of honey dressing Vs existing dressing practices on wound healing, wound infection and pain among patients with Diabetic foot ulcer in selected hospital, Kanyakumari District. The objectives of this study were, to compare the effectiveness of honey dressing Vs existing dressing practices on wound healing, wound infection and pain among patients with diabetic foot ulcer in study group I and II, to correlate between wound healing, wound infection and pain among patients with diabetic foot ulcer in study group I and II, and to associate the post interventional levels of wound healing, wound infection and pain among patients with diabetic foot ulcer with selected socio demographic and clinical variables. The secondary objectives of the study were to find out the prevalence of bacterial pathogens among patients with diabetic foot ulcer in study group I and II, to determine the chemical composition and antibacterial properties of honey, to evaluate the effectiveness of Information booklet on diabetic foot ulcer management upon knowledge among patients in study group I and II and to infer the cost of diabetic foot ulcer management in study group I and II. The major findings of the study were, there was statistically significant improvement in wound healing between day 1 and day 15 in study group I (t=12.37 p<0.0001). There was statistically significant improvement in wound healing between day 1 and day 15 in study group II (t=5.9108 p<0.0001). The post test score reveals that the mean score of day 15 for study group I was 19.39 and for study group II, it was 15.88. Therefore, it concludes that there is significant difference between study group I and II with respect to wound healing. Mean level of wound healing of study group I are better than study group II. There was statistically significant reduction in level of pain between Day 1 and Day 15 in study group I (t=26.93 p<0.0001). There was statistically significant reduction in level of pain between Day 1 and Day 16 in study group II (t=14.52 p<0.0001). The mean score of day 15 for honey dressing group was 1.24 and for existing dressing group it was 2.72. Also, it shows that P value is less than 0.01. Therefore, it concludes that there is significant difference between study group I and II with respect to level of pain. Mean level of pain of study group I are better than study group II. Keywords : Honey Dressing, Dressing, Wound Healing, Wound Infection, Pain, Patients, Diabetic, Ulcer, Hospital,