Abstract
Introduction: Wound care has also developed rapidly after the dissemination of the concept of TIME (Tissue, Infection, Moisture, and Wound Edge) in modern dressing (MD). The aim of this study was to compare modern dressings (MDs) and classic dressings (CDs) in terms of patient comfort, cost effectiveness and wound healing.Methods: A prospective study design with total of 25 participants. The sampling technique used was consecutive sampling. Patient comfort was assessed through the frequency of wound care and pain scale using the Visual Analogue Scale (VAS). Cost-effectiveness was assessed using direct and indirect costs. Wound healing was assessed using the Bates-Jensen Wound Assessment Tool (BWAT) score. The data was analyzed using the independent t and Mann-Whitney tests.Results: In terms of comfort, the mean for the number of times that wound care was performed and the pain scale in the participants using MD was (3.07 ± 0.88 times and VAS 4.59 ± 0.72, respectively), which is less compared to using CD (4.60 ± 1.84 times each and VAS 5.43 ± 0.75). Referring to the indirect and direct costs, MD (13.67 ± 6.09 and 527.63 ± 84.47, respectively) has the same cost-effectiveness as CD (14.00 ± 7.64 and 482.68 ± 98.08, respectively). In terms of healing, the mean of the BWAT score in MD (31.26 ± 1.69) was better compared to CD (33.07 ± 1.65).Conclusion: The application of MD has the same cost-effectiveness as CD with a more satisfactory outcome for the wounds in terms of comfort and healing.
Highlights
Wound care has developed rapidly after the dissemination of the concept of TIME (Tissue, Infection, Moisture, and Wound Edge) in modern dressing (MD)
The application of MD has the same cost-effectiveness as classic dressings (CDs) with a more satisfactory outcome for the wounds in terms of comfort and healing
Patients with wounds treated using MD consisted of 6 people aged less than 30 years old, 5 people aged 30 to 50 years old and 4 people aged over 50 years old
Summary
Wound care has developed rapidly after the dissemination of the concept of TIME (Tissue, Infection, Moisture, and Wound Edge) in modern dressing (MD). More than 1.2 million people have died globally due to traffic accidents and between 20-50 million people have suffered non-fatal injuries, including wounds. Most injuries, both acute and chronic in the global population, are caused by trauma (48.00%), foot ulcers (28.00%) and pressure sores (21.00%). Acute wounds occur with a rapid onset and the healing process can be estimated. The healing process for chronic wounds cannot be predicted, for example, as in pressure ulcers, injuries due to malignancy and others (Gurtner, 2007). 1-2% of the population is predicted to have suffered from a chronic injury during their lifetime (Hurley, Knepper, & Price, 2013)
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