Efficacy of hydrocolloid occlusive dressing technique in decubitus ulcer treatment: a comparative study.
10.3349/ymj.1996.37.3.181
- Author:
You Chul KIM
1
;
Ji Cheol SHIN
;
Chang Il PARK
;
Sung Hyun OH
;
Seon Mi CHOI
;
Young Seom KIM
Author Information
1. Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul, Korea.
- Publication Type:Original Article ; Clinical Trial ; Comparative Study ; Randomized Controlled Trial
- Keywords:
Decubitus ulcer;
hydrocolloid occlusive dressing;
wet-to-dry gauze dressing
- MeSH:
Adult;
Aged;
Comparative Study;
Decubitus Ulcer/*therapy;
Female;
Human;
Male;
Middle Age;
*Occlusive Dressings
- From:Yonsei Medical Journal
1996;37(3):181-185
- CountryRepublic of Korea
- Language:English
-
Abstract:
The efficacy of hydrocolloid occlusive dressing technique was compared with that of the conventional wet-to-dry gauze dressing technique in decubitus ulcer of stage I and II. Forty-four patients were randomly divided into two treatment groups and each received treatment according to the two different protocols. As a result, 80.8% of the hydrocolloid occlusive dressing group (group 1) and 77.8% of the conventional wet-to-dry gauze dressing group (group 2) healed completely with no statistically significant difference between the two groups. However, the time required for complete healing was shorter in group 1 with 18.9 days compared to 24.3 days in group 2. Ulcer healing speed was also slightly faster in group 1 with 9.1 mm2/day compared to 7.9 mm2/day for group 2. Average treatment time spent by a medical staff member was significantly shorter in group 1 with 20.4 minutes/day compared to 2017 minutes/day in group 2. The hospital cost of the ulcer treatment was higher in group 2 compared to group 1 even without taking into consideration the medical personnel's labor cost. These results indicate that the hydrocolloid occlusive dressing technique offers less time consuming and less expensive method of treatment compared to the conventional technique in stage I andII decubitus ulcers.
