Diyabetik Ayak Tedavisinde Hiperbarik Oksijen Tedavisinin Yara İyileşmesi ve Yaşam Kalitesi Üzerine Etkisi


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Kavurmacı M., Tan M., Güneş A. E.

Diyabet Obezite ve Hipertansiyonda Hemşirelik Forumu, cilt.8, ss.29-37, 2016 (Hakemli Dergi)

Özet

Purpose: The study was conducted to determine the effect of hyperbaric oxygen therapyadministered to patients with diabetic foot ulcers on wound healing and quality of life of patients. Method: The semiexperimental study, with pretest posttest control group, was carried out with 21 patients with diabetic foot ulcers, which had been treated November 2013-August 2014. Experimental group was consisted of diabetic foot ulcer patients and those were applied hyperbaric oxygen therapy in addition to the standard treatment of diabetic foot (n=10), control group was involved patients who underwent only standard treatment for diabetic foot (n=11). Patients in the experimental group while getting treatment for standard diabetic foot therapy, they was administered hyperbaric oxygen therapy treatments at 2.4 ATA, 120 minutes with 100% oxygen for a total of 30 treatments. Based on the literature, a questionnaire prepared by the researchers, Wagner ulcer calcification scale to classify foot diabetic ulcers of patients, and SF-36 Quality of Life Scale were used for data collection. In the statistical evaluation of the data; percentage values, averages, t-test, chi square and ANOVA were used in the SPSS-16 program. Results: Looking at the comparison of the Wagner posttest scores between the experimental and control groups; it was found that the Wagner posttest scores of the patients in the experimental group was lower than the Wagner scores of patients in the control group, and the difference between the two groups was highly statistically significant (p<0.005). Looking at the SF-36 Quality of Life Scale posttest mean scores of patients; the mean scores of the patients in the hyperbaric oxygen therapy applied experimental group was higher than the mean scores of the patients in the control group in physical wellbeing, physical role boundaries, emotional role boundaries, emotional well-being, pain, and social function subscales, and the difference between the two groups was statistically significant (p<0.05). Conclusion: As a result of the study, it was determined that hyperbaric oxygen therapy has a positive effect on wound healing and quality of life of the patients