Document Detail


Observations of Periwound Skin Protection in Venous Ulcers: A Comparison of Treatments.
MedLine Citation:
PMID:  23337645     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVE:: The objective of this study was to examine the effectiveness of 2 products on venous ulcer periwound skin. DESIGN:: This was a descriptive comparative study. SETTING:: An outpatient wound care clinic in a rural Midwestern area of the United States. PARTICIPANTS:: Participants included a retrospective group of 50 patients and a prospective group of 28 patients. INTERVENTION:: The intervention compared the experimental product (Remedy Nutrashield; Medline Industries, Mundelein, Illinois) versus Cavilon Moisturizing Lotion (3M, St Paul, Minnesota). OUTCOME MEASURES:: The mean outcome measures were a decrease in periwound and ulcer size. MAIN RESULTS:: For the periwound size, the estimated rates of change were as follows: 0.092 (SE, 0.021) cm/d and -0.026 (SE, 0.014) cm/d for products B and A groups, respectively. The decrease for the experimental group was significantly greater than the attenuated decrease for the retrospective cases (t297 = -2.57, P = .01), and the decrease for product B group was also significantly different from zero (t76 = -4.34, P < .0001). For the ulcer size model, the estimated rates of change were -0.272 (SE, 0.102) cm/d and -0.130 (SE, 0.067) cm/d for the experimental and retrospective groups, respectively. The rate for the experimental group was significantly less than zero (t76 = -2.67, P = .009), but there was no significant difference between prospective and retrospective cases in the rates of reduction in ulcer size (t308 = -1.16, P = .25). CONCLUSION:: The results of this study illustrate how the integrity of the periwound skin may be an important determinant in decreasing periwound and ulcer size.
Authors:
Susan M Hunter; Diane Langemo; Patricia Thompson; Darlene Hanson; Julie Anderson; In Eui Oh; Rolf Paulson; Dan Rustvang; Seth Dorman; David L Roth
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Publication Detail:
Type:  JOURNAL ARTICLE    
Journal Detail:
Title:  Advances in skin & wound care     Volume:  26     ISSN:  1538-8654     ISO Abbreviation:  Adv Skin Wound Care     Publication Date:  2013 Feb 
Date Detail:
Created Date:  2013-1-22     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100911021     Medline TA:  Adv Skin Wound Care     Country:  -    
Other Details:
Languages:  ENG     Pagination:  62-66     Citation Subset:  -    
Affiliation:
Susan M. Hunter, MSN, RN, is Associate Professor; Diane Langemo, PhD, RN, FAAN, is Adjunct Faculty; Patricia Thompson, MS, RN, is Associate Professor; Darlene Hanson, MS, RN, is Clinical Associate Professor; Julie Anderson, PhD, RN, is Associate Professor; and In Eui Oh, BSN, RN, is Graduate Research Assistant, all at the University of North Dakota College of Nursing, Grand Forks, North Dakota. Rolf Paulson, MD, FACP, is Medical Director of the Altru Vascular Center and Chronic Wound Clinic; Dan Rustvang, CWS, FNP, is Nurse Practitioner; and Seth Dorman, CWS, FNP, is Nurse Practitioner, all at the Altru Chronic Wound Clinic, Grand Forks, North Dakota. David L. Roth, PhD, is Director, Center on Aging and Health, Johns Hopkins University, Baltimore, Maryland.
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