Tamilselvi, P (2015) A Comparative study to Assess the Effectiveness of Infra Red Radiation Insulin Dressing and Metronidazole Dressing in Healing of Diabetic Ulcer Foot at MAPIMS. Doctoral thesis, The Tamilnadu Dr. M.G.R. Medical University, Chennai.
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Abstract
Diabetes is a worldwide health problem. It may begins around twenty years of age and become more prevalent when age get advances. Diabetes has been detected more in urban population but undiagnosed diabetes is most common in the rural people. In India, one in two out of population has diabetes mellitus. Approximately ninety two million of Indian people may get diabetes in the year 2035. Diabetic foot ulcer is one of the serious complications of diabetes mellitus. Eighty four percent people get lower leg amputation because of diabetes. Peripheral arterial disease and neuropathy are the common causes for foot amputation. Statistics shows that twenty five percent diabetic people develop diabetic ulcer foot in the later stage. Fifty percent diabetic population develops infection and need hospitalization in their lifetime. One out five diabetic people is prone to get amputation. The care of chronic non healing ulcer foot is challenging for health team. There are many human studies that searching for efficient and effective treatment for diabetic ulcer foot. This study compared three different interventions towards the management of diabetic ulcer foot. STATEMENT OF THE PROBLEM: A comparative study to assess the effectiveness of Infrared Radiation, Insulin Dressing and Metronidazole dressing in healing of diabetic ulcer foot at MAPIMS OBJECTIVES: 1. To assess the pretest condition of diabetic ulcer foot among patients with Diabetes mellitus. 2. To evaluate the effectiveness of infra-red radiation application, insulin dressing and metronidazole dressing in healing of diabetic ulcer foot among patients with Diabetes mellitus. 3. To compare the effectiveness of infra-red radiation with insulin dressing and metronidazole dressing in healing of diabetic ulcer foot among patients with Diabetes mellitus. 4. To associate the effectiveness of intervention in healing of diabetic ulcer foot with the selected demographic variables. HYPOTHESES: H1- There will be significant improvement in healing of diabetic ulcer foot at the post test. H2- There will be significant differences between infrared radiation, insulin dressing and metronidazole dressing on healing of diabetic ulcer foot. H3 - There will be significant association of post test score on healing of diabetic ulcer foot with the selected demographic variables among diabetic foot ulcer clients. RESEARCH METHODOLOGY: Quasi experimental pretest posttest design was adopted for this study and Non probability consecutive sampling technique was used to select the samples. Based on the sampling criteria totally 225 samples were selected for this study, out of this seventy five subjects were treated with infra-red radiation, seventy five treated by insulin dressing and remaining seventy five were treated metronidazole dressing. First day, three interventional group was assessed by using modified Bates Jensen’s wound assessment tool and same day treatment was started, posttest was done on seventh day and tenth day by using the tool. RESULTS: Infrared Radiation Group: The pretest and post scores of the Infra-red radiation group, that the pretest mean and standard deviation were respectively 51.5067 and 4.21828. At the post test mean and standard deviation were respectively 20.32 and 3.673. The” t” value was 68.352 it is more than table value. The results shows a high level of significance statistically at p<0.001 level. Occupation and education of the diabetic clients had significant influences in the healing of diabetic ulcer foot. Insulin Dressing Group: The pretest and Post-test score of Insulin Dressing in healing of diabetic foot ulcer that Insulin dressing pretest mean score is 50.24 and standard deviation 5.74, post mean score 24.25, standard deviation 4.02 and the ” t” value 45.27 which is greater than table value. The results shows a high level of significance statistically at p<0.001 level. Diabetic client’s Demographic variables like Age, area of residence and family history of diabetes had significant influences in the healing of diabetic ulcer foot. Metronidazole Dressing Group: The pretest and Post-test score of Metronidazole Dressing in healing of diabetic foot ulcer. It reveals that in Metronidazole dressing, pretest and posttest mean scores were respectively 50.3 and 27.06 and the standard deviation were 4.0 and 3.58 respectively and the “t” value was 52.825 which is more than table value. The result shows a high level of significance statistically at p<0.001 level. Diabetic client’s demographic variables like age and area of residence had significant influences in the healing of diabetic ulcer foot. CONCLUSION: These study results shows that all the three interventions were effective in healing of diabetic ulcer but infrared radiation was the most effective method when comparing other two interventions in the healing of diabetic ulcer foot. IMPLICATIONS: The findings of the study have several implications for medical surgical nursing, community health nursing, nursing education, nursing administration and nursing research towards the healing of diabetic ulcer. The study findings help to reduce the complications of diabetic foot ulcer and increase the granulation status of wound. Primary health nurse can plan diabetes education and develop awareness programme regarding risk factors of diabetes and diabetic foot complications. Nursing practice provides a prompt patient care. They will act as a essential role in control of diabetes and care of foot. Nurse educators basically from clinical nursing which gives them, knowledge, skills and attitude of theory. Nurse educators are responsible for teaching current trends in nursing practice in clinical setting. Nurse administrator should plan of programme and strategies about diabetes and diabetic ulcer foot.
| Item Type: | Thesis (Doctoral) |
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| Uncontrolled Keywords: | A Comparative study to Assess the Effectiveness of Infra Red Radiation Insulin Dressing, Metronidazole Dressing, Healing, Diabetic Ulcer Foot, MAPIMS. |
| Subjects: | NURSING > Community Health Nursing |
| Depositing User: | Subramani R |
| Date Deposited: | 23 Jan 2022 05:48 |
| Last Modified: | 23 Jan 2022 05:48 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/19062 |
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