Effect of Biocellulose Wound Dressing on Healing of Hard-to-Heal Wounds
Keywords:
biocellulose wound dressing, hard-to-heal wound, wound healing, innovationAbstract
A biocellulose as updated wound dressings is an innovation that has challenged the mission of modern nursing practice to enhance the healing of a chronic hard-to-heal wound. This research aimed to compare the area of chronic hard-to-heal wounds after applying biocellulose wound dressing. The 20 hard-to-heal wounds had cared for at an advanced wound care clinic, one tertiary military hospital, Bangkok, Thailand. Research instruments consisted of 1) a protocol of wound care with biocellulose wound dressing 2) a personal case record form 3) a case record form of hard-to-heal wound characteristics and wound dressing techniques 4) a computer program for image analysis of intractable chronic hard-to-heal wound through mobile phone screen to assess wound size (Tissue Analytic Platform). The results revealed that compared average size of the chronic hard-to-heal wound between 1st week and 2nd, 3rd, and 4th week after applying biocellulose wound dressing, wound size was smaller (mean difference = -0.65, - 0.62, and -2.40), respectively. In addition, average wound size was statistically significant differences (t = -2.90, p < .05) without any complications and allergic reactions. The better wound healing show reddish wound, more moisture, little necrotic tissue and in overall the wounds size were shallower and smaller. In sum, biocellulose wound dressings ought to be an effective wound dressing for hard-to-heal wounds.
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