Skip to main content
Top
Published in: BMC Complementary Medicine and Therapies 1/2018

Open Access 01-12-2018 | Research article

The effect of Aloe Vera gel on prevention of pressure ulcers in patients hospitalized in the orthopedic wards: a randomized triple-blind clinical trial

Authors: Davood Hekmatpou, Fatemeh Mehrabi, Kobra Rahzani, Atefeh Aminiyan

Published in: BMC Complementary Medicine and Therapies | Issue 1/2018

Login to get access

Abstract

Background

One of the most common orthopedic problems is the incidence of pressure ulcer followed by immobility. This study aimed to investigate the effect of Aloe Vera gel on the prevention of pressure ulcer in patients hospitalized in the orthopedic ward.

Method

This study is a randomized, triple-blind clinical trial which was done on 80 purposefully selected patients in orthopedic ward in Arak town, Iran, 2016. Patients were randomly assigned into two intervention and control groups based on blocking sampling method. In each group the routine daily cares to prevent bed sores were performed by nurses. In the intervention group in addition to routine nursing care to prevent bed sores, twice a day (hours of 9 and 21) pure Aloe Vera gel on the areas of hip, sacrum and heel were rubbed, but in the control group placebo (gel of water and starch) were used. Then sacral, hip and heel of both groups on days 3, 7 and 10 for of signs of pressure ulcers was evaluated.

Results

The mean age of patients in the control group was (42.34 ± 12.19) and in the intervention group Was (41.71 ± 11.50) years, respectively. In the intervention group 1 patient afflicted with sore of hip and two people with sacral pressure ulcer. In the control group 3 patients affiliated with sore of hip, 8 people with sacral pressure ulcer, and 1 person had pressure sore of heel. Analysis of the data showed that both groups had statistically significant differences in the incidence of pressure ulcers (P = 0.047). This means that Aloe Vera gel could prevent the occurrence of pressure ulcers in the intervention group.

Conclusion

Due to the effect of Aloe Vera gel to prevent a rise in temperature, non-blanchable redness, swelling and pain of the skin of regions under study in hospitalized patients in the orthopedic ward, applying of it toward the prevention of pressure ulcers in patients at risk of pressure ulcer development is recommended.

Trial registration

This study was registered in Iranian Registry of Clinical. Trials in 07/09/2016 with the IRCT ID: IRCT201605102782​5N1.
Literature
1.
go back to reference National Pressure Ulcer Advisory Panel and European Pressure Ulcer Advisory Panel. Prevention and treatment of pressure ulcers: Clinical Practice Guideline. Washington, DC: National Pressure Ulcer Advisory Panel; 2016. National Pressure Ulcer Advisory Panel and European Pressure Ulcer Advisory Panel. Prevention and treatment of pressure ulcers: Clinical Practice Guideline. Washington, DC: National Pressure Ulcer Advisory Panel; 2016.
2.
go back to reference Ghanee R, Gavami H. Pressure ulcer in intensive care unit. Bimonthly J Urmia Nurs Midwifery Fac. 2010;8(2):90–103. Ghanee R, Gavami H. Pressure ulcer in intensive care unit. Bimonthly J Urmia Nurs Midwifery Fac. 2010;8(2):90–103.
3.
go back to reference Jalali R. The principle of wound cure and care. Tehran: Salemi Publication; 2003. Jalali R. The principle of wound cure and care. Tehran: Salemi Publication; 2003.
4.
go back to reference Qixia J, Xiaohua L, Xiaolong Q, Yun L, Liyan Z, Chunyin S, et al. The incidence , risk incidence, risk factors and characteristics of pressure ulcers in hospitalized patients in China. Int J Clin Exp Pathol. 2014;7(5):2587–94. Qixia J, Xiaohua L, Xiaolong Q, Yun L, Liyan Z, Chunyin S, et al. The incidence , risk incidence, risk factors and characteristics of pressure ulcers in hospitalized patients in China. Int J Clin Exp Pathol. 2014;7(5):2587–94.
5.
go back to reference Lupianez-Perez I, Carlos Morilla-Herrera J, Ginel-Mendoza L, Javir Marth-Santos F, Javir Navarro-Moya F, Pilar Sepulveda-Guerra R, et al. Effectiveness of olive oil for the prevention of pressure ulcers caused in immobilized patients within the scope of primary health care: study protocol for a randomized controlled trial. Trials. 2013;14:348.CrossRef Lupianez-Perez I, Carlos Morilla-Herrera J, Ginel-Mendoza L, Javir Marth-Santos F, Javir Navarro-Moya F, Pilar Sepulveda-Guerra R, et al. Effectiveness of olive oil for the prevention of pressure ulcers caused in immobilized patients within the scope of primary health care: study protocol for a randomized controlled trial. Trials. 2013;14:348.CrossRef
6.
go back to reference Halfens RJ, Meesterberends E, Van Nie-Visser NC, Lohrmann E, Schönherr S, Meijers JM, Hahn S, Vangelooven C, Schols JM. International prevalence measurement of care problems. J Adv Nurs. 2013;69(9):5–17.CrossRef Halfens RJ, Meesterberends E, Van Nie-Visser NC, Lohrmann E, Schönherr S, Meijers JM, Hahn S, Vangelooven C, Schols JM. International prevalence measurement of care problems. J Adv Nurs. 2013;69(9):5–17.CrossRef
8.
go back to reference Potter P, Perry A , Stockert P, Hall A. Fundamental Nursing. Vol. 2, Chapter 48. 2013. pp. 1176–1232. Potter P, Perry A , Stockert P, Hall A. Fundamental Nursing. Vol. 2, Chapter 48. 2013. pp. 1176–1232.
9.
go back to reference Soozani A, Raei M, Montazeri A, Nasiri E, Hamidzadeh A, Pourheidari M. The effect of education on knowledge and performance of nurses in prevention and control of pressure sore. Mod Care Scient Quart Birjand Nurs Midwifery Fac. 2012;9(1):16–23. Soozani A, Raei M, Montazeri A, Nasiri E, Hamidzadeh A, Pourheidari M. The effect of education on knowledge and performance of nurses in prevention and control of pressure sore. Mod Care Scient Quart Birjand Nurs Midwifery Fac. 2012;9(1):16–23.
10.
go back to reference Baranoski S. Pressure ulcers: a renewed awareness. Nursing. 2006;36(8):36–41.CrossRef Baranoski S. Pressure ulcers: a renewed awareness. Nursing. 2006;36(8):36–41.CrossRef
11.
go back to reference Shahin ES, Dassen T, Halfens RJ. Incidence, prevention and treatment of pressure ulcers in intensive care patients: alongitudinal study. Int J Nurs Stud. 2009;46(4):413–21.CrossRef Shahin ES, Dassen T, Halfens RJ. Incidence, prevention and treatment of pressure ulcers in intensive care patients: alongitudinal study. Int J Nurs Stud. 2009;46(4):413–21.CrossRef
12.
go back to reference Simon M, Bergquist-Beringer S, Gajewski B, Dunton N. Pressure ulcer prevention as an indicator of nursing care quality: a comment on Jull and Griffiths (2010). Int J Nurs Stud. 2010;47(9):1194–5.CrossRef Simon M, Bergquist-Beringer S, Gajewski B, Dunton N. Pressure ulcer prevention as an indicator of nursing care quality: a comment on Jull and Griffiths (2010). Int J Nurs Stud. 2010;47(9):1194–5.CrossRef
13.
go back to reference Repić G, Ivanović G. Pressure ulcers their impact on quality of life. Acta Med Medianae. 2014;53(4):75–80.CrossRef Repić G, Ivanović G. Pressure ulcers their impact on quality of life. Acta Med Medianae. 2014;53(4):75–80.CrossRef
14.
go back to reference Kopp L, Obruba P, Edelmann K, Prochazka B, Blstakova K, Celko AM. Pressure ulcer mortality risk after surgical treatment of proximal femoral fractures in the elderly. Acta Chir Orthop Traumatol Cech. 2011;78(2):156–160.E.PubMed Kopp L, Obruba P, Edelmann K, Prochazka B, Blstakova K, Celko AM. Pressure ulcer mortality risk after surgical treatment of proximal femoral fractures in the elderly. Acta Chir Orthop Traumatol Cech. 2011;78(2):156–160.E.PubMed
15.
go back to reference Meesterberends E, Halfens RJ, Heinze C, Lohrmann C, Schols JM. Pressure ulcer incidence in Dutch and German nursing homes: design of a prospective multicenter cohortstudy. BMC Nurs. 2011;10(1):8–14.CrossRef Meesterberends E, Halfens RJ, Heinze C, Lohrmann C, Schols JM. Pressure ulcer incidence in Dutch and German nursing homes: design of a prospective multicenter cohortstudy. BMC Nurs. 2011;10(1):8–14.CrossRef
16.
17.
go back to reference Karampourian A, Amini B. Comparing effectiveness of hydrocolloid and silver solfadiazin 1% dressing in healing of burning wound in Hammadan University of medical sciences. Tehran: Burning Wound Care Congress; 2003. p. 31. Karampourian A, Amini B. Comparing effectiveness of hydrocolloid and silver solfadiazin 1% dressing in healing of burning wound in Hammadan University of medical sciences. Tehran: Burning Wound Care Congress; 2003. p. 31.
18.
go back to reference Aydin AK, Karadag A. Assessment of nurses’ knowledge and practice in prevention and management of deep tissue injury and stage I pressure ulcer. J Wound Ostomy Continence Nurs. 2010;37(5):487–94.CrossRef Aydin AK, Karadag A. Assessment of nurses’ knowledge and practice in prevention and management of deep tissue injury and stage I pressure ulcer. J Wound Ostomy Continence Nurs. 2010;37(5):487–94.CrossRef
19.
go back to reference Jull A, Griffiths P. Is pressure sore prevention a sensitive indicator of the quality of nursing care? A cautionary note. Int J Nurs Stud. 2010;47(5):531–3.CrossRef Jull A, Griffiths P. Is pressure sore prevention a sensitive indicator of the quality of nursing care? A cautionary note. Int J Nurs Stud. 2010;47(5):531–3.CrossRef
20.
go back to reference EPUAP & NPUAP, “International guideline, prevention of pressure ulcers: quick reference guide,” www.npuap.org. 2014. EPUAP & NPUAP, “International guideline, prevention of pressure ulcers: quick reference guide,” www.​npuap.​org. 2014.
21.
go back to reference Black J. Preventing pressure ulcersnoccurring on the heel, Wounds International, Vol 3, Issue 3, 2012. Black J. Preventing pressure ulcersnoccurring on the heel, Wounds International, Vol 3, Issue 3, 2012.
23.
go back to reference Dhikhil CD, Lubna KM, Scholar LEV. Effect of coconut oil usage in risk of pressure ulcers among bedridden patients of selected hospitals in North India. IP-Planet. 2014;1(2):71–8. Dhikhil CD, Lubna KM, Scholar LEV. Effect of coconut oil usage in risk of pressure ulcers among bedridden patients of selected hospitals in North India. IP-Planet. 2014;1(2):71–8.
24.
go back to reference Mistiaen P, Ament A, Francke A, Achterberg W, Halfens R, Huizinga J, et al. An economic appraisal of the ustralian medical sheepskin for the prevention of sacral pressure ulcers from a nursing home perspective. BMC Health Serv Res. 2010;10:226.CrossRef Mistiaen P, Ament A, Francke A, Achterberg W, Halfens R, Huizinga J, et al. An economic appraisal of the ustralian medical sheepskin for the prevention of sacral pressure ulcers from a nursing home perspective. BMC Health Serv Res. 2010;10:226.CrossRef
25.
go back to reference Jolley DJ, Wright R, McGowan S, Hickey MB, Campbell DA, Sinclair RD, al e. Preventing pressure ulcers with the Australian medical sheepskin. MJA. 2004;180:324–7.PubMed Jolley DJ, Wright R, McGowan S, Hickey MB, Campbell DA, Sinclair RD, al e. Preventing pressure ulcers with the Australian medical sheepskin. MJA. 2004;180:324–7.PubMed
26.
go back to reference Salsali M, Shaban M, Kamali P, NaderiPour A. Effects of hydrocolloid dressing in prevention of bed sore in patients undergoing coronary artery bypass surgery. HAYAT. 2004;10(3):39–49. Salsali M, Shaban M, Kamali P, NaderiPour A. Effects of hydrocolloid dressing in prevention of bed sore in patients undergoing coronary artery bypass surgery. HAYAT. 2004;10(3):39–49.
28.
go back to reference Malek Hosseini A, Ghaffarzadegan R, Alizadeh Sh A, Ghaffarzadegan R, Haji Agaei R, Ahmadlou M. Effect of aloe vera gel, compared to 1% silver sulfadiazine cream on second-degree burn wound healing. Complement Med J facul Nurs Midwif. 2013;3(1):418–28. Malek Hosseini A, Ghaffarzadegan R, Alizadeh Sh A, Ghaffarzadegan R, Haji Agaei R, Ahmadlou M. Effect of aloe vera gel, compared to 1% silver sulfadiazine cream on second-degree burn wound healing. Complement Med J facul Nurs Midwif. 2013;3(1):418–28.
29.
go back to reference Sahu PK, Dayal Giri D, Singh R, et al. Therapeutic and medicinal uses of Aloe Vera: a review. Pharmacol Pharm. 2013;4:599–610.CrossRef Sahu PK, Dayal Giri D, Singh R, et al. Therapeutic and medicinal uses of Aloe Vera: a review. Pharmacol Pharm. 2013;4:599–610.CrossRef
30.
go back to reference Heck E, Head M, Nowak D, Hel BC. Aloe vera (gel) cream as a topical treatment for outpatient burns. Burns. 1981;7(4):291–4.CrossRef Heck E, Head M, Nowak D, Hel BC. Aloe vera (gel) cream as a topical treatment for outpatient burns. Burns. 1981;7(4):291–4.CrossRef
31.
go back to reference Bunyapraphatsara N, Jirakulchaiwong S, Thirawarapan S, Manonukul J. The efficacy of Aloe vera cream in the treatment of first, second and third degree burns in mice. Phytomedicine. 1996;2(3):247–51.CrossRef Bunyapraphatsara N, Jirakulchaiwong S, Thirawarapan S, Manonukul J. The efficacy of Aloe vera cream in the treatment of first, second and third degree burns in mice. Phytomedicine. 1996;2(3):247–51.CrossRef
32.
go back to reference Somboonwong J, Thanamittramanee S, Jariyapongskul A, Patumraj S. Therapeutic effects of Aloe vera on cutaneous microcirculation and wound healing in second degree burn model in rats. J Med Assoc Thail. 2000;83(4):417–8. Somboonwong J, Thanamittramanee S, Jariyapongskul A, Patumraj S. Therapeutic effects of Aloe vera on cutaneous microcirculation and wound healing in second degree burn model in rats. J Med Assoc Thail. 2000;83(4):417–8.
33.
go back to reference Mossayebi G, Ghazavi A, Aghili B, Mirshafiei A. Immunomodulating activity of Aloe Vera in animal model of multiple sclerosis. Arak Med Univ J. 2009;12(3):109–15. Mossayebi G, Ghazavi A, Aghili B, Mirshafiei A. Immunomodulating activity of Aloe Vera in animal model of multiple sclerosis. Arak Med Univ J. 2009;12(3):109–15.
34.
go back to reference Boudreau MD, Beland FA. An evaluation of the biological and toxicological properties of Aloe barbadensis (miller), Aloe vera. J Environ Sci Health C Environ Carcinog Ecotoxicol Rev. 2006;24(1):103–54.CrossRef Boudreau MD, Beland FA. An evaluation of the biological and toxicological properties of Aloe barbadensis (miller), Aloe vera. J Environ Sci Health C Environ Carcinog Ecotoxicol Rev. 2006;24(1):103–54.CrossRef
35.
go back to reference West DP, Zhu YF. Evaluation of Aloe vera gel gloves in the treatment of dry skin associated with occupational exposure. Am J Infect Control. 2003;31(1):40–2.CrossRef West DP, Zhu YF. Evaluation of Aloe vera gel gloves in the treatment of dry skin associated with occupational exposure. Am J Infect Control. 2003;31(1):40–2.CrossRef
36.
go back to reference Dat AD, Poon F, Pham KBT, Doust J. Aloe vera for treating acute and chronic wounds. Cochrane Database Syst Rev. 2012;2:CD008762. Dat AD, Poon F, Pham KBT, Doust J. Aloe vera for treating acute and chronic wounds. Cochrane Database Syst Rev. 2012;2:CD008762.
37.
go back to reference Shaugh Nessy B. Physicians’ desk reference (PDR) for herbal medicine. 2nd ed. New Jersey: Medical Economics Company; 2000. Shaugh Nessy B. Physicians’ desk reference (PDR) for herbal medicine. 2nd ed. New Jersey: Medical Economics Company; 2000.
38.
go back to reference Moghbel A, Ghalamborb A, Allipanahaa S. Wound healing and toxicity evaluation of Aloe veraCream on Outpatients with second degree burns. Iran J Pharm Sci. 2007;3(3):157–60. Moghbel A, Ghalamborb A, Allipanahaa S. Wound healing and toxicity evaluation of Aloe veraCream on Outpatients with second degree burns. Iran J Pharm Sci. 2007;3(3):157–60.
39.
go back to reference Maenthaisong R, Chaiyakunapruk N, Niruntraporn S. The efficacy of Aloe vera for burn wound healing: a systematic review. Burns. 2007;33(6):713–8.CrossRef Maenthaisong R, Chaiyakunapruk N, Niruntraporn S. The efficacy of Aloe vera for burn wound healing: a systematic review. Burns. 2007;33(6):713–8.CrossRef
40.
go back to reference Avijgan M. Phytotherapy: an alternative treatment for non-healing ulcers. J Wound Care. 2004;13(4):157–8.CrossRef Avijgan M. Phytotherapy: an alternative treatment for non-healing ulcers. J Wound Care. 2004;13(4):157–8.CrossRef
41.
go back to reference Bolourchifard F, Abdolrahimi M, Yaghmaei F, Akbarzadeh Baghban A. Factors associated with pressure sore in patients admitted to the orthopedic ward. Health Prom Manag. 2015;4(2):27–33. Bolourchifard F, Abdolrahimi M, Yaghmaei F, Akbarzadeh Baghban A. Factors associated with pressure sore in patients admitted to the orthopedic ward. Health Prom Manag. 2015;4(2):27–33.
42.
go back to reference Jamand T, Akaberian SH, Khoramroodi R, Pooladi SH, Hajivandi A, Bagherzadeh R, et al. Assessment of risk factors associated with bedsores in patients admitted to Fateme Zahra & Salman Farsi Hospitals in Boushehr by using the Braden indices (2007-2008). Iran South Med J. 2012;3:233–9. Jamand T, Akaberian SH, Khoramroodi R, Pooladi SH, Hajivandi A, Bagherzadeh R, et al. Assessment of risk factors associated with bedsores in patients admitted to Fateme Zahra & Salman Farsi Hospitals in Boushehr by using the Braden indices (2007-2008). Iran South Med J. 2012;3:233–9.
43.
go back to reference Ulker Efteli E, Yapucu Gunes U. A prospective, descriptive study of risk factors related to pressure ulcer development among patients in intensive care units. Ostomy Wound Manage. 2013;59(7):22–7.PubMed Ulker Efteli E, Yapucu Gunes U. A prospective, descriptive study of risk factors related to pressure ulcer development among patients in intensive care units. Ostomy Wound Manage. 2013;59(7):22–7.PubMed
44.
go back to reference Afkar A, Mahboubi M, Mehrabian F, Farmanbar R, Ghahramani F, Kazemnejad A, et al. Predictive factors of ICU bedsores using Braden scale. J Kermanshah Univ Med Sci. 2014;18(4):220–5. Afkar A, Mahboubi M, Mehrabian F, Farmanbar R, Ghahramani F, Kazemnejad A, et al. Predictive factors of ICU bedsores using Braden scale. J Kermanshah Univ Med Sci. 2014;18(4):220–5.
46.
go back to reference Baumgarten M, Rich S, Shardell M, Hawkes W, Margolis J, Langenberg P, et al. Care related risk factors for hospital acquired pressure ulcers in elderly adults with hip fracture. J Amer Geriatric Soc. 2012;60(2):277–83.CrossRef Baumgarten M, Rich S, Shardell M, Hawkes W, Margolis J, Langenberg P, et al. Care related risk factors for hospital acquired pressure ulcers in elderly adults with hip fracture. J Amer Geriatric Soc. 2012;60(2):277–83.CrossRef
47.
go back to reference Amirifar S, Reza Masouleh S, Poursheikhian M, Monfared A, Kazemnejad LE. Predictive value of braden scale in pressure ulcer occurrence in hospitalized patients. Holist Nurs Midwifery. 2013;23(2):8–15. Amirifar S, Reza Masouleh S, Poursheikhian M, Monfared A, Kazemnejad LE. Predictive value of braden scale in pressure ulcer occurrence in hospitalized patients. Holist Nurs Midwifery. 2013;23(2):8–15.
48.
go back to reference Daneshvar Fard F, Moghimi S, Lotfi R. Design and evaluation of a pressure and temperature monitoring system for pressure ulcer prevention. Iran J Med Phys. 2014;11(2–3):242–52. Daneshvar Fard F, Moghimi S, Lotfi R. Design and evaluation of a pressure and temperature monitoring system for pressure ulcer prevention. Iran J Med Phys. 2014;11(2–3):242–52.
49.
go back to reference Sprigle S, Linden M, McKenna D, Davis K, Riordan B. Clinical skin temperature measurement to predict incipient pressure ulcers. Adv Skin Wound Care. 2001;14(3):133–7.CrossRef Sprigle S, Linden M, McKenna D, Davis K, Riordan B. Clinical skin temperature measurement to predict incipient pressure ulcers. Adv Skin Wound Care. 2001;14(3):133–7.CrossRef
50.
go back to reference Schubert V, Fagrell B. Postocclusive reactive hyperemia and thermal response in the skin microcirculation of subjects with spinal cord injury. Scand J Rehabil. 1991;23:33–40. Schubert V, Fagrell B. Postocclusive reactive hyperemia and thermal response in the skin microcirculation of subjects with spinal cord injury. Scand J Rehabil. 1991;23:33–40.
51.
go back to reference Schubert V, Fagrell B. Evaluation of the dynamic cutaneous post-ischaemic hyperaemia and thermal response in elderly subjects and in an area at risk for pressure sores. Clin Physiol. 1991;11:169–82.CrossRef Schubert V, Fagrell B. Evaluation of the dynamic cutaneous post-ischaemic hyperaemia and thermal response in elderly subjects and in an area at risk for pressure sores. Clin Physiol. 1991;11:169–82.CrossRef
52.
go back to reference Schubert V, Fagrell B. Local skin pressure and its effects on skin microcirculation as evaluated by laser-Doppler fluxmetry. Clin Physiol. 1989;9:535–45.CrossRef Schubert V, Fagrell B. Local skin pressure and its effects on skin microcirculation as evaluated by laser-Doppler fluxmetry. Clin Physiol. 1989;9:535–45.CrossRef
53.
go back to reference Sae-Sia W, Wipke-Tevis DD, Williams DA. The effect of clinically relevant pressure duration on sacral skin blood flow and temperature in patients after acute spinal cord injury. Arch Phys Med Rehabil. 2007;88(12):1673–80.CrossRef Sae-Sia W, Wipke-Tevis DD, Williams DA. The effect of clinically relevant pressure duration on sacral skin blood flow and temperature in patients after acute spinal cord injury. Arch Phys Med Rehabil. 2007;88(12):1673–80.CrossRef
54.
go back to reference Kottner J, Dobos G, Andruck A, Trojahn C, Apelt J, Wehrmeyer H, et al. Skin response to sustained loading: A clinical explorative study. J Tissue Viability. 2015;24(3):114–122.CrossRef Kottner J, Dobos G, Andruck A, Trojahn C, Apelt J, Wehrmeyer H, et al. Skin response to sustained loading: A clinical explorative study. J Tissue Viability. 2015;24(3):114–122.CrossRef
55.
go back to reference Smith IL, Brown S, McGinnis E, et al. Exploring the role of pain as an early predictor of category 2 pressure ulcers: a prospective cohort study. BMJ. 2017;7:013623. Smith IL, Brown S, McGinnis E, et al. Exploring the role of pain as an early predictor of category 2 pressure ulcers: a prospective cohort study. BMJ. 2017;7:013623.
56.
go back to reference McGinnis E, Briggs M, Collinson M, Wilson L Dealey C, Brown J & et al. Pressure ulcer related pain in community populations: a prevalence survey. BMC Nurs. 2014;13:16. McGinnis E, Briggs M, Collinson M, Wilson L Dealey C, Brown J & et al. Pressure ulcer related pain in community populations: a prevalence survey. BMC Nurs. 2014;13:16.
57.
go back to reference Briggs M, Collinson M, Wilson L, Rivers C, McGinnis E, Dealey C, et al. The prevalence of pain at pressure areas and pressure ulcers in hospitalised patients. BMC Nurs. 2013;12(1):19.CrossRef Briggs M, Collinson M, Wilson L, Rivers C, McGinnis E, Dealey C, et al. The prevalence of pain at pressure areas and pressure ulcers in hospitalised patients. BMC Nurs. 2013;12(1):19.CrossRef
58.
go back to reference Takai Y, Yamamoto-Mitani N, Okamoto Y, Koyama K, Honda A. Literature review of pain prevalence among older residents of nursing homes. Pain Manag Nurs. 2010;11(4):209–23.CrossRef Takai Y, Yamamoto-Mitani N, Okamoto Y, Koyama K, Honda A. Literature review of pain prevalence among older residents of nursing homes. Pain Manag Nurs. 2010;11(4):209–23.CrossRef
59.
go back to reference Gorecki C, Closs SJ, Nixon J, Briggs M. Patient-reported pressure ulcer pain:a mixed-methods systematic review. J Pain Symptom Manag. 2011;42(3):443–59.CrossRef Gorecki C, Closs SJ, Nixon J, Briggs M. Patient-reported pressure ulcer pain:a mixed-methods systematic review. J Pain Symptom Manag. 2011;42(3):443–59.CrossRef
60.
go back to reference Girouard K, Harrison MB, VanDenKerkof E. The symptom of pain with pressure ulcers: a review of the literature. Ostomy Wound Manage. 2008;54(5):30–40 42.PubMed Girouard K, Harrison MB, VanDenKerkof E. The symptom of pain with pressure ulcers: a review of the literature. Ostomy Wound Manage. 2008;54(5):30–40 42.PubMed
61.
go back to reference Hughes R. Patient Safety and QualityAn Evidence-Based Handbook for Nurses. US: Agency for Healthcare Research and Quality; 2008. Hughes R. Patient Safety and QualityAn Evidence-Based Handbook for Nurses. US: Agency for Healthcare Research and Quality; 2008.
62.
go back to reference Alamolhoda SH, AmirAliAkbari S, Akbarzadeh Baghban A, Esmaili S. Effects of Aloe vera gel on breast fissures in breastfeeding women. Pejouhandeh. 2014;19(1):13–7. Alamolhoda SH, AmirAliAkbari S, Akbarzadeh Baghban A, Esmaili S. Effects of Aloe vera gel on breast fissures in breastfeeding women. Pejouhandeh. 2014;19(1):13–7.
63.
go back to reference Zeller JL, Lynm C, Glass RM. JAMA patient page. Pressure Ulcers. JAMA. 2006;296(8):1020.CrossRef Zeller JL, Lynm C, Glass RM. JAMA patient page. Pressure Ulcers. JAMA. 2006;296(8):1020.CrossRef
64.
go back to reference EPUAP & NPUAP, “International guideline, prevention of pressure ulcers: quick reference guide,” www.npuap.org. , 2016. EPUAP & NPUAP, “International guideline, prevention of pressure ulcers: quick reference guide,” www.​npuap.​org. , 2016.
65.
go back to reference Royal College of Nursing (UK). The Management of Pressure Ulcers in primary and secondary care: a clinical practice guideline. London: Royal College of Nursing (UK); 2005. Royal College of Nursing (UK). The Management of Pressure Ulcers in primary and secondary care: a clinical practice guideline. London: Royal College of Nursing (UK); 2005.
66.
go back to reference Avijgan M, Kamran A, Abedini A. Effectiveness of Aloe Vera gel in chronic ulcers in comparison with conventional treatments. Iran J Med Sci. 2016;41(3):30. Avijgan M, Kamran A, Abedini A. Effectiveness of Aloe Vera gel in chronic ulcers in comparison with conventional treatments. Iran J Med Sci. 2016;41(3):30.
67.
go back to reference Panahi Y, Izadi M, Sayyadi N, Rezaee R, Jonaidi-Jafari N, Beiraghdar F, Zamani A, Sahebkar A. Comparative trial of Aloe vera/olive oil combination cream versus phenytoin cream in the treatment of chronic wounds. Wound Care. 2015;24(10):459–60 462-5.CrossRef Panahi Y, Izadi M, Sayyadi N, Rezaee R, Jonaidi-Jafari N, Beiraghdar F, Zamani A, Sahebkar A. Comparative trial of Aloe vera/olive oil combination cream versus phenytoin cream in the treatment of chronic wounds. Wound Care. 2015;24(10):459–60 462-5.CrossRef
68.
go back to reference Thomas D, Goode P, LaMaster K, Tennyson T. Acemannan hydrogel dressing versus saline dressing for pressure ulcers: a randomised, controlled trial. Adv Wound Care. 1998;11(6):273–6.PubMed Thomas D, Goode P, LaMaster K, Tennyson T. Acemannan hydrogel dressing versus saline dressing for pressure ulcers: a randomised, controlled trial. Adv Wound Care. 1998;11(6):273–6.PubMed
69.
go back to reference Massey BP. Resolution of early stage pressure sores after treatment with specific skin cream: a prospective, Comparative Study. Cura Pharm. 2007. Massey BP. Resolution of early stage pressure sores after treatment with specific skin cream: a prospective, Comparative Study. Cura Pharm. 2007.
70.
go back to reference Behnammoghadam M, Paymard A, Salehian T, Shahnavazi A, Bakhshi F, Allahyari E, et al. The effect of local olive oil on prevention of pressure ulcers in patients hospitalized in the intensive care unit of Shahid Beheshti hospital, Yasuj: a double-blind randomized clinical trial. Anesthesiol Pain. 2016;6(3):54–61. Behnammoghadam M, Paymard A, Salehian T, Shahnavazi A, Bakhshi F, Allahyari E, et al. The effect of local olive oil on prevention of pressure ulcers in patients hospitalized in the intensive care unit of Shahid Beheshti hospital, Yasuj: a double-blind randomized clinical trial. Anesthesiol Pain. 2016;6(3):54–61.
71.
go back to reference Rahmani N, Khademloo M, Vosoughi K, Assadpour S. Effects of Aloe vera cream on chronic anal fissure pain, wound healing and hemorrhaging upon defection: a prospective double blind clinical trial. Eur Rev Med Pharmacol Sci. 2014;18(7):1078–84C.PubMed Rahmani N, Khademloo M, Vosoughi K, Assadpour S. Effects of Aloe vera cream on chronic anal fissure pain, wound healing and hemorrhaging upon defection: a prospective double blind clinical trial. Eur Rev Med Pharmacol Sci. 2014;18(7):1078–84C.PubMed
72.
go back to reference Choonhakarn C, Busaracome P, Sripanidkulchai B, Sarakarn P. A prospective, randomized clinical trial comparing topical aloe vera with 0.1% triamcinolone acetonide in mild to moderate plaque psoriasis. J Eur Acad Dermatol Venereol. 2010;24(2):168–72.CrossRef Choonhakarn C, Busaracome P, Sripanidkulchai B, Sarakarn P. A prospective, randomized clinical trial comparing topical aloe vera with 0.1% triamcinolone acetonide in mild to moderate plaque psoriasis. J Eur Acad Dermatol Venereol. 2010;24(2):168–72.CrossRef
73.
go back to reference Soozani A, Khosravi A, Pourheydari M, Montazeri A. Using Braden and waterlow scales to predict pressure ulcer: a comparative study. Knowl Health. 2011;5(4):43–8. Soozani A, Khosravi A, Pourheydari M, Montazeri A. Using Braden and waterlow scales to predict pressure ulcer: a comparative study. Knowl Health. 2011;5(4):43–8.
74.
go back to reference Tubaishat A, Anthony D, Saleh M. Pressure ulcers in Jordan: A point prevalence study. J Tiss Viabil. 2011;20:9–14. Tubaishat A, Anthony D, Saleh M. Pressure ulcers in Jordan: A point prevalence study. J Tiss Viabil. 2011;20:9–14.
75.
go back to reference Karimian M, Sarokhani D, Sarokhani M, Sayehmiri K, Mortazavi Tabatabaei SA. Prevalence of bedsore in Iran: a systematic review and meta-analysis. JM Univ Med Sci. 2016;26(136):202–10. Karimian M, Sarokhani D, Sarokhani M, Sayehmiri K, Mortazavi Tabatabaei SA. Prevalence of bedsore in Iran: a systematic review and meta-analysis. JM Univ Med Sci. 2016;26(136):202–10.
Metadata
Title
The effect of Aloe Vera gel on prevention of pressure ulcers in patients hospitalized in the orthopedic wards: a randomized triple-blind clinical trial
Authors
Davood Hekmatpou
Fatemeh Mehrabi
Kobra Rahzani
Atefeh Aminiyan
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Complementary Medicine and Therapies / Issue 1/2018
Electronic ISSN: 2662-7671
DOI
https://doi.org/10.1186/s12906-018-2326-2

Other articles of this Issue 1/2018

BMC Complementary Medicine and Therapies 1/2018 Go to the issue