Yara Bakımında Kullanılan Yara Örtüsü Teknolojileri: Randomize Kontrollü Çalışmaların İncelenmesi

Yıl 2022, Sayı: 16, 271 - 283, 30.04.2022

Mahmut Dağcı , Deniz Öztekin

https://doi.org/10.38079/igusabder.996192

Öz

Amaç: Bu derleme, son beş yılda en sık kullanılan modern yara bakım örtülerinin özelliklerinin ve yara iyileşmesine olan etkilerinin belirlenmesi amacıyla planlandı.

Yöntem: Anahtar kelime olarak, yara (wound) AND örtüsü (dressing) AND randomize (randomised) AND kontrollü (controlled) NOT sistematik (systematic) NOT derleme (review) NOT meta-analiz (meta-analysis) NOT olgu (case) NOT sunumu (report) kullanılarak, son beş yıla ait literatür MEDLINE, EMBASE ve CINAHL veri tabanlarında tarandı. Yapılan tarama sonucunda n=2734 araştırmaya ulaşıldı. Tekrarlı yayın kontrolü sonrasında n=45 araştırma elendi. Dahil edilme ve dışlanma kriterlerinin uygulanmasının ardından n=2570 araştırma dışı bırakıldı. Tam metnine ulaşılabilen n=10 randomize kontrollü araştırma, çalışmanın örneklemini oluşturdu. Verilere ulaşım tarihi: 13.01.2022’dir.

Bulgular: İncelenen araştırmaların çoğunluğunun 2017 yılında yapıldığı, yara örtüsü kullanılan araştırmalarda en çok diyabetik yaraların ele alındığı (n=4), yalnızca n=1 araştırmanın yönteminin çift kör planlandığı, n=7 araştırmada kullanılan yara örtülerinin iyileşmeye etkisi olduğu, n=3 araştırmada ise etkisi olmadığı bulundu.

Sonuç: Modern yara örtüleri (Hidrokolloid, aljinat, hidrofiber, amniyotik membran) yara iyileşmesini hızlandırmaktadır. Konu ile ilgili kanıt seviyesi yüksek orijinal araştırmaların ve meta-analiz çalışmaların yapılması önerilmektedir.

Anahtar Kelimeler

Yara bakımı, yara iyileşmesi, yara örtüsü

Dressing Technologies Used in Wound Care: Review of Randomized Controlled Trials

Öz

Aim: This review was planned to determine the characteristics of the most frequently used modern wound dressings in the last five years and their effects on wound healing.

Method: The literature of the last five years was searched in MEDLINE, EMBASE and CINAHL databases, using wound AND dressing AND randomized AND controlled NOT systematic NOT review NOT meta-analysis NOT case NOT report as a keyword. As a result of the scanning n=2734, the research was reached. After duplication control n=45, the study was eliminated. After applying the inclusion and exclusion criteria n=2570 researches were excluded from the study. Randomized controlled research, whose full text is available n=10 were the sample of the study. The last data access date: 13.01.2022.

Results: Most of the studies examined were conducted in 2017, most of the studies in which wound dressings were used were focused on diabetic wounds n=4, only n=1 the method of the study was double-blinded, n=7 the wound dressings used in the study had an effect on healing, n=3 it was found to have no effect in the study.

Conclusion: Modern wound dressings (hydrocolloid, alginate, hydrofiber, amniotic membrane) accelerate wound healing. It is recommended to carry out original researches and meta-analysis studies with high level of evidence on the subject.

Anahtar Kelimeler

Wound care, wound healing, wound dressing.

Kaynakça

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