Combination Treatment with Conventional Medical Therapy with External use of Anatolian Propolis or Nursing Education for Tinea Pedis: A Three-Arm Randomized Controlled Trial

Öz

ABSTRACT Objective: In this study; it was aimed to evaluate the external use of Anatolian propolis extract and the effect of nursing education in patients diagnosed with tinea pedis. Methods: This is a three-arm, randomized, controlled clinical trial. Sample size (n=96) was determined by power analysis. One group received placebo, another received propolis, and the third received education Participants were adult patients diagnosed with tinea pedis. Necessary permissions for the study and written consent were obtained from the participants. Evaluation tools are sociodemographic data form, physician and patient global evaluation form, and The Turkish Dermatological Quality of Life Index. Results: According to patient and doctor evaluations, the “education” (71.9%) and “propolis” (87.1%) groups showed the greatest improvement in tinea pedis lesions. Dermatological Quality of Life Index score averages were different in the first and last evaluations. The calculated effect size was found to be d>0.5. As a result of the research, it was determined that the education group experienced a "great improvement" (71.9%). According to the doctor's evaluation, the group that received Anatolian propolis showed the "greatest improvement" with a rate of 78.1%, and the differences between the groups were significant in both evaluations (p<0.05). Conclusion: There is a difference between the dermatological quality of life of the three groups included in the study and the evaluations of the patient and the doctor. Educating patients about foot care is important for the protection and development of health.

Anahtar Kelimeler

• Propolis
• podiatry
• nursing education
• tinea pedis

Tinea Pedis Tedavisinde, Anadolu Propolis Kullanımının, Tinea Pedis Hemşirelik Eğitiminin ve Geleneksel Tıbbi Tedavinin Değerlendirilmesi: Üç Kollu Randomize Çalışma

Öz

Amaç: Bu çalışmada; tinea pedis tedavisinde, Anadolu propolis ekstresinin topikal kullanımının, hemşirelik eğitiminin ve geleneksel tıbbi tedavinin değerlendirilmesi amaçlanmıştır. Yöntem: Bu üç kollu, randomize, kontrollü bir klinik çalışmadır. Örneklem büyüklüğü (n:96) güç analizi ile belirlenmiştir. Bir gruba plasebo, birine propolis, diğerine ise propolis eğitimin uygulanmıştır. Katılımcılar tinea pedis tanısı alan yetişkin hastalardır. Araştırma için gerekli izinler ve katılımcılardan yazılı onamlar alınmıştır. Veri toplama araçları sosyodemografik veri formu, hekim ve hasta genel değerlendirme formu, Türk Dermatolojik Yaşam Kalitesi İndeksi'dir. Bulgular: Hasta ve doktor değerlendirmelerine göre tinea pedis lezyonlarında en fazla iyileşmeyi “eğitim” (%71,9) ve “propolis” (%87,1) grupları göstermiştir. Dermatolojik Yaşam Kalitesi İndeksi puan ortalamaları ilk ve son değerlendirmelerde farklı bulunmuştur. Hesaplanan etki büyüklüğü d>0,5 olarak bulunmuştur. Hastaların değerlendirmesinde eğitim grubu “büyük bir iyileşme” (%71,9) yaşadıklarını belirtmiştir. Doktorun değerlendirmesine göre Anadolu propolisi uygulanan grup %78,1 oranıyla “en fazla gelişme” göstermiş olup, her iki değerlendirmede de gruplar arasındaki fark anlamlı bulunmuştur. (p<0,05). Sonuç: Çalışmaya dahil edilen üç grubun dermatolojik yaşam kalitesi ile hasta ve doktorun değerlendirmeleri arasında farklılık bulunmaktadır. Hastaların ayak bakımı konusunda eğitilmesi sağlığın korunması ve geliştirilmesi açısından önemlidir.

Anahtar Kelimeler

• Propolis
• ayak bakımı
• hemşirelik eğitimi
• ayak mantarı

Kaynakça

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