Detail Cantuman

ABSTRACT
Introduction: Wound care has also developed rapidly after the dissemination of
the concept of TIME (Tissue, Infection, Moisture, and Wound Edge) in modern
dressing (MD). The aim of this study was to compare modern dressings (MDs) and
classic dressings (CDs) in terms of patient comfort, cost effectiveness and wound
healing.
Methods: A prospective study design with total of 25 participants. The sampling
technique used was consecutive sampling. Patient comfort was assessed through
the frequency of wound care and pain scale using the Visual Analogue Scale (VAS).
Cost-effectiveness was assessed using direct and indirect costs. Wound healing was
assessed using the Bates-Jensen Wound Assessment Tool (BWAT) score. The data
was analyzed using the independent t and Mann-Whitney tests.
Results: In terms of comfort, the mean for the number of times that wound care
was performed and the pain scale in the participants using MD was (3.07  0.88
times and VAS 4.59  0.72, respectively), which is less compared to using CD (4.60
 1.84 times each and VAS 5.43  0.75). Referring to the indirect and direct costs,
MD (13.67  6.09 and 527.63  84.47, respectively) has the same cost-effectiveness
as CD (14.00  7.64 and 482.68  98.08, respectively). In terms of healing, the mean
of the BWAT score in MD (31.26  1.69) was better compared to CD (33.07  1.65).
Conclusion: The application of MD has the same cost-effectiveness as CD with a
more satisfactory outcome for the wounds in terms of comfort and healing.