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

BMC Complement Altern Med. 2018 Sep 29;18(1):264. doi: 10.1186/s12906-018-2326-2. Hekmatpou D1, Mehrabi F2, Rahzani K3, Aminiyan A4. Author information 1 Academic member of Nursing and Midwifery Faculty, Arak University of Medical Sciences, Basij Sq., Payambar-e-Azam Educational Complex, Arak, Iran. dr_hekmat@arakmu.ac.ir. 2 Nursing and Midwifery Faculty, Arak University of Medical Sciences, Arak, Iran. 3 Academic member of Nursing and Midwifery Faculty, Arak University of Medical Sciences, Basij Sq., Payambar-e-Azam Educational Complex, Arak, Iran. 4 Clinical Pharmacology, Academic member of Arak University of Medical Sciences, Arak, Iran. 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: IRCT2016051027825N1 . KEYWORDS: Aloe Vera; Orthopedic ward; Pressure ulcer; Prevention