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The effectiveness of massage with and without dimethyl sulfoxide in preventing pressure ulcers: a randomized, double-blind cross-over trial in patients prone to pressure ulcers
Authors:Duimel-Peeters Inge G P  J G Halfens Ruud  Ambergen Anton W  Houwing Ronald H  P F Berger Martijn  Snoeckx Luc H E H
Institution:

aDepartment of Health Care Studies/Section Nursing Science, Faculty of Health Sciences, Universiteit Maastricht, P.O. Box 616, 6200 MD Maastricht, the Netherlands

bDepartment of Methodology and Statistics, Faculty of Health Sciences, Universiteit Maastricht, P.O. Box 616, 6200 MD Maastricht, the Netherlands

cDeventer Hospital, Department of Dermatology, P.O. Box 5001, 7400 GC Deventer, the Netherlands

dDepartment of Physiology, Faculty of Medicine, Universiteit Maastricht, P.O. Box 616, 6200 MD Maastricht, the Netherlands

Abstract:

Background

Although guidelines advise against massage, it is one of the methods widely regarded and used by nurses to prevent pressure ulcers (PU).

Objectives

The purpose of this study was to examine the effectiveness of different variations of massage in preventing pressure ulcers.

Methods

A randomized, double-blind cross-over design, in which patients of nursing homes who are prone to PU underwent two of the three possible interventions; ‘position changes only’, ‘massaging with an indifferent cream’ and ‘massaging with a dimethyl sulfoxide (DMSO) cream’.

Results

The results of three interventions did not differ significantly. DMSO did not fulfil the expectations raised by literature and a previous pilot-study.
Keywords:Massage  Dimethyl sulfoxide  Pressure ulcers  Prevention
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