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The effects of peppermint gel on prevention of pressure injury in hospitalized patients with head trauma in neurosurgical ICU: A double-blind randomized controlled trial
Affiliation:1. Department of Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD;2. The Armstrong Institute for Patient Safety and Quality, Johns Hopkins Medicine, Baltimore, MD;3. New York Medical College, School of Medicine, Valhalla, NY;4. Division of Health Sciences Informatics, The Johns Hopkins University School of Medicine, Baltimore, MD;5. Department of Health Policy and Management, The Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland;6. Department of Pharmacy, The Johns Hopkins Hospital, Baltimore, MD;7. Division of Hematology, Department of Medicine, The Johns Hopkins University School of Medicine, Baltimore, MD;8. Department of Pathology, The Johns Hopkins University School of Medicine, Baltimore, MD;9. Department of Emergency Medicine, The Johns Hopkins University School of Medicine, Baltimore, MD;10. Department of Anesthesiology and Critical Care Medicine (ACCM), The Johns Hopkins University School of Medicine, Baltimore, MD
Abstract:ObjectiveThis study aimed to evaluate the effect of peppermint gel on the prevention of pressure injuries in patients with head trauma admitted to neurosurgical intensive care units.DesignThis double blind, randomized, controlled clinical trial study was conducted on 150 patients with head trauma admitted to the ICU. Using sealed envelopes, patients were assigned randomly into two intervention (n = 75) and control (n = 75) groups.SettingThe study was conducted in the ICUs of a university hospital and a general hospital in Shiraz, Iran.InterventionThe intervention group received peppermint gel three times a day up to 14 days during the skin care as a layer on the skin areas exposed to the risk of pressure injuries. The control group used a placebo gel.Primary outcomesThe expected outcome in this study was the incidence of pressure injuries stage I, which once daily was evaluated by pairs of observers with the National Pressure Ulcer Advisory Panel.ResultsThe incidence rate of pressure injuries was 22.8% and 77% in the intervention and the control groups, respectively. The chi-square test result showed a significant deference between two groups (P < 0.001). Sacrum was the most common site for incidence of the pressure injuries.ConclusionThe findings showed that the peppermint gel has a positive effect in the prevention of pressure injuries in the patients with head trauma admitted to ICUs. So, the use of this gel is suggested as an easy and low-cost method for prevention of pressure injuries in the patients admitted to ICUs.
Keywords:Head trauma  ICU  Peppermint gel  Pressure injury  Prevention  Iran
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