Page 12 - ET book 2018-ทดสอบ

Cost-Effectiveness of Foam Dressing Versus Saline Gauze

Dressing In Pressure Injury Stage II, Rajavithi Hospital.

Author: Boonchuen Aimmak, RN, APN, ET Nurse ,
1
Rapeeporn Mattanapan, RN, APN, ET Nurse 2
3
Thummanoon phanomtham MD , Chalida Khemwaranan 4
Institutional: 1,2 Semi private surgery 8 b, Department of In-Patient
Nursing, Cluster of Nursing, Rajavithi Hospital, Bangkok, Thailand, Department
3
4
of Surgery, Rajavithi Hospital, Bangkok, Thailand, Department of Technology
Assessment, Rajavithi Hospital , Bangkok, Thailand

Background:
Modern Foam dressings are typically more expensive than saline
gauze dressing. However, if modern dressings require fewer changes, the overall
cost of treatment may be lower despite the higher initial purchase price. If
healing rates are comparable or better, foam dressings also may be cost-
effective.

Objectives:
To assess differences in treatment costs and cost effectiveness
between a modern foam dressing and saline gauze dressing.

Materials and Methods:
A prospective, observational study to assess differences in
treatment costs and cost effectiveness between a modern foam dressing and
saline gauze dressing was conducted among 26 patients (10 men, 16 women,
mean age 60.93 years) with a stage II pressure injury at Inpatient wards in
Rajavithi Hospital. Participants were got wound care by doctor order to
treatment with a polyurethane foam (n = 13) or saline gauze dressing (n = 13).

Results:

We find out that, there was significantly difference in Healing rate
(% ) (p = .001) . Patients in the foam dressing group had decreased frequency
of dressing changes. Total cost over the study period and spending on
dressings in the foam dressing group was significantly lower than saline gauze
dressing (p = .001).

Conclusions:
On the evidence of this study, the foam dressing is a more cost
effective treatment than saline gauze dressing for the treatment of pressure
injury stage II.

Keywords: Cost-effectiveness, Foam dressing, Saline gauze dressing, pressure
injury stage II