Comparison of hydrocolloid dressing with traditional dressings for wound healing in pressure ulcers

Abstract

Pressure ulcers are a common and costly problem in acute care facilities. One of the most challenging aspects of care is establishing and maintaining a moist wound environment to promote wound healing. Since the moist wound healing theory was introduced, numerous advanced wound care products and dressings have become available. The purpose of this study is to compare four dressings: a hydrocolloid dressing to a traditional saline-gauze dressing, a foam dressing, and a hydrogel dressing. Dressings will be evaluated for performance in wound healing and cost effectiveness in the treatment of pressure ulcers in an acute care setting. This quasi-experimental study will be guided by Roy's Adaptation Model. Patients admitted to acute care facilities with Stage II and Stage III pressure ulcers will be enrolled in the study after consent obtained. It is estimated that 80 patients will be alternately assigned to one of the four treatment groups; the hydrocolloid, traditional saline-gauze, foam, or hydrogel. Wound healing characteristics will be analyzed using the Pressure Ulcer Scale for Healing (PUSH Tool), andcost effectiveness of each dressing will be analyzed by data collected on dressing cost, number of dressing changes and nursing time. Permission will be obtained from Ball State University and the participating institutions. The findings will provide information on an effective treatment modality for pressure ulcer wound healing.