Compare the Effectiveness of Topical Insulin vs Honey Dressing on Diabetic Foot Ulcer Among Patients with Diabetic Mellitus

Abstract

Foot ulcer and foot pain is the complication of diabetic mellitus. Diabetes can develop foot ulcer and foot pain, but proper foot care management can prevent diabetic complication, apart from that investigator used topical insulin vs. honey dressing on diabetic foot ulcer among patients with diabetic mellitus. Objectives: To compare the effectiveness of topical insulin Vs. honey dressing on diabetic foot ulcer among patients with diabetes mellitus residing in urban and rural population in experimental arm I, III & II, IV. Design: The design used for the present study was a randomized, blocked RCT superiority trial where the four group pre- test and post- test design Setting: The study was conducted in urban and rural population in Erode Trust Hospital, erode. Researcher selected 20 foot ulcer patients by simple random technique who has fulfilled with inclusion criteria. The inclusion criteria included patients with diabetic foot ulcer Age group between 30 and 65 years, Patients with grade 0, 1 and 2 ulcers selected by using Wagner classification of diabetic foot ulcer, who are willing to participate in the study. A study was conducted with 20 patients, each experimental arm were 5 arm. The tool used for this study was Bates wound assessment tool. Results: Overall post-test mean score was (22.6± 7.45, 21.6 ±7.35) in experimental arm I and III. and mean percentage difference was 69. The overall area wise comparison between experimental arm II and IV post-test mean score (20.6± 8.19, 20.2 ±7.35) and mean percentage difference was 64. This results imply that Honey dressing was effective among patients with diabetic mellitus. The unpaired t test total score was 14.89 (Experimental arm I & II), 12.96 (Experimental III & IV) when compared to table value (2.77). The demographic variables of four experimental arm were highest percentage of patients in age group of 61-70 years among experimental arm IV, and most of them were males in experimental arm II, 80% were non-vegtarian and Type II diabetic mellitus in Experimental arm I & IV, 80% of the diabetic mellitus patients were having ulcer in right side of the foot, 40% sample were having duration of foot ulcer in weeks and years among all four groups. 60% diabetic mellitus patients were severe workers in experimental arm IV, 60% diabetic mellitus patients were 11 to 12 years of smoking habits, 60% patients were having 7 to 9 years habits of alcholism in experimental arm. From this study findings the researcher conclude that no significant association between diabetic foot ulcer and their study demographic variables. The study conclude that Comparing topical insulin dressing the honey dressing were highly effective on diabetic foot ulcer among patients with diabetes mellitus.