fa بررسی تاثیر استفاده از گرده زنبور عسل در بهبود زخم های فشاری بیماران دیابتی تخصصي Special پژوهشي Research <span style="font-size:9pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:10.0pt"><span style="background:white"><span b="" lotus="" style="font-family:"><span style="color:black">زمینه و هدف: </span></span></span></span></b><span lang="FA" style="font-size:10.0pt"><span style="background:white"><span b="" lotus="" style="font-family:"><span style="color:black">&nbsp;در سال های اخیرشاهد افزایش ابتلا به بیماری دیابت و میزان بستری در بیمارستان‌ها به دلیل زخم های دیابت می‌باشیم و تمایل به استفاده از داروهای گیاهی و روش های سنتی در درمان بیماری‌ها رو به افزایش می‌باشد. در این مطالعه به بررسی کارایی استفاده ازگرده زنبور عسل به عنوان یک مکمل غذایی در تسریع بهبود زخم های فشاری بیماران دیابتی می‌پردازیم</span></span></span></span><span dir="LTR" style="background:white"><span style="color:black">.</span></span><span dir="LTR" style="background:white"></span></span></span></span></span><br> <span style="font-size:9pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:10.0pt"><span b="" lotus="" style="font-family:">مواد و روش ها:</span></span></b> &nbsp;<span lang="FA" style="font-size:10.0pt"><span b="" lotus="" style="font-family:">این</span></span> <span lang="FA" style="font-size:10.0pt"><span b="" lotus="" style="font-family:">پژوهش</span></span> <span lang="FA" style="font-size:10.0pt"><span b="" lotus="" style="font-family:">یک</span></span> <span lang="FA" style="font-size:10.0pt"><span b="" lotus="" style="font-family:">مطالعه</span></span> <span lang="FA" style="font-size:10.0pt"><span b="" lotus="" style="font-family:">کارآزمایی بالینی&nbsp; یک سو کور</span></span><span lang="FA" style="font-size:10.0pt"><span b="" lotus="" style="font-family:"> بوده </span></span><span lang="FA" style="font-size:10.0pt"><span b="" lotus="" style="font-family:">و در</span></span> <span lang="FA" style="font-size:10.0pt"><span b="" lotus="" style="font-family:">این</span></span> <span lang="FA" style="font-size:10.0pt"><span b="" lotus="" style="font-family:">پژوهش</span></span> <span lang="FA" style="font-size:10.0pt"><span b="" lotus="" style="font-family:">84</span></span> <span lang="FA" style="font-size:10.0pt"><span b="" lotus="" style="font-family:">بیماردیابتی</span></span> <span lang="FA" style="font-size:10.0pt"><span b="" lotus="" style="font-family:">مبتلا</span></span> <span lang="FA" style="font-size:10.0pt"><span b="" lotus="" style="font-family:">به</span></span> <span lang="FA" style="font-size:10.0pt"><span b="" lotus="" style="font-family:">زخم فشاری</span></span> <span lang="FA" style="font-size:10.0pt"><span b="" lotus="" style="font-family:">مراجعه</span></span> <span lang="FA" style="font-size:10.0pt"><span b="" lotus="" style="font-family:">کننده</span></span> <span lang="FA" style="font-size:10.0pt"><span b="" lotus="" style="font-family:">به</span></span> <span lang="FA" style="font-size:10.0pt"><span b="" lotus="" style="font-family:">کلینیک های</span></span> <span lang="FA" style="font-size:10.0pt"><span b="" lotus="" style="font-family:">زخم</span></span> <span lang="FA" style="font-size:10.0pt"><span b="" lotus="" style="font-family:">شهر کرج زیر نظر دانشگاه علوم پزشکی البرز</span></span><span lang="FA" style="font-size:10.0pt"><span b="" lotus="" style="font-family:"> به</span></span> <span lang="FA" style="font-size:10.0pt"><span b="" lotus="" style="font-family:">طور</span></span> <span lang="FA" style="font-size:10.0pt"><span b="" lotus="" style="font-family:">تصادفی</span></span> <span lang="FA" style="font-size:10.0pt"><span b="" lotus="" style="font-family:">به</span></span> <span lang="FA" style="font-size:10.0pt"><span b="" lotus="" style="font-family:">دو</span></span> <span lang="FA" style="font-size:10.0pt"><span b="" lotus="" style="font-family:">گروه</span></span> <span lang="FA" style="font-size:10.0pt"><span b="" lotus="" style="font-family:">تقسیم</span></span> <span lang="FA" style="font-size:10.0pt"><span b="" lotus="" style="font-family:">شدند</span></span><span dir="LTR" style="font-family:BMitra">.</span><span lang="FA" style="font-size:10.0pt"><span style="background:white"><span b="" lotus="" style="font-family:"><span style="color:black"> در هر دو گروه مداخله و شاهد بصورت هفتگی پس از انجام مراقبت های روتین و پانسمان زخم، پگ های مشابه (در گروه مداخله از گرده زنبور عسل و در گروه شاهد از گرد نخود آسیاب شده) تحویل داده شد. به مراجعه کنندگان آموزش داده شد که بصورت روزانه 1 قاشق چایخوری در نصف فنجان آب یا شیر حل کرده و تا 3 بار در روز بصورت خوراکی قبل از غذا استفاده شود. در هر دو گروه مراقبت های روتین بصورت یکسان و زیر نظر کارشناس زخم انجام شده و پرسشنامه استاندارد </span></span></span></span><em>PUSH</em><span style="font-size:10.0pt"><span style="background:white"><span b="" lotus="" style="font-family:"><span style="color:black"> بصورت دوبار در هفته و به مدت 12 هفته جهت ارزیابی روند بهبود زخم تکمیل شد.</span></span></span></span><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Lotus""></span></span></span></span></span></span><br> <span style="font-size:9pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:10.0pt"><span b="" lotus="" style="font-family:">یافته ها:</span></span></b> <span lang="FA" style="font-size:10.0pt"><span b="" lotus="" style="font-family:">دو گروه در متغیرهای دموگرافیک (سن، جنس، تحصیلات، وضعیت تاهل ، بیماری زمینه ای، </span></span><span lang="FA" style="font-size:10.0pt"><span b="" lotus="" style="font-family:">&nbsp;شاخص توده بدنی، میزان قند ناشتا، مقدارهموگلوبین </span></span><span lang="FA" style="font-size:10.0pt"><span b="" lotus="" style="font-family:">&nbsp;و اندازه و وسعت زخم) مشابه و تفاوت معنی&shy;داری نداشتند.</span></span><span lang="FA" style="font-size:10.0pt"><span b="" lotus="" style="font-family:"> مقایسه نمره پوش در هر دو گروه نشان از پایینتر بودن نمره فوق در پایان جلسات6، 12، 18 در گروه مداخله نسبت به گروه شاهد، ولی در جلسه آخر یعنی جلسه 24 در گروه شاهد پایینتر از گروه مداخله بود، اما اختلاف معنی داری نبود.</span></span></span></span></span></span><br> <span style="font-size:9pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:10.0pt"><span b="" lotus="" style="font-family:">نتیجه گیری:</span></span></b> <span lang="FA" style="font-size:10.0pt"><span b="" lotus="" style="font-family:">استفاده</span></span> <span lang="FA" style="font-size:10.0pt"><span b="" lotus="" style="font-family:">از</span></span> <span lang="FA" style="font-size:10.0pt"><span b="" lotus="" style="font-family:">گرده زنبور عسل به عنوان مکمل غذایی</span></span> <span lang="FA" style="font-size:10.0pt"><span b="" lotus="" style="font-family:">در</span></span> <span lang="FA" style="font-size:10.0pt"><span b="" lotus="" style="font-family:">تسریع</span></span> <span lang="FA" style="font-size:10.0pt"><span b="" lotus="" style="font-family:">بهبودی</span></span> <span lang="FA" style="font-size:10.0pt"><span b="" lotus="" style="font-family:">زخم های</span></span> <span lang="FA" style="font-size:10.0pt"><span b="" lotus="" style="font-family:">فشاری</span></span> <span lang="FA" style="font-size:10.0pt"><span b="" lotus="" style="font-family:">در</span></span> <span lang="FA" style="font-size:10.0pt"><span b="" lotus="" style="font-family:">بیماران</span></span> <span lang="FA" style="font-size:10.0pt"><span b="" lotus="" style="font-family:">دیابتی</span></span> <span lang="FA" style="font-size:10.0pt"><span b="" lotus="" style="font-family:">ثابت نشد.</span></span> <span lang="FA" style="font-size:10.0pt"><span b="" lotus="" style="font-family:">در</span></span> <span lang="FA" style="font-size:10.0pt"><span b="" lotus="" style="font-family:">هر</span></span> <span lang="FA" style="font-size:10.0pt"><span b="" lotus="" style="font-family:">حال</span></span> <span lang="FA" style="font-size:10.0pt"><span b="" lotus="" style="font-family:">به</span></span> <span lang="FA" style="font-size:10.0pt"><span b="" lotus="" style="font-family:">انجام</span></span> <span lang="FA" style="font-size:10.0pt"><span b="" lotus="" style="font-family:">مطالعات</span></span> <span lang="FA" style="font-size:10.0pt"><span b="" lotus="" style="font-family:">بیشتر</span></span> <span lang="FA" style="font-size:10.0pt"><span b="" lotus="" style="font-family:">و</span></span> <span lang="FA" style="font-size:10.0pt"><span b="" lotus="" style="font-family:">گسترده تر</span></span> <span lang="FA" style="font-size:10.0pt"><span b="" lotus="" style="font-family:">نیاز</span></span> <span lang="FA" style="font-size:10.0pt"><span b="" lotus="" style="font-family:">است</span></span><span lang="FA" style="font-size:10.0pt"><span b="" lotus="" style="font-family:">.</span></span></span></span></span></span><br> &nbsp; <span style="font-size:10pt"><span style="line-height:12pt"><span new="" roman="" style="font-family:" times=""><b>Introduction</b>: In recent years, there has been significant increase in the number of diabetic patients, the rate of hospitalization and non-traumatic lower limb amputation. The last two mentioned are known as the major complications of diabetes.&nbsp; In addition to it, there has been a considerable tendency among the medical therapist in applying &nbsp;apitherapy a branch of alternative medicine that deals with natural agents containing effective chemical compounds in this specialized field. Following what was explained we decided to reexamine the effects of Bee pollen as a natural support to promote the process of diabetic pressure ulcer healing.<span lang="FA" dir="RTL" style="font-family:"B Lotus""></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:12pt"><span new="" roman="" style="font-family:" times=""><b>Method:</b> This study is a one-blinded clinical trial study included 84 diabetic patients suffering from diabetic ulcers. These patients were referred to the wound clinics under supervision of Alborz University of medical sciences in Karaj. The study group was divided into two groups: experimental group (E.G), the patients who were given Bee pollen and control group (C.G.), those whom were given placebo .patient educated to solve one tea spoon powder in milk or water &nbsp;three times a day and drink, preferably before meals. Equal care was provided to all patients by wound experts over a twelve week period of time. During this time the PUSH questionnaire was completed for each patient by wound experts twice weekly.<span lang="FA" dir="RTL" style="font-family:"B Lotus""></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:12pt"><span new="" roman="" style="font-family:" times=""><b>Result</b>: To match the research, we selected these two groups from similar demographic variables such as: age, gender, education, marital status, underlying disease, body mass index, fasting blood sugar, hemoglobin and the size of the wounds.<br> &nbsp;Comparing the PUSH score at the end of sessions 6, 12, 18 resulted in lower scores in E.G., while at the last session of 24 the PUSH score in C.G. was reported lower than E.G.<br> Yet, no significant difference between the two groups was founded.</span></span></span><br> <span style="font-size:10pt"><span style="line-height:12pt"><span new="" roman="" style="font-family:" times=""><b>Discussion and Conclusion:</b> In this study, Bee pollen as a nutritional supplement in diabetic ulcer healing stimulation has not been proved. Hence, more studies are needed.</span></span></span><br> &nbsp; گرده زنبور عسل, زخم دیابتی, بهبود زخم Bee pollen, Diabetic wound, Wound healing 121 128 http://aums.abzums.ac.ir/browse.php?a_code=A-10-1-335&slc_lang=fa&sid=1 Neda Soltannejad ندا سلطان نژاد 10031947532846009390 10031947532846009390 Yes MSc, Master of Science in Nursing, Alborz University of Medical Sciences, Karaj, Iran کارشناس ارشد پرستاری، دانشگاه علوم پزشکی البرز، کرج، ایران Amir hossein Abdi Dorbashi امیرحسین عبدی دورباشی 10031947532846009391 10031947532846009391 No MSc, Master of Science in Critical Care Nursing, Alborz Hospital, Karaj, Iran کارشناس ارشد مراقبت های ویژه، بیمارستان البرز، کرج، ایران Mitra Rahimzadeh میترا رحیم زاده 10031947532846009392 10031947532846009392 No Associate professor, Social Determination of Health Research Center, Public Health School, Biostatistics and Epidemiology Group, Alborz University of Medical Sciences, Karaj, Iran 3دانشیارمرکز تحقیقات عوامل اجتماعی موثر بر سلامت، دانشکده بهداشت، گروه آمار زیستی و اپیدمیولوژی، دانشگاه علوم پزشکی البرز، کرج، ایران Leila Kheirkhah لیلا خیرخواه 10031947532846009393 10031947532846009393 No MD, MPH, Department of anesthesiology and intensive care, Alborz Hospital, Karaj, Iran متخصص بیهوشی، بیمارستان البرز، کرج، ایران Esmaeil Zeinali اسماعیل زینعلی 10031947532846009394 10031947532846009394 No MD, MPH, Department of Infectious disease epidemiology and prevention, Alborz Hospital, Karaj, Iran متخصص عفونی، بیمارستان البرز، کرج، ایران Javad Gorbani جواد قربانی 10031947532846009395 10031947532846009395 No Bachelor of Science in Nursing Alborz University of Medical Sciences, Karaj, Iran کارشناس پرستاری، دانشگاه علوم پزشکی البرز، کرج، ایران