Suthat Chottanapund MD*, Tunpi Chiramanapun MD*, Kusuma Chinaroonchai MD**, Jatuporn Sirikun MD**, Somphon Roeksomtawin MD**, Pornprom Muangman MD**
Affiliation : * Surgical Unit, Bamrasnaradura Infectious Diseases Institute, Department of Disease Control, Nonthaburi, Thailand ** Division of Trauma Surgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
Background : Pain during dressing change period is one of the most concerned issues for patients. It can cause discomfort
and also mental disability in long term. Adhesive bandages peeling off is one of the processes in dressing change that can
create much pain. Alleviating pain from that process may improve patients’ quality of life.
Objective : To evaluate the efficacy and side effects of orange extract solution in reducing the pain during bandage removal in
dressing change procedure in surgical wound.
Material and Method: This study was a phase II clinical control trial research. The subjects were surgical patients who had
a wound on his/her arm or hand. The study was conducted under approval of medical ethical review board of Bamrasnaradura
Infectious Diseases Institute.
Results : Thirty patients were enrolled. There were 16 male and 14 female. Mean age was 50 years. Most of the patients (50%)
had no underlying disease. This study found that the orange extract solution could help to reduce the pain during bandage
removal from the wounds. The result was proved that it’s safe without side effect.
Conclusion : Orange extract solution was effective in bandage removal without significant side effect.
Keywords : Bandage/adhesive remover, Orange oil extract solution, Dressing, Pain, Wound
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