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Effect of Nurse-Applied Aloe Vera and Rosemary Oil Combination on Pressure Injury Prevention in Orthopaedic Surgery:
Mohamed E H Elzeky1,2, Awatef Abdelhamid2, Basma Salameh3
1Medical-Surgical Nursing Department, College of Nursing, Jouf University, Sakaka, Saudi Arabia.
Objective:
Pressure injuries (PIs) are common complications among orthopedic patients. This study aimed to compare the effectiveness of aloe vera gel, rosemary oil, and their combination with a control intervention in preventing PIs.
Methods:
A triple-blind randomized four arm parallel clinical trial was conducted among 160 orthopedic patients assigned to four groups: aloe vera-rosemary combination, rosemary oil, aloe vera gel, or control (n=40 each). The assigned spray was applied twice daily for 10 days to pressure-prone areas. Outcomes included PI incidence, skin temperature, and pain intensity.
Results:
The aloe vera-rosemary group demonstrated the lowest incidence of sacral, hip, heel, and total PIs compared with the other groups (p = 0.02, 0.03, 0.03, and 0.009, respectively). Significant reductions in pain intensity were also observed across pressure-prone areas over time (all p < 0.001). Additionally, skin temperature decreased significantly in the intervention groups compared with the control group during follow-up (all p < 0.05).
Conclusion:
The rosemary oil and aloe vera-rosemary oil combination showed positive effectiveness in preventing PIs; it is recommended for use in the prevention of PIs among orthopedic patients.
