A study to assess the effectiveness of topical application of amla juice on wound healing among clients with diabetic foot ulcer admitted at selected hospital, Tiruvannamalai

A study to assess the effectiveness of Topical application of Amla juice on Wound healing among Clients with Diabetic foot ulcer admitted at Selected Hospital, Tiruvannamalai. INTRODUCTION India is the diabetic capital of the world with its largest share of diabetic persons According to International Diabetes Federation (2014) 387 million people in the world have diabetes mellitus and in India 62 million people are affected. Indian Council of Medical research ICMR (2014) Stated that 4.8 Million people have Diabetes Mellitus in Tamil Nadu. This large number of diabetes places an enormous economic burden on the health care system due to increase in the development of complications. Diabetes mellitus is recognized to be common in Indians of Asian subcontinent. According to Vijay Viswanathan,et.,al (2010) 25 million Indians have diabetes mellitus. This projection indicate that India will have the largest number of population Diabetes mellitus by the year 2025 A.D. If left untreated, diabetes can cause many complication. Serious long–term complication include Cardiovascular Disease, Stroke, Kidney Failure, Foot ulcers and damage to the eyes. The loss of a limb or foot is one of the most feared complications of diabetes and foot problems remain the commonest reason for diabetic patients to be hospitalized. Diabetic foot ulcer is a major complication of Diabetes Mellitus, It occurs in 15% of all patients with Diabetes mellitus which result in 84% of all diabetes-related lowerleg amputations. Emblica officinalis (Amla) is proven to have benefits that Speeden up wound healing process and it contains antioxidant and high content of Vitamin C which help in enhancing wound healing. It is safe and cost effective intervention with no side effects and improves the wound healing among clients with diabetic foot ulcer. OBJECTIVE To assess the effectiveness of Topical application of Amla juice on Wound healing among Clients with Diabetic foot ulcer. RESEARCH DESIGN A True experimental pre and post test design was used. SETTING The study is conducted in Medical and Surgical Unit in TNK Hospital, Tiruvannamalai. SAMPLING TECHNIQUE Simple random sampling technique was used to select the 60 clients with Diabetic foot ulcer 30 were assigned to experimental group and 30 to control group. PARTICIPANTS 60 clients with Diabetic foot ulcer who fulfill the inclusive criteria. INTERVENTION It refers to application of 10-15ml of amla juice –impregnated gauze applied on wound for 7 days (once in a day) in experimental group. Hospital routine measures were followed for the control group. MEASUREMENTS AND TOOL Degree of diabetic foot ulcer was assessed by using modified Bates-Jensen Wound Assessment Tool in Experimental and control group for diabetic foot ulcer. RESULTS In comparison of the pre test and post test degree of wound healing among clients with Diabetic foot ulcer in experimental group, revealed that the calculated paired ‘t’ value t= 7.591 was found to be statistically significant at p<0.001 level. This clearly indicates that the topical application of Amla juice on diabetic wound had shown a significant improvement in the post test degree of wound healing among clients with diabetic foot ulcer in the experimental group. In comparison of post test degree of wound healing among clients with diabetic foot ulcer between the experimental and control group revealed that the calculated unpaired ‘t’ value t= 5.380 was found to be statistically significant at p