Effect of Nurse-Applied Aloe Vera and Rosemary Oil Combination on Pressure Injury Prevention in Orthopaedic Surgery: A Triple-Blind Randomized Trial.

IF 2.9 Q2 NURSING

SAGE Open Nursing Pub Date : 2026-06-13 eCollection Date: 2026-01-01 DOI:10.1177/23779608261461045

Mohamed E H Elzeky, Awatef Abdelhamid, Basma Salameh, Noha F M Shahine, Amal F Soliman, Amgad E Salem, Barakat Sayed Elalfy, Rasha Hafez Ramadan El-Shaboury

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Abstract

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.

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护用芦荟与迷迭香油联合应用对骨科手术压力损伤预防的效果：一项三盲随机试验。

目的：压伤是骨科患者常见的并发症。本研究旨在比较芦荟凝胶、迷迭香油及其与对照干预联合预防pi的有效性。方法：采用三盲随机四臂平行临床试验，将160例骨科患者分为芦荟-迷迭香联合组、迷迭香油组、芦荟凝胶组和对照组，每组40例。指定的喷雾每天两次，持续10天。结果包括PI发生率、皮肤温度和疼痛强度。结果：迷迭香芦荟组骶部、髋部、足部和总pi发生率较其他组最低（p分别为0.02、0.03、0.03和0.009）。随着时间的推移，在压力易发区域也观察到疼痛强度的显著降低（均p < 0.001）。随访期间，干预组皮肤温度较对照组显著降低（p < 0.05）。结论：迷迭香油与芦荟-迷迭香油联合使用对预防PIs有积极作用；它被推荐用于预防骨科患者的pi。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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