Efficacy of Buerger Allen Exercise on Local Circulation and Wound Healing of Children’s Lower Extremities Post Orthopedic Surgeries | ||||
Tanta Scientific Nursing Journal | ||||
Volume 29, Issue 2, May 2023, Page 66-84 PDF (781.38 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/tsnj.2023.298377 | ||||
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Authors | ||||
Amany Labib Mostafa Hegazy1; Ebtisam Mohamed El-Sayed2; Mohamed Mostafa Hosny El-Sayed3; Nagafa Hafez Farag4 | ||||
1Demonstrator of Pediatric Nursing, Faculty of Nursing, Tanta University, Egypt | ||||
2Professor of Pediatric Nursing, Faculty of Nursing, Tanta University, Egypt | ||||
3Professor of Pediatric Orthopedic Surgery, Faculty of medicine, Tanta University, Egypt | ||||
4Assist. Professor of Pediatric Nursing, Faculty of Nursing, Tanta University, Egypt | ||||
Abstract | ||||
Background: Lower extremities orthopedic surgeries carry a major risk for devastating complications as incision complication, venous thromboembolism; prohibition of these complications is the foremost nursing goal. Buerger-Allen exercise is capable of improving child’s lower extremity tissue perfusion thus boosting wound healing. The aim of this study was to evaluate the efficacy of Buerger Allen exercise on local circulation and wound healing of children’s lower extremities post orthopedic surgeries. Research design: a quasiexperimental research design was conducted. Sampling: purposive sampling of 60 children who recently had foot and ankle orthopedic surgery at Pediatric Surgical Orthopedic Department at Tanta Universal Teaching Hospital was carefully selected and enrolled in the current study. Tools: three tools were employed to assemble the requisite data including; Structured interview questionnaire schedule, Tissue perfusion assessment sheet, and Surgical wound healing assessment sheet. Results: the present study revealed that Buerger Allen Exercise was efficient in improving local skin temperature, wound edges and adjacent skin color, supporting granulation tissue formation and epithelialization, enhancing the ankle brachial index score, reducing capillary refill time, peripheral tissue edema, wound size and depth, wound exudate, and necrotic tissue type and amount. Conclusion: Buerger Allen exercise was beneficial in improving lower extremity circulation, tissue perfusion, and wound healing in children who had foot and ankle orthopedic surgery. Recommendation: Specific training program pertaining to Buerger Allen exercise in the postoperative phase in pediatric orthopedic should be designated and presented in special training sessions to all orthopedic nurses. | ||||
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