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Effect of Using Apple Cider Vinegar on Foot ulcer Healing of Diabetic Patients

Background: Foot ulcers are one of the usual and dangerous complications that occur in patients with diabetes. Apple vinegar dressing has antimicrobial properties and other clinical therapeutic consequences. This study was performed to examine the apple cider vinegar’s impact on foot ulcer healing in diabetes mellitus patients.
Methods: A quasi-experimental study was conducted at the Imam Al-Hassan Center for Endocrinology and Diabetes from September 26, 2022, to July 25, 2023. A purposive sample include of sixty patients with diabetic foot ulceration who they were separated randomly into intervention and control group. Patients in the intervention group were instructed to perform dressing soaked with apple cider vinegar (1-5%) acetic acid concentration once a day for 21 days, while only routine care was provided to the control group. The study instrument included socio-demographic and clinical data of participants, Meggitt-Wagner classification system, and the DMIST for observing the process of healing from a diabetic foot ulcer. The instruments were validated by a panel of experts, and it is reliability was verified through a pilot study. Both a descriptive analysis procedure and an inferential analysis procedure; a p-value of <0.05 was determined to be statistically relevant.
Results: The study group outperformed the control group in diabetic foot ulcer healing, with 80% obtaining excellent healing compared to 16.7% (p 0.001). Furthermore, the grade of diabetic foot ulcers improved in the study group, with 63.3% having superficial ulcers compared to 23.3% in the control group (p 0.01).
Conclusions: This study found that using an apple cider vinegar dressing to diabetic foot ulcer improves wound healing.
Recommendations: It is recommended that apple cider vinegar dressing be used on a regular basis and changed one time per day.