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Evidence-Based Complementary and Alternative Medicine
Volume 2016, Article ID 6473678, 8 pages
Research Article

The Effect of External Apple Vinegar Application on Varicosity Symptoms, Pain, and Social Appearance Anxiety: A Randomized Controlled Trial

1Nursing Division, School of Health, Osmaniye Korkut Ata University, Osmaniye, Turkey
2Department of Cardiovascular Surgery, Private New Life Hospital, Osmaniye, Turkey
3Department of Cardiovascular Surgery, Mustafa Kemal University, Hatay, Turkey

Received 23 November 2015; Revised 7 December 2015; Accepted 10 December 2015

Academic Editor: Arpita Basu

Copyright © 2016 Derya Atik et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Aim. We aimed to determine the effect of external apple vinegar application on the symptoms and social appearance anxiety of varicosity patients who were suggested conservative treatment. Method. The study was planned as an experimental, randomized, and controlled study. 120 patients were randomly selected and then were randomly allocated to either experimental or control group by simple blind random sampling method. In the collection of research data, a questionnaire questioning sociodemographic and clinical characteristics, the Visual Analog Scale (VAS) for pain, and the Social Appearance Anxiety Scale (SAAS) were used. The patients in the study group were suggested to apply apple vinegar to the area of the leg with varicosity alongside the treatment suggested by the doctor. The patients in the control group received no intervention during the study. Results. The sociodemographic and clinic characteristics of both groups were found to be similar (). The patients were evaluated with regard to cramps, pain, leg fatigue perception, edema, itching, pigmentation, and weight feelings in the leg, VAS, and SAAS averages in the second evaluation; the control group had a decrease in such symptoms () although the decrease in the application group was higher and statistically meaningful (). Conclusion. We determined that the external application of apple vinegar on varicosity patients, which is a very easy application, increased the positive effects of conservative treatment.