The Effectiveness of the Prevention and Care Program for Patients with Pressure Ulcer in Debaratana Nakhon Ratchasima Hospital and Networks

Abstract

The purposes of this quasi-experimental study were to compare the incidence of pressure ulcers and investigate the user satisfaction of the prevention and care program for patients suffering from pressure ulcers in the Debaratana Nakhonratsima hospitals and networks. Using purposive sampling, 30 patients with pressure ulcers on the surgical ward were selected as study samples. The patients met inclusion criteria, had a caregiver, and did not experience program-related complications. The data was collected in four stages: part one was personal information; part two involved using the Braden scale to assess pressure ulcers at home and in hospital; part three involved a program of the prevention and care program for patients with pressure ulcer that included five steps to compare incidents of pressure ulcers that occurred before and after using the program. Data analysis used Wilcoxon signed rank test statistics; and part four involved the rating of satisfaction questionnaires by fifteen nurses, thirty home visit professionals, and thirty caregivers. Percentage, average, and standard deviation were utilized in data analysis. The study period was from May 2020 to March 2023.

The program can reduce the level of pressure ulcers, when comparison of the hospital's pressure ulcer incident outcomes. (P – value < 0.001) The program did not have an impact on the reduction of pressure ulcer level, as indicated by the outcome of the pressure ulcer incident that occurred at home. Caregivers' satisfaction score on the satisfaction questionnaire rated 4.56, which was high. A hospital nurses that meet the criteria rated satisfaction score of 4.11, which was quite high. Personnels who conducted home visits and meet the criteria rated satisfaction score of 4.59, which was high. The three groups' overall average score of the satisfaction was 4.42, which was high.