The effectiveness of a health education intervention on self-care of traumatic wounds

被引:11
作者
Chen, Yen-Chin [1 ]
Wang, Yu-Chun [2 ]
Chen, Wei-Kung [1 ]
Smith, Marlaine [3 ]
Huang, Hsiang-Ming [4 ]
Huang, Li-Chi [5 ]
机构
[1] China Med Univ Hosp, Dept Emergency Med, Taichung, Taiwan
[2] China Med Univ Hosp, Trauma & Emergency Ctr, Taichung, Taiwan
[3] Florida Atlantic Univ, Christine E Lynn Coll Nursing, Boca Raton, FL 33431 USA
[4] China Med Univ Hosp, Dept Neurosurg, Taichung, Taiwan
[5] China Med Univ, Sch Nursing, Dept Nursing, China Med Univ Hosp, Taichung 40402, Taiwan
关键词
knowledge and skill of wound care; patient education; patient in emergency department; trauma wound care programme; wound infection; ANTIBIOTICS; INFECTION; RISK;
D O I
10.1111/j.1365-2702.2012.04295.x
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Aims and objectivesTo explore the effectiveness of wound care programme for emergency traumatic patient in Taiwan. BackgroundWound care is one of the most major issues for trauma patients at home. Wound infection has been alerted mostly on medical treatment. Little is known about how healthcare education impact patient care of traumatic wound after discharged from emergency department. DesignA quasi-experimental design was used by using two groups post-test. MethodsRandom sampling was used to recruited participants, 89 participants in each group in emergency department at a medical centre in Taiwan. A 25-minute wound care programme was given to patients in the intervention group. A questionnaire was used to evaluate the effectiveness of the programme after 72hours as patient followed up in out-patient department. The data of wound infection were collected from patient's medical record by followed 2weeks after injured. ResultsAfter wound care programme, the knowledge, skills of wounds care, the satisfaction of health education in experimental group are better than the control group (p<005). Wound infection rate in experimental group (9%) is lower than control group (202%), and statistically significant (p<005). ConclusionThe wound care programme could increase the knowledge, skills of wound care of emergency patient and reduce the wound infection rate. Relevance to clinical practiceWound care requites technical knowledge; thus, practical demonstration of teaching and self-practice is more effectiveness for patients in learning their wound care. An appropriated health programme can improve the patients' wound care and care quality.
引用
收藏
页码:2499 / 2508
页数:10
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