E-ISSN 2277-338X | ISSN 2320-4664
 

Original Research 


Effect of an educational program on a family caregiver’s prevention and management of pressure ulcers in bedridden patients after discharge from hospitals in Palestine

Ashraf Eljedi, Tamam El-Daharja, Nabeel Dukhan.

Abstract
Background: Pressure ulcer affects approximately 9% of all hospitalized patients and 23% of all nursing home patients, thereby posing to be a serious problem. However, prompt and effective treatment can minimize these dangerous effects and speed recovery.

Objective: To determine the effectiveness of an educational program on a family caregiver's prevention and management of pressure ulcers of bedridden patients after discharge from EL-Wafa Medical Rehabilitation Hospital, Gaza Strip, Palestine.

Materials and Methods: Preexperimental, prospective, with pretest and posttest, design was followed. The study recruited a convenient sample of 80 caregivers of the bedridden patients who were admitted to EL-Wafa Medical Rehabilitation Hospital. Pretest questionnaire was administered for the eligible subjects. The educational training package was delivered in three sessions within 1 week. Posttest questionnaire was filled after 3 weeks to assess the effectiveness.

Results: About 58.8% of the caregivers were women and 53.8% aged younger than 30 years. The performance of the caregivers has significantly improved after the program in most of the items (P < 0.05). Scores of subscales: wound care and dressing, proper nutrition, maintaining personal hygiene, incontinence training and knowledge about ulcers were all significantly higher after training (P < 0.05). The difference between the total domains after the program (M = 3.47) was significantly higher than the total domains before the program (M = 3.30; t test 4.87; P = 0.00).

Conclusion: The study revealed a high effectiveness of this educational-training program in managing and preventing pressure ulcers for bedridden patients by caregivers at their homes. Application of this preventive program should be extended to cover all rehabilitative and governmental hospitals in Palestine to reduce the burden of pressure ulcers on the families and the health-care system.

Key words: Pressure ulcer, educational program, prevention, caregivers, bedridden patients


 
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REFERENCES
1. Braddom R. Physical Medicine and Rehabilitation, 2nd edn. Philadelphia, PA: WB Saunders Company, 2011.
2. Alhosis K, Qalawa S, Abd El-Moneem D. Effect of designed pressure ulcer prevention program on caregivers' knowledge of immobilized patients. J Am Sci 2012;8(12):939–948.
3. National Pressure Ulcer Advisory Panel and European Pressure Ulcer Advisory Panel. Pressure Ulcer Treatment: Technical Report. Washington, DC. Available at: www.npuap.org (last accessed on December 3, 2014).
4. Chou R, Dana T, Bougatsos C, et al. Pressure Ulcer Risk Assessment and Prevention: Comparative Effectiveness Reviews. Agency for Healthcare Research and Quality, No. 87, 2013 May. 540 Gaither Road Rockville, Maryland 20850, USA.
5. VanGilder C, Amlung S, Harrison P, Meyer S. Results of the 2008–2009 International Pressure Ulcer Prevalence Survey and a 3-year, acute care, unit-specific analysis. Ostomy Wound Manage 2009;55(11):39–45. [Pubmed]   
6. Haesler E. Prevention and Treatment of Pressure Ulcers: Clinical Practice Guideline. National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel and Pan Pacific Pressure Injury Alliance. Osborne Park, Western Australia: Cambridge Media. Available at: http://www.npuap.org/news/ (last accessed on November 11, 2014).
7. McInnes E, Jammali-Blasi A, Bell-Syer SEM, Dumville JC, Cullum N. Support surfaces for pressure ulcer prevention. Cochrane Database Syst Rev 2011;(4):CD001735. [DOI via Crossref]   
8. Agency for Healthcare Research and Quality (AHRQ), 2014. For professionals: "Preventing Pressure Ulcers in Hospitals". Available at: http://www.ahrq.gov (last accessed on May 2014).
9. Decubitus Ulcer Victims Pressure Sore Statistics. Pressure Sores in Hospital, Ulcers. March 11, 2013. Available at: http://decubitusulcervictims.com/pressure-sore-statistics (last accessed on June 2014).
10. Health Status in Palestine, Health Annual Report 2012. Gaza Strip, Palestine: Ministry of Health, Palestinian Health Information Center, 2013.
11. Ramos-Torrecillas J, GarcĂ­a-MartĂ­nez O, Luna-Bertos ED, Oca-a-Peinado FM, Ruiz C. Effectiveness of platelet-rich plasma and hyaluronic acid for the treatment and care of pressure ulcers. Biol Res Nurs, 2014 May 20. pii: 1099800414535840.
12. VanGilder C, MacFarlane GD, Harrison P, Lachenbruch C, Meyer S. The demographics of suspected deep tissue injury in the United States: an analysis of the international pressure ulcer prevalence survey 2006–2009. Adv Skin Wound Care 2010;23(6):254–61. [DOI via Crossref]    [Pubmed]   
13. Black JM, Edsberg LE, Baharestani MM. National Pressure Ulcer Advisory Panel. Pressure ulcers: Avoidable or unavoidable? Results of the National Pressure Ulcer Advisory Panel Consensus Conference. Ostomy Wound Manage 2011;57(2): 24–37. [Pubmed]   
14. Kuffler DP. Techniques for wound healing with a focus on pressure ulcers elimination. Open Circ Vasc J 2010;3:72–84. [DOI via Crossref]   
15. Kirman CN, Geibel J. Health Professional Network: Medscape: Pressure Ulcers and Wound Care. Edited By WebMD LLC, 2014. Available at: http://www.emedicine.com/med/topic2709.htm (last accessed on January 2014).
16. Young DL, Borris-Hale C, Falconio-West M, Chakravarthy D. A single long term acute care hospital experience with a pressure ulcer prevention program. Rehabil Nurs, 2014 Sep 15. [DOI via Crossref]    [DOI via Crossref]   
17. Tetterton M, Parham IA, Coogle CL, Cash K, Lawson K, Benghauser K, Owens MG. The development of an educational collaborative to address comprehensive pressure ulcer prevention and treatment. Gerontol Geriatr Educ 2005;24(3):53–65. [DOI via Crossref]    [Pubmed]   
18. Garber SL, Rintala DH, Holmes SA, Rodriguez GP, Friedman J. A structured educational model to improve pressure ulcer prevention knowledge in veterans with spinal cord dysfunction. J Rehabil Res Dev 2002;39(5):575–88. [Pubmed]   
19. Wurster J. What role can nurse leaders play in reducing the incidence of pressure sores? Nurs Econ 2007;25(5): 267–9. [Pubmed]   
20. Romanelli M. Science and Practice of Pressure Ulcer Management. London, UK: Springer Company, 2006. [DOI via Crossref]   
21. Moya J, Morison C. The Prevention and Treatment of Pressure Ulcers. Edinburgh, UK: Mosby Company, 2001.
22. Farrell M, Dempsey J. Smeltzer and Bare's Textbook of Medical-Surgical Nursing, 2nd edn. Wolters Kluwer/Lippincott Williams Wilkins, 2010.
23. Wilson F, Williams B. Assessing the readability of skin care and pressure ulcer patient education materials. J Wound Ostom Continence Nurs 2003;30(4):224–30. [Pubmed]   
24. Bours GJ, Halfens RJ, Abu-Saad HH, Grol RT. Prevalence, prevention, and treatment of pressure ulcers: descriptive study in 89 institutions in the Netherlands. Res Nurs Health 2002;25(2):99–110. [DOI via Crossref]    [Pubmed]   
25. Rosen J, Mittal V, Degenholtz H, Castle N, Mulsant BH, et al. Pressure ulcer prevention in black and white nursing home residents: A QI initiative of enhanced ability, incentives, and management feedback. Adv Skin Wound Care 2006;19(5):262–8. [DOI via Crossref]    [Pubmed]   

How to Cite this Article
Pubmed Style

Ashraf Eljedi, Tamam El-Daharja, Nabeel Dukhan. Effect of an educational program on a family caregiver’s prevention and management of pressure ulcers in bedridden patients after discharge from hospitals in Palestine. Int J Med Sci Public Health. 2015; 4(5): 600-606. doi:10.5455/ijmsph.2015.20012015120


Web Style

Ashraf Eljedi, Tamam El-Daharja, Nabeel Dukhan. Effect of an educational program on a family caregiver’s prevention and management of pressure ulcers in bedridden patients after discharge from hospitals in Palestine. http://www.ijmsph.com/?mno=178013 [Access: April 23, 2019]. doi:10.5455/ijmsph.2015.20012015120


AMA (American Medical Association) Style

Ashraf Eljedi, Tamam El-Daharja, Nabeel Dukhan. Effect of an educational program on a family caregiver’s prevention and management of pressure ulcers in bedridden patients after discharge from hospitals in Palestine. Int J Med Sci Public Health. 2015; 4(5): 600-606. doi:10.5455/ijmsph.2015.20012015120



Vancouver/ICMJE Style

Ashraf Eljedi, Tamam El-Daharja, Nabeel Dukhan. Effect of an educational program on a family caregiver’s prevention and management of pressure ulcers in bedridden patients after discharge from hospitals in Palestine. Int J Med Sci Public Health. (2015), [cited April 23, 2019]; 4(5): 600-606. doi:10.5455/ijmsph.2015.20012015120



Harvard Style

Ashraf Eljedi, Tamam El-Daharja, Nabeel Dukhan (2015) Effect of an educational program on a family caregiver’s prevention and management of pressure ulcers in bedridden patients after discharge from hospitals in Palestine. Int J Med Sci Public Health, 4 (5), 600-606. doi:10.5455/ijmsph.2015.20012015120



Turabian Style

Ashraf Eljedi, Tamam El-Daharja, Nabeel Dukhan. 2015. Effect of an educational program on a family caregiver’s prevention and management of pressure ulcers in bedridden patients after discharge from hospitals in Palestine. International Journal of Medical Science and Public Health, 4 (5), 600-606. doi:10.5455/ijmsph.2015.20012015120



Chicago Style

Ashraf Eljedi, Tamam El-Daharja, Nabeel Dukhan. "Effect of an educational program on a family caregiver’s prevention and management of pressure ulcers in bedridden patients after discharge from hospitals in Palestine." International Journal of Medical Science and Public Health 4 (2015), 600-606. doi:10.5455/ijmsph.2015.20012015120



MLA (The Modern Language Association) Style

Ashraf Eljedi, Tamam El-Daharja, Nabeel Dukhan. "Effect of an educational program on a family caregiver’s prevention and management of pressure ulcers in bedridden patients after discharge from hospitals in Palestine." International Journal of Medical Science and Public Health 4.5 (2015), 600-606. Print. doi:10.5455/ijmsph.2015.20012015120



APA (American Psychological Association) Style

Ashraf Eljedi, Tamam El-Daharja, Nabeel Dukhan (2015) Effect of an educational program on a family caregiver’s prevention and management of pressure ulcers in bedridden patients after discharge from hospitals in Palestine. International Journal of Medical Science and Public Health, 4 (5), 600-606. doi:10.5455/ijmsph.2015.20012015120





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