Care Model Development for Chronic Wound Patients in the Community
Care for Chronic Wound Patients in the Community
Keywords:
chronic wound care in the community, chronic wound patients, caregiverAbstract
Chronic wounds affect the quality of life of patients. This study aimed to develop a model for caring for chronic wound patients in the community during October 2023–July 2024. The study consisted of four phases: 1) situation analysis, 2) development of a model for caring for patients with chronic wounds in the community, 3) testing, refining, and trialing the model, and 4) actual implementation and evaluation. The study involved 62 participants, including caregivers and chronic wounds patients in Mueang District, Phitsanulok Province. Data collection tools included interviews, questionnaires, observation forms, wound progress records using the PUSH Tool Version 3.0, and caregiver satisfaction surveys. Qualitative data were analyzed using content analysis, and quantitative data were analyzed using frequency, percentage, mean, and standard deviation. Knowledge and skills were compared using paired t-tests and exact probability tests. The results of the research found that the knowledge and skills of caregivers in the experimental group were significantly higher than before the development. When comparing wound healing outcomes between the experimental and control group, the experimental group demonstrated significantly better results. The caregiver satisfaction was at a very good level. Community nursing services should apply this development model for the care of patients with chronic wounds in the community and for home-based patient care in the future.
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