The Effects of Empowerment Program on Prevention of Pressure Ulcers with A Caregiver’Orthopedics Patients Who are Restricted to Physical Activities at Orthopedic Wards, Maharaj Nakhon Si Thammarat Hospital

Abstract

Background:   Pressure ulcer is a problem found in an orthopedic patient, who is restricted to physical activities, due to decreased self-care capacity. In addition, a caregiver may feel anxious to involve in orthopedic patient care, thus the patientspossibly not get proper caring. The incidences of pressure ulcers in risky orthopedic patients were0.9: 1000 and 1.1: 1000 Lange of stay in 2017 and 2018 respectively.  Thus, the nursing staff team has developed the Empowerment Program innovation "Classroom Training Program (CTP)”to prevent pressure ulcers in orthopedic patients. 

Objectives: to study the effects of Empowerment Program innovation, CTP on prevention of pressure ulcers with a caregiver’ orthopedic patients.

Materials and methods: There was A quasi-experiment with one-group pre-posttest design was employed to explore the effectiveness of CTP. The CTP was developed based on Gibson’s empowerment approach and consisted of practice guideline modules for caregivers engaging in orthopedic patient care.  A sample of 43 caregivers was recruited into the study. They also got a series of 3 discourses, in which composed of group discussion and individual conversation on understanding and exchanging attitude towards engaging in patient care. Moreover, they received bedside trainings on caring behavior to prevent pressure ulcers, composed of 5 categories and 13 sub-categories.

Results: The effectiveness of the CTP was evaluated through caring behavior performances, in which assessed on day 1 and day 7 of implementing the CTP program. The occurrence of pressure ulcers in orthopedic patients also was applied to measure CTP efficacy.The results revealed that the CTP could increase caregivers’capabilities on caring behaviors engagement of risky orthopedic patients from 42.86% to 96.63%.In addition, All patients did not develop pressure ulcers during the study period.            

Conclusion:  The empowerment program minnovation “Classroom Training Program (CTP)” on caring behavior to prevent pressure ulcersin orthopedic patients.