Effects of Family Management Promotion Program on Caregiver’s Ability for Prevention of Pressure sore in Stroke Patients

Abstract

Objectives : To compare the average capability scores of the caretakers in prevention against bedsore of patients with stroke and the emergence of bedsore between the group receiving and not receiving the family management promotion.

Materials and Methods : This research used the quasi-experimental research methodology based on two group post-test only design. There were 2 groups of samples used in the research, i.e., the patients evaluated for the risk of opening bedsore with the Braden scale ≤ 18, admitted in the Ruam Chai Rak Medical Ward, Nakhon Phanom Hospital, and divided into the control and experimental group, 15 people of each. The tools used in the research consisted of 1) the lesson plan regarding stroke and prevention against bedsore, stoke manual, and bedsore prevention manual. The tools used in data collection were 1) General Information Record Form for the patients with stroke and the caretakers; 2) Record Form for Evaluation of Risk of Bedsore and Record of Bedsore; 3) Evaluation Form for Capability of Caretaker in Prevention of Bedsore. The personal information of the patients, caretakers, and nurses were analyzed by descriptive statistic and the T-statistic was applied to compare the capability scores of the caretakers between the group receiving and not receiving the family management promotion program and the Fisher statistic was used to compare the emergence of bedsore in the patients with stroke between the group receiving and not receiving the family management promotion program.

Results : The average score of the group receiving the family management promotion program was ranked at a high level. After comparing with the control group yielding the average score at the moderate level, the statistically significant difference was observed (p<.001), and there is no bedsore discovered in the group receiving the family management promotion program but 5 times of bedsore at level 2 and above were found in the group not receiving the family management promotion program.

Conclusion : These research results support the concept of family management and provide the capability of the caretakers at a high level for preventing patients with stroke against bedsore.