ผลการใช้แนวปฏิบัติการพยาบาลการป้องกันแผลกดทับร่วมกับโฟมรักษาแผลปกป้องผิวหนังบริเวณกระดูกกระเบนเหน็บในผู้ป่วยกลุ่มเสี่ยงเกิดแผลกดทับ หอผู้ป่วยศัลยกรรมอุบัติเหตุและระบบประสาท โรงพยาบาลแพร่

Abstract

This quasi-experimental research aimed to explore effects of clinical nursing practice guidelines for preventing pressure ulcer and polyurethane foam for protecting skin around sacrum in patients who’s most at risk of getting pressure ulcer. The sample was composed of patients who were admitted in Trauma and Neurosurgery Ward, Phrae Hospital, and had Branden scores below or equal to 18 points. They were divided by means of simple random sampling method into experimental and control groups with 30 patients each. The research tools were _1) personal information questionnaire, 2) Braden-scale based pressure ulcer risk assessment form, 3) pressure ulcer ______________________________________________________________________________
monitoring form, 4) pressure ulcer prevention program, and 5) polyurethane foam. The descriptive statistics was analyzed in light of the sample’s demographic characteristics. Fisher’s Exact and Chi-square were analyzed the differences of samples characteristics, pressure ulcer rates and costs.
The results indicated no pressure ulcer incidence in the experimental group. However, 5 incidences of pressure ulcer were found in the control group. This thus implied that there was a significant difference (p = .02) between both groups in terms of their pressure ulcer incidences. Moreover, nurses and health personnel could also use the polyurethane foam in combination with nursing practices for a more efficient pressure ulcer prevention.