Main Article Content
This experimental research aimed to study the effects of a caring program on caregiver’s operational capabilities of pressure ulcer prevention in dependent older patients at risk group at a tertiary care hospital in Ratchaburi province. The research conceptual framework is based on Orem’s self-care deficit theory (2001). The sample consisted of 56 older patients. They were randomly assigned to the control group (n=28) and the experimental group (n=28). The control group received routine nursing care while the experimental group received caring program on caregiver’s operational capabilities of pressure ulcer prevention in dependent older patients at risk.Research data were collected by using caregiver’s operational capabilities of pressure ulcer prevention form, Bergstrom’s skin condition assessment and the Braden risk assessment scale.Research data were analyzed by using descriptive statistics, t-test and Chi-square.
The results revealed that the mean score on caregiver’s operational capabilities of pressure ulcer prevention in dependent older patients at risk of the experimental group was significantly higher than that of the control group (p-value <.05). The incidence rate of pressure ulcer in dependent older patients of the experimental group was significantly lower than those of the control group (p - value < .05).
Based on the results of this research, it is recommended that the Caring Program on Caregiver’s Operational Capabilities of Pressure Ulcer Prevention should be applied in dependent older patients at risk group to promote their caregiver’s knowledge and capabilities of pressure ulcer prevention.
Tapanon, P. (2007). The effects of a continuing care program for pressure sore prevention among high-risk patients. Journal of Nursing Science, 14(1), 63-72. [In Thai]
Tonsook, P. (2010). The effects of promoting family cares skill program on the incidence of pressure ulcer in order people with post abdominal surgery. Journal of
Gerontology and Geriatric Medicine, 12(3), 1-9. [In Thai]
Atsantachai, P. (2003). Pressure ulcer in the elderly. Bangkok: PA living. [In Thai]
Chawalitsupasearani, P. (2010). Comparison of pressure ulcer risk factor and caregiver’s capability on prevention of pressure ulcer development among hospitalized stroke patients. Master of Nursing Science Thesis, Faculty of Nursing,
Songklanakarint University. [In Thai]
Ratchburi Hospital. (2017). Report of health statistics and quality control. Ratchburi: Ratchburi Hospital. [In Thai]
Braden, B. & Bergstrom, N. (2000). A conceptual schema for the study of etiology of pressure sore. Rehabilitation Nursing, 25(3), 105-109.
Cavalcante, T.B., Moura, E.C., & Luz MHBA. (2016). Updating PF the assistance protocol for pressure ulcer prevention. Journal of Nursing, 10(3), 1498-1506.
Das, Supriya. (2013). Effectiveness of structured teaching program on prevention and management of pressure ulcer for caregivers of hospitalized immobilized patients. International Journal of Nursing Education, 5(1), 181-183.
De Oliveira Matos, S.D., Marques Andrade de Souza, A.P., Silva de Aguiar, E.S., Alves da Silva, M., Guimarães Oliveira Soares, M.J., & dos Santos Oliveira, S.H. (2016). Pressure sore prevention: Knowledge of formal caregivers of Institutionalized elderly people. Journal of Nursing, 10(11), 3879-3874.
Gorecki, C., Brown, J.M., Nelson E.A., Briggs, M., Schoonhoven, L., Dealey, C., Nixon, J. (2009). Impact of pressure ulcers on quality of life in older patients: a systematic review. Journal of the American Geriatrics Society, 57(7), 1175-1183.
Kalowes, P. (2016). Five-layered soft silicone foam dressing to prevent pressure ulcers in the intensive care unit. American Journal of Critical Care, 25(6), E108-E119.
Lewis, C.B. & Bottomley, J.M. (2008). Geriatric rehabilitation: A Clinical approach (3rded.). Washington DC: Upper Saddle River.
National Decubitus Foundation. (2002). Cost saving through bedsore avoidance. Retrieved on 24 September 2017, from https://www.Decubitus.org
National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel and Pan Pacific Pressure injury alliance. (2016). Prevention and treatment of pressure ulcer: Clinical practice guideline. Hacsler (Ed). Cambridge media Perth Australia.
Orem, D.E., Talor, S.G. & Renpenning, K.M. (2001). Nursing: Concept of practices. St. Louis: Mosby.
Pittman, J. (2007). Effect of aging on wound healing current concept. Journal Wound Ostomy Continence Nursing. 34(4), 412-415.
Tayyib, N., & Coyer, F. (2016). Effectiveness of Pressure Ulcer Prevention Strategies for Adult Patients in Intensive Care Units: A Systematic Review. Worldviews on Evidence-Based Nursing, 13(6), 432-444.
Young, T. & Clark, M. (2009). Re-positioning for pressure ulcer prevention. The Cochrane Library, 4.