The Effectiveness of Nursing Program “Rubber Bed Sheet Innovation for Pressure Sore Prevention” in Patients with Pressure Sore Risk

Abstract

Elderly in dependency groups are at risk of pressure sores, and nursing using the rubber bed sheet innovation can reduce complications. This quasi-experimental research aimed to study the effectiveness of the nursing program “Rubber Bed Sheet Innovation” and to develop an invention called "rubber bed away from pressure sore”. The purposive sample were elderly patients in bed with a total assessment score for ADL between 5-11 points, assigned equally into a control and an experimental group with 30 patients in each group. The instrument consisted of the program “Rubber Bed Sheet Innovation” developed by reviewing the literature and through the data collection instruments which obtained information such as personal information of people at risk of pressure sores and personal information of caregivers and practical nurses, as well as using the Braden pressure sores physical risk assessment scale, a record form for pressure sores, and a satisfaction questionnaire. Data were analyzed using descriptive statistics including a paired t-test and an independent t-test. The results of the study revealed the scores for the bodily injury risk assessment according to the Braden risk assessment scale in 6 aspects. Sensory perception, skin moisture, activity, mobility, nutritional status and friction and shear in the experimental group were better than before the program and better than for the comparison group with statistical significance (p ≤ 0.05). The Satisfaction in innovation of patients, relatives/caregivers, and practice nurses overall, the average score was at the highest level. ( = 4.60, S.D = 0.39) The results of the study show that the use of the innovation with generous nursing made the risk groups confident and encouraged them to perform self-care to decrease bed sores.