The Effect of an Empowerment Program on Care Practices of Local Caregivers in Caring for Bedridden Older Persons with Pressure Ulcers in a Community
Keywords:
Empowerment, Bedridden older persons, Pressure ulcers, Local caregiversAbstract
Promoting local caregivers to have the confidence and skill to effectively care for bedridden older persons with pressure ulcers in communities can significantly reduce complications associated with managing pressure sores in this population. This quasi-experimental research, using a two-group, pretest-posttest design, investigated the effect of an empowerment program on care practices of local caregivers in caring for bedridden older persons with pressure ulcers in a community. The participants were sixty local caregivers working in Phetchabun Province. The participants were selected by purposive sampling and assigned to an experimental group (n = 30) or a control group (n = 30). The research instruments consisted of 1) an empowerment program on care practices for bedridden older persons with pressure sores; 2) a manual and media on care practices for bedridden older persons with pressure sores, and the caregiver 4.0 application; and 3) an assessment form on care practices for bedridden older persons with pressure sores which was verified for content accuracy by six experts, yielding content validity indices of .95 while reliability was confirmed by Kuder-Richardson (KR-20) at .93. The data were analyzed with descriptive statistics, paired t–test, and independent t–test statistics.
The results showed that the experimental group had higher mean scores for care practices (M = 29.46, SD = 1.63) than before participating in the empowerment program (M = 3.43, SD = 1.27) and higher than those of the control group (M = 3.26, SD = 1.28) with statistical significance (t = -68.72, p < 0.001 and t = -69.02, p < 0.001, respectively).
This finding can be used as a guide for community nurses and health care teams to promote the empowerment of local caregivers to ensure and maintain the practices of caring for bedridden older persons with pressure sores in the community, accurately, and efficiently.
References
Chaiyavuth, T., Aungwattana, S., & Tamdee, D. (2019). Effect of empowerment program on positioning practice for bedridden elders among village health volunteers. Nursing Journal, 47(4), 114-127. (in Thai)
Chokevivat, V. (2017). Caring for the elderly in the house next to the bed. https://www.posttoday.com/politics/484054
Cohen, J. (1992). A power primer. Psychological Bulletin, 112(1), 155–159.
Department of Health. (2019). Bedridden patient. https://www.anamai.moph.go.th/th
Department of Older Persons. (2020). Knowledge management and innovation elderly, year 2022. https://www.dop.go.th/th/know/type/15
Gibson, C. H. (1995). The process of empowerment in mothers of chronically ill children. Journal of Advanced Nursing, 21(6), 1201-1210.
Junsree, V., liangchawengwong, S., & Muengtaweepongsa, S. (2020). The effects of a family management-enhancing program on the caregivers’ skill of an early mobility of stroke patients. Journal of The Royal Thai Army Nurses, 21(3), 411-420. (in Thai)
Ministry of Public Health. (2019). Public Health Statistics A.D. 2019. http://dmsic.moph.go.th/index/detail/8297
Pattanakeaw, B. (2021). 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. Maharaj Nakhon Si Thammarat Hospital, 4(2), 53-62. (in Thai)
Pengsa-ium, V., Chaiyasung, P., & Yakasem, P. (2015). Outcome of empowerment program on perceived empowerment and caregiving practice of health volunteers to dementia of elderly. Journal of Nursing and Education, 8(1), 152-165. (in Thai)
Sakgiam, C. (2017). The effect of empowerment program on caregiver’s pressure ulcer prevention behaviors for elderly patient with hip fracture in an orthopedic ward. Region 11 Medical Journal, 31(1), 171-178. (in Thai)
Sutthirak, T., Narin, R., & Tuanrat, W. (2020). Impacts of an empowerment program on family caregivers’ ability to assist stroke patients to perform joint exercise. Journal of Thailand Nursing and Midwifery Council, 35(4), 70-83. (in Thai)
Thai Health Promotion Foundation. (2018). Qualifications of local nurses. https://www.thaihealth.or.th/
Trithavin, U. (2018). The effects of caregivers empowerment program on performance of bedridden elderly care in Bangban District, Phra Nakhon Si Ayutthaya Province. Journal of Preventive Medicine Association of Thailand, 8(2), 268-280. (in Thai)
United Nation [UN]. (2020). Population. https://www.un.org/en/un75
Usahapiriyakul, S., Changmai, S., & Leehalalul, V. (2019). The effects of caring program on caregiver’s operational capabilities of pressure ulcer prevention in dependent older patients at risk group. The Journal of Faculty of Nursing Burapha University, 27(4), 21-31. (in Thai)
Wongcharoen, N., Narin, R., & Tuanrat, W. (2022). Effect of the empowerment program on covid-19 prevention practices of village health volunteers. Journal of The Royal Thai Army Nurses, 23(2), 399-407. (in Thai)
World Health Organization [WHO]. (2020). Population. https://www.who.int/
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