The Effect of Wound Care Challenges and Solutions by Telehealth During The COVID - 19 Pandemic
Article Sidebar
Main Article Content
Abstract
BACKGROUND: The transmission of the COVID - 19 virus has profoundly affected the way nurses conduct nursing care and medical services resulting in a decrease in the necessary medical care, especially the specialty of wound healing. To increase the opportunities of equality of the chronic wound care system and respond to the policy of the Ministry of Public Health to include early and effective management of non - communicable disease (NCD) patients in hospital (excellent prevention and control of COVID - 19 transmission), relevant technologies were developed, including telehealth. This would help to advance wound care and drive Innovative Healthcare Management. As a result, there would be effectiveness and sustainability for advance chronic wound care in the Transformations of the New Normal Medical and Nursing Care System.
OBJECTIVES: To examine the effects of the wound care challenges and solutions by telehealth during the COVID - 19 pandemic in chronic wound patients on the progression of wound healing.
METHODS: Based on the logic model conceptual framework and nursing processes for development in the format of the New Normal, 40 chronic wound patients were recruited by purposive sampling, and divided into 20 participants each in the control group and experimental group. The effect of the wound care by telehealth was evaluated when the patients completed the research tool; Bates - Jensen Wound Assessment Tool (BWAT),before and during the nursing care by telehealth, including Weeks1, 2, 3, and 4 by the researcher and research assistant. The data were analyzed for reliability with inter - rater reliability (IRR), as well as descriptive statistics, and a two - factor repeated measures design with a repeated measure on one factor.
RESULTS: The results revealed that patients in the experimental group, who received wound care by telehealth and advanced/modern wound dressing, had a significantly different score on the BWAT than those in the control group, who received regular nursing care. The development of integrated knowledge would require utilizing technology to communicate and modern innovations. Thus, the selection of materials of wound care by an enterostomal therapy (ET) nurse would be appropriate for the patients, including safety and effectiveness.
CONCLUSIONS: Chronic wound care by telehealth and advanced/modern wound dressing was successful in the process of wound healing without any signs and symptoms of wound infection.
Article Details
References
Center for Disease Control and Prevention. Reducing Stigma [Internet]. 2020 [cited 2021 Mar 26]. Available from: https://www.cdc.gov/coronavirus/2019-ncov/daily-life-coping/reducing-stigma.html
World Health Organization. Coronavirus (Thailand) [Internet].2020 [cited 2020 Feb 1]. Available form: https://www.who.int/thailand/health-topics/coronavirus
Zhang J, Wu W, Zhao X, Zhang W. Recommended psychological crisis intervention response to the 2019 novel coronavirus pneumonia outbreak in China: a model of WestChina Hospital. Precis Clin Med 2020;25;3:3–8.
Wu F, Zhao S , Yu B,Chen YM, Wang W, Hu Y, et al . Complete genome characterisation of a novel coronavirus associated with severe human respiratory disease in Wuhan, China .bioRxiv [Internet]. 2020 [cited 2021 Mar 26]. Available form: https://www.biorxiv.org/content/10.1101/2020.01.24.919183v2
Kijsanayotin B, Kasitipradith N, Pannarunothai S. eHealthinThailand:the current status. In: Safran C, Reti S, Marin HF; editor. MedInfo 2010.Amsterdam: IOS Press; 2010. P 376-80.
Department for Digital Culture Media & Sport. Handling media attention after a major Incident [Internet]. 2020 [cited 2020 Feb 15]. Available form: https://www.gov.uk/government/publications/handling-media-attention/handling-media-attention-after-a-major-incident
Kasitipradith N. The ministry of public health telemedicine network ofThailand. Int J Med Inform 2001;61:113-6.
Eaton SE. Logic Models: What they are and how to prepare one. [Internet] 2010 [cited 2020 Jan 12]. Available form: https://www.researchgate.net/publication/236222297_Logic_Models_What_they_are_and_how_to_use_them
Bates-Jensen BM, Vredevoe DL, Brecht ML. Validity and reliability of thepressure sore status tool. Decubitus 1992;5(6):20-8.
Bates-Jensen BM, McCreath HE, Harputlu D, Patlan A. Reliability of the Bates-Jensen wound assessment tool for pressure injury assessment: the presureulcedetection study. Wound Repair Regen 2019;27:386-95.
Larsen, D,Attkisson, CC, Hargreaves, WA, NguyenTD. Assessment ofclient/patientsatisfaction: development of a general scale. Evaluation andProgram Planing1979;2(3),197-07.
KongsakonR,Jareonsettasin T. Reliabilityandvalidityof a new measure of patient satisfaction (CSQ-8) Thai version with psychiatric care: Journal of the Psychiatrist Associationof Thailand 2000;45:155-63.
Polit DF, Beck TB. Nursing research: generating and assignevidencefornursingpractice. 8thed. Philadelphia: Lippincott; 2008.
Cohen J. Statistical power analysis for the behavior sciences.2nded.NewYork:LawrenceErlbaum Associates; 1988.
Greer N, Foman NA, MacDonald R, Fitzgerald P, Rutks I, Wilt TJ.Advanced wound care therapies for nonhealing diabetic, venous, and arterial ulcers: a systematic review. Ann Intern Med 2013; 159:532-42.