The Effectiveness of a Health Education in Wound Self-care of Emergency Traumatic Patients.

• Main Authors: Yen-Chin Chen, 陳豔晴
• Other Authors: Li-chi Huang
• Format: Others
• Language: zh-TW
• Published: 2010
• Online Access: http://ndltd.ncl.edu.tw/handle/28133892363061864204

碩士 === 中國醫藥大學 === 護理學系碩士班 === 98 === Aim: The purpose of study is to explore the effectiveness of wound self-care program for emergency traumatic patient in Taiwan. Methods: The study is a quasi-experimental design by using two groups posttest. Random sampling was used to recruit participants in emergency department at a level one medical center hospital in a central district of Taiwan. A total of 178 participants were recruited, 89 participants in each groups. A 20-minuet of Wound Self-care Health Education was given in the experimental group. The health program included the oral description, demonstration, practice of wound care, education sheet, and resources of wound self-care while regular service was given in control group . A questionnaire was used to evaluate the effectiveness of the program after 2-3 days as patient followed up in the out-patient department. Results: After Wound Self-care Program, the knowledge, skills of wounds self-care, the satisfaction of health education in experimental group are better than the control group (p <.05). Wound infection rate in experimental group (9%) is lower than control group (20.2%), and statistically significant (p <.05). Education, age, wound with foreign body are significantly correlate with wound infection (p <.05). Age is related to the knowledge of wound self-care (p <.05). Wound with foreign body and the location of wound relate with skills of wound self-care (p <.05). The knowledge and skills of wounds self-care, and the satisfaction of health education are positive related to each other, revealing the better care knowledge, better care skills, and better satisfaction. Skills of wounds self-care and wound with foreign body are the major predictors of wound infection. Conclusions: The Wound Self-care Health Education could increase the knowledge and skill of wound self-care, satisfaction of health care education, and reduce the rate of wound infection. Wound care requites technical knowledge, thus, practical demonstration of teaching and practice is more effectiveness for patient’s wound self-care. A appropriated health resources with cartoon illustrations and mnemonics care process can improve the patients’ motivation and self-care effectiveness.