Page 230 - Hospital Authority Convention 2017

Service Enhancement Presentations
HOSPITAL AUTHORITY CONVENTION 2017

F8.1 Young HA Investigators Presentations 14:30 Room 421

Pressure Ulcer Prevention and Management: Evaluation of a Home-based Education Programme for Caregivers
of Elderly: A Pilot Study
1
Chong KW , Lee SHJ 2
2
1 Occupational Therapy Department, Department of Medicine, Tai Po Hospital, Hong Kong
Introduction
Pressure ulcer has become a great concern in geriatric care nowadays. But education programmes on pressure ulcer
prevention and management with proven effectiveness for family caregivers are rare.

Objectives
To fill the service gap, the purpose of this study was to develop a home-based education programme on pressure ulcer
prevention and management for caregivers of the elderly. The effectiveness of the programme was evaluated in term of
caregivers’ knowledge of pressure ulcer and their compliance with pressure ulcer prevention and management measures.
Methodology
24 cases with patients aged 55 or above as well as their caregivers were recruited from convenient sampling. All cases
had pressure ulcer risks with Norton Scale Score <14 and were taken cared at home. It was a quasi-experimental pre-test
and post-test design. Compared with conventional practice, the study intervention was an evidence-based and structural
education programme tailored made to caregivers at home who took care of elderly with risk of pressure ulcer. It was
developed with reference to the National Pressure Ulcer Advisory Panel (NPUAP) and the Institute for Clinical Systems
Improvement (ICSI). The programme included education on knowledge about pressure ulcer, proper skin care, selection and
use of support surfaces and demonstration of preventive measures. There were two outcome measures. The first instrument
was the brief pressure ulcer knowledge test, which was simplified from a validated measurement called The Pressure Ulcer
Knowledge Test. The second instrument was a checklist on compliance with pressure ulcer prevention and management
measures. It was referenced from the pressure ulcer prevention protocol developed by the ICSI and NPUAP. The measures
were assessed pre- and post-education programme. Data was analysed using descriptive statistics and repeated measures.

Results
Compared with the test results before intervention, there was a significant increase of the pressure ulcer knowledge of
caregivers (p<0.000) and their compliance with pressure ulcer prevention and management measures after intervention (p
<0.000). Preliminarily, the home-based education programme on pressure ulcer prevention and management for caregivers
of the elderly was effective in increasing caregivers’ pressure ulcer knowledge and their compliance with pressure ulcer
prevention and management measures.

Wednesday, 17 May

228