Page 230 - Hospital Authority Convention 2017
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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



































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