The effect of patient education with telephone follow-up on wound healing among adult patients with clean wounds

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The effect of patient education with telephone follow-up on wound healing among adult patients with clean wounds

 

Author: Chan, Lai-ngor
Title: The effect of patient education with telephone follow-up on wound healing among adult patients with clean wounds
Degree: M.Sc.
Year: 2010
Subject: Hong Kong Polytechnic University -- Dissertations
Wound healing
Wounds and injuries -- Patients -- Care
Telephone in medicine.
Department: School of Nursing
Pages: 127 leaves : ill. ; 31 cm.
InnoPac Record: http://library.polyu.edu.hk/record=b2391074
URI: http://theses.lib.polyu.edu.hk/handle/200/5835
Abstract: The dressing of wounds is a major nursing intervention in general out-patient clinics (GOPCs), and one that has been increasing yearly. This study hypothesizes that adult patients with clean wounds who have been educated on wound care by nurses would be able to manage of their wounds at home. There should be no difference in the healing of their wounds when compared with those who had their wounds dressed in GOPCs. If such a health education programme is effective, GOPCs can then offer this alternative wound management method to patients with clean wounds, so that the number of wound dressed in such clinics can be reduced and resources saved. The objective of this study is to determine the effectiveness of a patient education programme in combination with telephone follow-up for the wound healing of adult patients with clean wounds. This was a randomized controlled trial study carried out from October 2009 to January 2010 in three local GOPCs of the Kowloon East Cluster. The control group received the dressing as usual practice, while the intervention group received health education on wound care with telephone follow-up on days 1 and 3. An assessment of the wounds of the patients in both study groups was carried out on the patients’ first attendance and once every week until their wounds had healed. The intervention and control groups were then compared. The Bates-Jensen Wound Assessment Tool was used to assess the degree to which the wounds were healing. The lower the total score, the better the wound was healing. There were 65 subjects in the intervention group and 61 in the control group. The results of a total of 126 subjects with 126 wounds were analyzed. There was no significant difference in any of the demographic characteristics of the two groups. The mean of the total score decreased in two weeks from 27.26 to 15.15 (Freidman test, Chi-square = 26.00, P<0.000) for the intervention group and from 27.11 to 17.15 (Freidman test, Chi-square = 24.15, P<0.000) for the control group. The wounds of both groups were prone to healing. A Mann-Whitney U test was used to compare the differences between the two groups in terms of total score. The result showed that there was no significant difference in the baseline assessment (week₀, Z = -0.416, p = 0.678), the first week of assessment (week₁, Z = -1.313, p = 0.189), and the second week of assessment (week₂, Z = -0.905, p = 0.418). It can therefore be concluded that for adult patients with clean wounds there was no difference in wound healing between providing health education with telephone follow-up and the usual wound management practice in GOPCs.

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