The effectiveness of a health education intervention on self-care of traumatic wounds

Authors


Correspondence: Li-Chi Huang, Associate Professor, School of Nursing, China Medical University, 91 Hsueh-Shih Road, Taichung, 40402, Taiwan. Telephone: +886 4 2205 3366 ext. 7120.

E-mail: lichi@mail.cmu.edu.tw

Abstract

Aims and objectives

To explore the effectiveness of wound care programme for emergency traumatic patient in Taiwan.

Background

Wound care is one of the most major issues for trauma patients at home. Wound infection has been alerted mostly on medical treatment. Little is known about how healthcare education impact patient care of traumatic wound after discharged from emergency department.

Design

A quasi-experimental design was used by using two groups post-test.

Methods

Random sampling was used to recruited participants, 89 participants in each group in emergency department at a medical centre in Taiwan. A 25-minute wound care programme was given to patients in the intervention group. A questionnaire was used to evaluate the effectiveness of the programme after 72 hours as patient followed up in out-patient department. The data of wound infection were collected from patient's medical record by followed 2 weeks after injured.

Results

After wound care programme, the knowledge, skills of wounds care, the satisfaction of health education in experimental group are better than the control group (< 0·05). Wound infection rate in experimental group (9%) is lower than control group (20·2%), and statistically significant (< 0·05).

Conclusion

The wound care programme could increase the knowledge, skills of wound care of emergency patient and reduce the wound infection rate.

Relevance to clinical practice

Wound care requites technical knowledge; thus, practical demonstration of teaching and self-practice is more effectiveness for patients in learning their wound care. An appropriated health programme can improve the patients' wound care and care quality.

Ancillary