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IMI'ACT OF IN - SERVICE TRAINING PROGRAM ON BED SORES IDENTIFICATION, PREVENTION, AND MANAGEMENT AMONG IMMOBILIZED PATIENTS

Research Authors
El-Sayed , Zienab Abd EI-Lateef Mohamed , Warda Y. Mohamed , and Mostafa A. EI-Sonbaty
Research Department
Research Journal
Ass.Univ. Bull Environ.Res
Research Rank
2
Research Vol
Vol. 6, No.1
Research Year
2003
Research Abstract

Several studies have indicated that nurses' knowledge and practices about bed sores
prevention and management are inadequate. The present study aimed to provide nurses with a
training program that included the needed knowledge and skills about how to identify, prevent and
manage bedsores for immobilized patients and to investigate the impact of that training on nurses'
knowledge and practices as well as on patients' condition. Quasi-experimental research design was
adopted to conduct the study on (31) nurses working in the trawna and Neurology, Intensive Care
Units of Assiut University Hospital, in addition to 100 patients admitted to these units. Four tools
were used for data collection: pre/post· test questionnaire sheet, observation checklist, Braden scale
and patient assessment sheet. A training program was designed to enrich nurses' knowledge and
practices about. identification, prevention and management of bed sores. A pretest was carried out
for nurses pre program, in addition to post· program testing immediately, one and two months after
wards. Moreover, a group of 50 immobilized Patients were assessed for development of bedsores
before program implementation and another 50 immobilized patients were assessed after program
implementation nurses knowledge and practices mean scores about identification, prevention and
management of bedsores were improved singifcationly (P=O.OOI for all items) after Program
implementation. The impact of attending the program on Braden scale scores for knowledge and
practices was also statistically significant (P=O.OO I' for both). Incidence of bed sores' were'
significantly more among immobilized patient's program ; implementation than after ward
(P=0.0327) Moreover, the incidence of multiple bed sores were more than before program
implementation .(24%)'than after' ward (6%). Continued nursing education for the enrichment of
nurses' knowledge and augmenting their practices about identification, prevention and management
of bed sores is effective in minimizing bed sores for immobilized patients.