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

Chen, Yen‐Chin; Chen, Wei-Kung; Smith, Marlaine C.; Huang, Hsiang-Ming; Huang, Li-Chi

doi:10.1111/j.1365-2702.2012.04295.x

Cited by 14 publications

(25 citation statements)

References 33 publications

(70 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This is in line with Chen et al ( 2013 ) who described the effectiveness of a wound-healing programme with the focus on self-care. The patients in the experimental group received wound care and dressing instructions, involving both theory and practice.…”

Section: Discussionsupporting

confidence: 88%

Postoperative wound infections after a proctectomy—Patient experiences

Hassel

Andersson

Koinberg

et al. 2016

International Journal of Qualitative Studies on Health and Well

View full text Add to dashboard Cite

Poor perineal wound healing and infections after proctectomy surgery cause a significant proportion of physical and psychological morbidities, such as pain, leakage, and abscesses. In the long run, some of these symptoms will lead to extended periods of hospitalization. These kinds of postoperative complications are also associated with delays in possible chemotherapy treatment. The aim of this study was to describe patient experiences of perineal wound infections following proctectomy due to rectal cancer, and the importance of the communication with and the self-care support from the nurse for these patients. Five women and five men (61–87 years, median age 71 years) were included and interviewed. A qualitative content analysis of the interviews was carried out and the following main categories emerged: “Managing postoperative complications,” “Being independent,” “Feeling safe,” and “Accepting the situation.” A perineal wound infection after a proctectomy is devastating for the individual patient. The limitations and changes to the patients’ lives turn into new daily routines, which force them to find new ways to live and to accept the situation. For many of them, the infections remained for several months and, sometimes, for years. The ability to lead an independent life is drastically reduced, but through continuity in care it is possible to create a feeling of safety. Information, communication, and self-care support are all important and valuable factors for recovery. Specialized care containing an action plan is therefore needed in clinical practice to reduce the number of perineal wound infections postoperatively and should be initiated when the patient is discharged from the ward and continue until recovery.

show abstract

Section: Discussionsupporting

confidence: 88%

Postoperative wound infections after a proctectomy—Patient experiences

Hassel

Andersson

Koinberg

et al. 2016

International Journal of Qualitative Studies on Health and Well

View full text Add to dashboard Cite

show abstract

“…We assessed articles according to their way of generating comparable groups and found several randomized controlled trials 24,47,54,56,57 and 6 2-phase cohort trials 3,22,35,48,51,58 to have a high risk of bias. Because of a significant percentage of patients lost to follow-up, we judged 14 articles 3,15,21,25,30,34,37,[44][45][46]52,54,58,59 to have a high risk of incomplete data. Twenty articles did not describe the level of education 6,15,17,20-22,24, 27,29,35,39,44,46,48,52,53,55,58-60 and 9 articles did not mention whether there was a language barrier 12,15,23,25,35,43,44,51,60 and therefore probably had selection bias.…”

Section: Resultsmentioning

confidence: 99%

Patient Discharge Instructions in the Emergency Department and Their Effects on Comprehension and Recall of Discharge Instructions: A Systematic Review and Meta-analysis

Hoek

Anker

Beeck³

et al. 2020

Annals of Emergency Medicine

102

View full text Add to dashboard Cite

We conduct a systematic review with meta-analysis to provide an overview of the different manners of providing discharge instructions in the emergency department (ED) and to assess their effects on comprehension and recall of the 4 domains of discharge instructions: diagnosis, treatment, follow-up, and return instructions.Methods: We performed a systematic search in the PubMed, EMBASE, Web of Science Google Scholar, and Cochrane databases for studies published before March 15, 2018. A quality assessment of included articles was performed. Pooled proportions of correct recall by manner of providing discharge instructions were calculated.Results: A total of 1,842 articles were screened, and after selection, 51 articles were included. Of the 51 included studies, 12 used verbal discharge instructions only, 30 used written discharge instructions, and 7 used video. Correct recall of verbal, written, and video discharge instructions ranged from 8% to 94%, 23% to 92%, and 54% to 89%, respectively. Meta-analysis was performed on data of 1,460 patients who received verbal information only, 3,395 patients who received written information, and 459 patients who received video information. Pooled data showed differences in correct recall, with, on average, 47% for patients who received verbal information (95% confidence interval 32.2% to 61.7%), 58% for patients who received written information (95% confidence interval 44.2% to 71.2%), and 67% for patients who received video information (95% confidence interval 57.9% to 75.7%). Conclusion:Communicating discharge instructions verbally to patients in the ED may not be sufficient. Although overall correct recall was not significantly higher, adding video or written information to discharge instructions showed promising results for ED patients.

show abstract

“…The reported content validity index was 1.00 for its feasibility, 0.94 for definiteness, and 0.98 for appropriateness. For our study, Cronbach's alpha for internal reliability was 0.73. Wound Care Skills Scale (Chen, ) is an unpublished 11‐item scale in Mandarin assessed by the wound care NP during dressing changes (three time periods). Higher scores indicate higher levels of wound care skills.…”

Section: The Studymentioning

confidence: 99%

“…3. Wound Care Skills Scale (Chen, 2010) is an unpublished 11-item scale in Mandarin assessed by the wound care NP during dressing changes (three time periods). Higher scores indicate higher levels of wound care skills.…”

Section: Validity and Reliability Of Instrumentsmentioning

confidence: 99%

The impact of an mHealth app on knowledge, skills and anxiety about dressing changes: A randomized controlled trial

Chang

Hou

Yeh

et al. 2019

Journal of Advanced Nursing

View full text Add to dashboard Cite

Aims To evaluate the effectiveness of a mobile health (mHealth) application, based on self‐regulation theory, on patients’ knowledge of wound care, skills in changing dressings and anxiety. Design A prospective randomized controlled trial. Methods Seventy patients (or family members) at a 1,500‐bed university hospital in Taiwan were randomized into an experimental (N = 35) or control group (N = 35) from March to December 2016. The experimental group used a mHealth application for wound care; the control group received verbal instructions and a booklet. Instruments to collect data were a wound care knowledge scale, wound care skills scale, State‐Trait Anxiety Inventory, and a digital heart variability device. Data were collected at baseline, after three additional demonstrations and before discharge. The generalized estimating equation was used for statistical analysis. Results The experimental group showed significantly higher levels of wound care knowledge, improved wound care skills, lower levels of state anxiety, and lower heart rate variability than the control group after baseline data collection. Conclusions Results support hat a mHealth application may be effective in health education. Clinicians can use the results to promote patients’ wound care knowledge, enhance their wound care skills, and reduce anxiety related to dressing changes. Impact Lack of wound care knowledge and skills can affect the willingness and ability to perform effective wound dressing changes, producing anxiety and having an impact on a patient's self‐care after hospital discharge. mHealth applications (apps) have the potential to deliver health information in targeted and tailored ways that strengthen the self‐management of diseases. mHealth app can increase wound care knowledge, improve care skills, and reduce anxiety related to wound care. mHealth app effectively supports self‐monitoring of the wound healing process, self‐judgement of the wound condition, and self‐reaction of wound care accuracy. mHealth app provides step‐by‐step visual tutorials on wound care that allow patients and family caregivers to take pictures of the wounds and monitor the wound healing process. mHealth app for wound care knowledge is an effective and individualized method for learning. Clinical Trial: This study was registered by U.S. National Library of Medicine, ClinicalTrials.gov (ID: NCT03683303).

show abstract

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

Abstract: 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.

Cited by 14 publications

References 33 publications

Postoperative wound infections after a proctectomy—Patient experiences

Postoperative wound infections after a proctectomy—Patient experiences

Patient Discharge Instructions in the Emergency Department and Their Effects on Comprehension and Recall of Discharge Instructions: A Systematic Review and Meta-analysis

The impact of an mHealth app on knowledge, skills and anxiety about dressing changes: A randomized controlled trial

Contact Info

Product

Resources

About