Effectiveness of a Community-Based Care Model for Pressure Ulcer Management in Bedridden Patients Implemented by the Primary Care Cluster, Thapla District, Uttaradit.
Keywords:
Pressure ulcer, Community-based pressure ulcer care, Bedridden patients, Primary care cluster, TelemedicineAbstract
This study aimed to evaluate the effectiveness of a community-based pressure ulcer care model implemented by the Primary Care Cluster in Thapla District, Uttaradit, Thailand. A quasi-experimental study was conducted on 30 bedridden patients with stage 2–3 pressure ulcers, integrating Wound Bed Preparation (WBP), caregiver training and empowerment, and remote monitoring via Telemedicine. Wound healing was assessed using the Pressure Ulcer Scale for Healing (PUSH Tool Version 3.0) at week 2, and week 4, and monitoring of infection-related complications. Data analysis was performed using a Paired sample t-test to compare the mean PUSH scores and McNemar’s test to analyze changes in the number of patients with infection-related complications before and after the intervention.
The results showed a statistically significant reduction in PUSH scores (p < 0.001), with mean scores decreasing from 12.26 ± 2.67 at baseline to 10.43 ± 3.26 at week 2 and 8.73 ± 4.44 at week 4. Additionally, the incidence of infection-related complications declined from 80.0% to 6.7% at week 2 and 10.0% at week 4 (p < 0.001).
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