Authors (including presenting author) :
Chan W, Au FL, Chung WW, Lau CP, Mao SC (1), Chan CY, Chan C, NG SC(2), Leung MY, Tso PS, Pang YL, Li LL(3), Ho SF(4)
Affiliation :
(1)RN (2) APN (3) WM (4) DOM, Family Medicine & Primary Health Care, Kowloon West Cluster
Introduction :
Management of leg wound is common in general out-patient clinics and it accounts for 25% of wound dressing attendances in each year. The service need is foreseen to be further elevated in view of increasing chronic disease. To cater this service demand, the study aims to engage patient’s participation in home wound care management.
Objectives :
(1)To promote leg wound care at home in primary health care setting. (2) To enhance patient’s knowledge and confident in leg wound care management. (3) To reduce attendance rate of leg wound dressing in GOPCs.
Methodology :
A home care education booklet on leg wound with Quick-Response code (QR code) was designed. Those participants were arranged clinic and telephone follow-up to assess their wound condition and reinforce their compliance in home wound care management. One-group pre- and post-test design was adopted in the study. Participants’ wound care knowledge and confident level in home wound care were assessed and compared to review the changes after receiving home wound care education. Bates–Jensen Wound Assessment Tool (BWAT) were used to assess participants’ wound condition. The study was lasted for 4 weeks in total or earlier if wound healed.
Result & Outcome :
The study was implemented from June to August in 2019. Total 52 participants were recruited with 47 participants completed the study. Overall the mean score of BWAT was decreased from 21.43 (pre-assessment) to 14 (post-assessment) which indicated the overall wound condition were improved 30.9%. Regarding on the participants’ knowledge and confident level in home wound care management, the overall mean score was increase from 7.47 (pre-assessment) to 9.55 (post-assessment) and 25.49 (pre-assessment) to 29.53 (post-assessment), respectively. The knowledge and confident level of participants were increased 27.84% and 15.85%, respectively. Besides, the participants’ clinic attendance rate on wound care were decreased from four times to two times per week.
Conclusion: In this study, the participants wound condition was improved, their knowledge and confident level in home wound care management were enhanced. Their clinic attendance on wound care was reduced. They have positive feedback to the study and are willing to have home wound care in future. The program could maximize the existing wound care service and mobilize patients’ community resource in catering the increasing chronic care cases and early discharge patients from hospitals.
