EFFECT OF AN EDUCATIONAL PROGRAM REGARDING CARE OF WOUND HEALING FOR VENOUS LEG ULCER PATIENTS

Serag, Reham Moharam; Shaheen, Eman; Sobeh, Dina El Tabey; Mahdy, Naglaa ELsayed

doi:10.21608/pssjn.2022.102177.1154

EFFECT OF AN EDUCATIONAL PROGRAM REGARDING CARE OF WOUND HEALING FOR VENOUS LEG ULCER PATIENTS

Document Type : Original Article

Authors

¹ medical- surgical nursing,faculty of nursing, port-said university,port said, Egypt

² Professor of medical surgical Nursing, Faculty of Nursing, Port Saied University

³ Assist. Prof. of Medical Surgical Nursing. Faculty of Nursing Port Said University

⁴ Professor of Medical Surgical Nursing Faculty of Nursing Ain Shams University

10.21608/pssjn.2022.102177.1154

Abstract

Background: Venous leg ulcers (VLUs) are chronic wounds that impose a substantial economic burden on world health care system and significant morbidity. venous leg ulcer patients' require special care for their wounds to promote healing and improving quality of their life. Aim: This study aimed toevaluate the effect of an educational program regarding care of wound healing for venous leg ulcer patients’. Subjects and Method: Design: A quasi-experimental research design was used in the current study. Setting: The study was conducted in general surgical units and outpatient clinic at El-Mansoura university hospital, Egypt. Subjects: A purposive sample included 50 patients with venous leg ulcer. Tools: Two tools were used for data collection; Socio-demographic data assessment tool and Bates-Jensen Wound Assessment tool. Data was collected from patients two times; one time before implementing the wound care program, and a second time after 12 weeks of its implementation Results: Itrevealed a statistically significant improvement in patients’ wound healing after implementing educational program regarding venous leg ulcer care with (P-value = < 0.001) Conclusion: the study concluded presence of an improvement in patients’ wound healing after implementing educational program. Recommendations: Conducting continues workshops for health care providers about traditional and new trends of dressing and wound care of venous leg ulcer. It is recommend conducting comparative study of effectiveness of different types of wound dressing on venous leg ulcer healing.

Keywords

Main Subjects

Medical Surgical Nursing

References

AbouZaid, M., Mohamed, L., Morshed, M., shahin, E., & Abo-El-Ata, A. (2020). Effect Of Closed Wound Care Protocol On Nurses.Practices And Patients Wound Healing. Port Said Scientific Journal of Nursing, 7(2), 220–246. https://doi.org/10.21608/pssjn.2020.99677

Bates-Jensen, B.,& Sussman, C. (2012). Tools to Measure Wound Healing. In C Sussman and B Bates-Jensen (Eds.), Wound Care, a Collaborative Practice Manual for Health Professionals ( 4^th ed). Baltimore: Lippincott Williams and Wilkins.

Bondi, M. E., Rahim, S. S. S. A., Avoi, R., Hayati, F., Ahmedy, F., Omar, A., …& Musleh, A. S. (2020). Knowledge, attitude and practice on diabetic wound care management among healthcare professionals and impact from a short course training in Sabah, Borneo. Medeniyet Medical Journal, 35(3), 188–194. https://doi.org/10.5222/MMJ.2020.02929

Borges, L. E., Frison, S. S., Sampaio, H. K., Guedes, M. C.A., Lima, N. A.V., Oliveira, M.M.O., Ferraz, F.A, etal (2018). Effect of Polyhexamethylene Biguanide Solution on Bacterial Load and Biofi lm in Venous Leg Ulcers. J Wound Ostomy Continence Nurs, 45(5), 425-431.

Giardina, J. D., Nieters, P. M., & Vedantham, S. (2017). Recognition and Management of Venous Leg Ulcers. Journal of Radiology Nursing, 36(3), 176–179. https://doi.org/10.1016/j.jradnu.2017.06.002

Gohel, M. (2019). Chronic ulceration of the leg. Surgery, 37 (2), 88–92.

https://doi.org/10.1016/j. mpsur.2018.12.009.

Hagenström, K., Protz, K., Glaeske, G., & Augustin, M. (2018). Wound dressings for leg ulcers in Germany: Distribution, regional variations and health care providers. Wound Medicine, 23, 58–63. https://doi.org/10.1016/j.wndm.2018.09.009

Johns Hopkins Medicine(2020). Wound and Pressure Ulcer Management Retrieved from: https://www.hopkinsmedicine.org/gec/series/wound_care.html.38. Accessed on 13 February 2021.

Khanna, A. K., & Tiwary, S. K. (2016). Ulcers of the lower extremity. In Ulcers of the Lower Extremity(1^st ed.). Springer, New Delhi.

Kielo, E., Salminen, L., & Stolt, M. (2018). Graduating student nurses' and student podiatrists' wound care competence – An integrative literature review. Nurse Education in Practice, 29, 1–7. https ://doi. org/10.1016/j.nepr.2017.11.002.

Lobo, D., Sams, L., & Fernandez, S. (2019). Correlation between health professionals knowledge, attitude and practice about infection control measures. Journal of Medical and Allied Sciences, 9(1), 26. https://doi.org/10.5455/jmas.17740

Mohamed Tawfeeq Hamawandi, N., & O. Ahamad, B. (2021). EVALUATION OF WOUND DRESSING PRACTICE AMONG HEALTH CARE PROVIDERS IN SULAIMANI SURGICAL TEACHING HOSPITAL. Journal of Sulaimani Medical College, 11(1), 21–31. https://doi.org/10.17656/jsmc.10284

Najm ,Y. H .,& Hussein, N. R .(2018). Assessment of wound dressing practices among nurses at the emergency hospitals in Erbil city. Zanco J. Med. Sci, 22(1), 96-103. https://doi.org/10.15218/zjms.2018.013

National Institute for Clinical Excellence (NICE). (2020). Leg ulcer infection: antimicrobial prescribing. NG152 - NICE Guideline, (February), 1–21. Retrieved from www.nice.org.uk/guidance/ng152. Accessed on 15 April 2021.

Nelson, E.A., Harper, D.R., Prescott, R.J., Gibson, B., Brown, D.,& Ruckley, C.V.(2006). Prevention of recurrence of venous ulceration: randomized controlled trial of class 2 and class 3 elastic compression. J Vasc Surg, 44(4), 803–8.

Norman, G., Westby, M.J., Rithalia, A.D., Stubbs, N., Soares, M.O.,& Dumville, J.C.(2018). Dressings and topical agents for treating venous leg ulcers. Cochrane Database of Systematic Reviews, 2018(6). DOI: 10.1002/14651858.CD012583.pub2. Accessed 26 August 2021

Özyamaner, G.(2014). Comparison of the Effect of Using Antibiotic Pomade (Furacin Pomade) and Sterile Liquid Vaseline on Wound Healing Process in Second Degree Superficial Burns. Istanbul (Master Thesis). Marmara University Institute of Health Sciences.

Practice, B., & The, R. F. O. R. (2019). Prevention and Management of Venous Leg Ulcers. Wounds Canada, 10(11), 1–70.

Ścisło, L. (2015). Life Quality of Patients with Venous Leg Ulceration of Lower Extremities. Hygeia Public Health, 50, 149-154.

Serag, M. R. (2016). Relationship between Diabetic Patients' Knowledge about Foot care and their Diabetic Foot Ulcer status ( Unpublished Master thesis). Port Said University, Egypt.P.P.32

Sürme, Y., Aydın Akbuğa, G. (2021). Investigation of the Nursing Theses Related to Wound Care in Turkey: A Systematic Review. Erciyes Med J, 43(3): 221–7.

Taylor, C.R., Lillis, C., LeMone, P.,& Lynn, P.(2017). Fundamentals of nursing : The art and science of nursing care (7^th ed.). Philadelphia: Lippinctt, Williams& Wilkins.

Weller, C. D., Bouguettaya, A., Team, V., Flegg, J., Kasza, J., & Jayathilake, C. (2020). Associations between patient, treatment, or wound-level factors and venous leg ulcer healing: Wound characteristics are the key factors in determining healing outcomes. Wound Repair and Regeneration, 28(2), 211–218. https://doi.org/10.1111/wrr.12773

Wound, Ostomy and Continence Nurses Society.(2019). Guideline for Management of Wounds in Patients With Lower-Extremity Venous Dis ease. WOCN Clinical Guideline Series 4. . Retrieved from http://wocn.org. Accessed on 22 June 2020.

Zulec, M., Rotar-Pavlic, D., Puharic,Z., & Zulec, A.(2019). Wounds home alone"-why and how venous leg ulcer patients self-treat their ulcer: a qualitative content study. Int J Environ Res Publ Health , 16(4). https://doi.org/10.3390/ijerph16040559.