Proposed Topic (Most preferred): :
Clinical Safety and Quality Service III (Projects aiming at quality service to patients and their carers)
Proposed Topic (Second preferred): :
Clinical Safety and Quality Service II (Projects aiming to enhance clinical safety and outcomes, clinical governance / risk management)
Authors (including presenting author) :
Yip LH(1), Lam FY(1), Choy KP(1), Lei YY(1), Yuen CY(1), Wong BC(1), Cheng SYR(1), Ng YS(1)
Affiliation :
Department of Family Medicine and Primary Health Care, NTWC, Hospital Authority
Introduction :
Wound packing is common dressing procedure encountered in General Out-patient Clinics (GOPCs) of NTWC. Patients mostly only received verbal education after the surgical procedure either performed by public or private sectors. However, patients still expressed worry and experienced difficulties in caring their wound after discharged. We reviewed that there was lack of written patient education material on wound packing care. Therefore, a pilot project was implemented in GOPCs of NTWC aiming to fill this gap.
Objectives :
1. Develop education pamphlet to enhance patients’ knowledge, confidence on self-care and adherence to treatment plan
2. Use of the tailored-made pamphlet to educate patient by nurses during wound packing procedure
Methodology :
An education pamphlet (EP) was developed for patients with wound packing and used in 3 GOPCs by nurses for patient education from June to August 2023. By convenient sampling during wound care procedure, 40 adult patients (31 males and 9 females, age 18 to over 60-year-old) were invited to complete questionnaires before and after nurse education facilitated by use of the EP. The mean score was used to evaluate the patient’s self-rated pre and post level of knowledge, confidence and worrisome about caring of their wound. Paired t-test was preformed and significance was considered at p< 0.05.
Result & Outcome :
The pre and post mean knowledge, confidence and worrisome score were shown below:
Knowledge Score (4=totally understand, 1=not understand at all)
1. Reason for wound packing (pre 2.03, post 3.78, p< 0.001)
2. Daily wound care (pre 2.05, post 3.75, p< 0.001)
3. Wound infection and its handling (pre 2.05, post 3.8, p< 0.001)
4. Handling wound pain (pre 2.18, post 3.85, p< 0.001)
5. Handling packing dislodgment (pre 1.7, post 3.78, p< 0.001)
Confidence Score (4=very confident, 1=not confident at all) significant improved from pre 1.73 to post 3.45 (p< 0.001)
Worrisome Score (4=very worrisome, 1=no worrisome) decreased from pre 3.45 to post 3.03 (p=0.011).
The result showed the nurses education facilitated by use of the EP significantly improved patient’s wound care knowledge and confidence, and alleviated worrisome about caring of their wound. Hence, a combination of verbal and written education material is highly recommended in the management of patients with wound packing aiming to enhance the quality and safety in wound care.
