Development and Test of a Wound Care Standard ModelPatients Suffering from Pressure Ulcer

Pressure ulcers remain a significant problem in both the acute and community health settings despite being largely preventable. The cost of treating an established pressure ulcer can be enormous. There are not only emotional and physical consequences to the afflicted individual but also a significant drain on health system resources. Preventing pressure ulcers is a complex task. Recent researches have provided groundwork for the practice of evidence-based wound care. The purpose of this study to design comprehensive guidelines as a tool for pressure ulcer risk assessment, to educate and train nursing staff to understand and follow the protocols, and to evaluate the standardized wound care practice by the patient outcomes. This study enrolled 318 nurses (experimental group157, control group 161) and 60 patients (experimental group 30, control group 30). The result showed that (1) there was a significant difference in care pressure wound between nurses whom received education training programs and not (p< 0.05), (2) There also have significant difference in pressure wound recognition between nurses whom engage in symposium or study literature themselves and not (p< 0.05), and (3) the wound healing of standard wound care patients were better than conventional procedure care patients. In conclusion, evidence-base practice will allow the clinicians to provide care stemmed from the most recent and valid research advances in the literature. It is a feasible, standardized procedure for critical analysis of the literature and application to practice that builds up and enhances the clinical expertise.

Keywords: pressure ulcer, wound care standard model, evidence-based nursing practice.