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this study is aimed to assess the effectiveness of nursing interventions on the prevention of pressure ulcers among immobile stroke patients
Research question: Question 1: What is the effect of nursing educational interventional program on the prevention of pressure ulcers among immobile stroke patients.
The interventional program will be provided for the patients over a period of two days in the hospital, then the pressure ulcer prevention program will demonstrated by the researcher. The education and demonstration will consist of proper positioning, frequent change of patients' posture to limit or decrease pressure over the skin, skincare, such as maintaining adequate hydration, keep skin clean, prevent excessive dryness of skin, prevent message over bony prominence, and control moisture.
A manual in the form of booklet will be given to the patients and their family caregiver.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Case | Experimental | The case group will receive appropriate pressure ulcer prevention program |
|
| Control | No Intervention | In this study the control group will not receive pressure ulcer prevention program |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Pressure ulcer prevention program | Other | Interventions will consist of proper positioning, frequent change of patients' posture to limit or decrease pressure over the skin, skincare, such as maintaining adequate hydration, keep skin clean, prevent excessive dryness of skin, prevent message over bony prominence, and control moisture. |
| Measure | Description | Time Frame |
|---|---|---|
| Change the incidence of pressure ulcer | Patients' skin will be assessed for the development of pressure ulcer. A patient who move from high and very high-risk Braden scale score (≤12) to stage one pressure ulcer and above is considered as the occurrence of pressure ulcer event. Braden scale is a pressure ulcer risk assessment tool which evaluates ulcer formation areas such as elbow, occipital, sacrum, back, and heel and areas of bony prominences. 6 is the lowest total subscale score and 23 is the highest total subscale score. The lower total subscale scores, the higher risk for the development of pressure ulcer' | 3 weeks follow up after patients discharge |
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Inclusion Criteria:
Both gender
Patients' age ≥ 18 years old.
Patients who
Exclusion Criteria:
Patients who have different types of mental problems
Braden scale score > 12
Have history of previous pressure ulcer and are unable to respond to verbal commands.
Patients who work as a health care provider.
Patients with different stages of pressure ulcer.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hawler Medical University | Erbil | Kurdistan | 44001 | Iraq |
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| ID | Term |
|---|---|
| D020521 | Stroke |
| D003668 | Pressure Ulcer |
| ID | Term |
|---|---|
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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When the program is delivered, two group of high risk patients for pressure ulcer ( Braden scale score ≤12) will be compared for the development of pressure ulcer. The group that receive the program (64 patients) will compare with group that do not receive program (64 Patients).
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|
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D012883 | Skin Ulcer |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |