Chan LN, Lai CK, et al.
Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy an.... Date of publication 2014 Jul 1;volume 41(4):345-55.
1. J Wound Ostomy Continence Nurs. 2014 Jul-Aug;41(4):345-55. doi:
10.1097/WON.0000000000000047.
The effect of patient education with telephone follow-up on wound healing in
adult patients with clean wounds: a randomized controlled trial.
Chan LN(1), Lai CK.
Author information:
(1)Lai Ngor Chan, RN, MScHC, School of Nursing, Faculty of Health and Social
Sciences, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong.
Claudia K. Y. Lai, RN, PhD, School of Nursing, Faculty of Health and Social
Sciences, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong.
PURPOSE: The purpose of this study was to determine the influence of clean
dressing technique in a home-care setting following a patient education program
and telephone follow-up in a group of adult patients to wound healing in patients
managed by sterile dressing changes by professional nurses in a general care
outpatient clinic.
DESIGN: Randomized controlled trial.
SUBJECTS AND SETTING: The sample comprised adult patients with clean wounds who
attended a general outpatient clinic in the Kowloon East district, a densely
populated urban area in Hong Kong. Sixty-five subjects were randomly allocated to
the intervention group and 61 were allocated to the control group.
INSTRUMENT: The Bates-Jensen Wound Assessment Tool (BWAT) was used to measure
progress toward wound healing.
METHODS: We compared a control group of patients who received normal wound care
(sterile dressing changes by professional nurses in a nonspecialized outpatient
clinic) to a group of adult patients who managed their wounds using clean
technique for dressing changes in their home following education on wound care.
The intervention group also received follow-up telephone calls on days 1 and 3.
The BWAT was completed to assess the wounds of both groups on the patients' first
attendance and once a week until their wounds had healed.
RESULTS: Analysis revealed no significant differences between groups based on
demographic or pertinent clinical characteristics. The mean BWAT score decreased
in 2 weeks, from 27.26 to 15.15 (Freidman test, χ= 26.00, P < .000) for the
intervention group and from 27.11 to 17.15 (Freidman test, χ= 24.15, P < .000)
for the control group. A Mann-Whitney U test was used to compare the differences
between the 2 groups based on total BWAT score. No statistically significant
differences were found when groups were compared at baseline (Z =-0.416, P =
.678), week 1 (Z =-1.313, P = .189), or week 2 (Z =-0.905, P = .418).
CONCLUSION: No differences in wound healing were found when patients who dressed
their wounds at home using clean techniques versus patients who had their wounds
dressed with sterile technique by professional nurses in a general outpatient
clinic.
DOI: 10.1097/WON.0000000000000047
PMID: 24988513 [Indexed for MEDLINE]
