The Effectiveness of a Wound Self-Care Program in Emergency Traumatic Patients

Thursday, 15 July 2010

Yen-ching Chen, RN
Emergency Department, China Medical University Hospital, Taichung, Taiwan
Li-Chi Huang, EdD, RN
School of Nursing, China Medical University, Taichung, Taiwan

Learning Objective 1: The learner will be able to learn the program of wound self-care in emergency traumatic patient.

Learning Objective 2: The learner will be able to know what are the effect outcome of wound self-care program.


Patient with traumatic wounds being care in the hospital emergency is one of the common medical issues. Studies in the United States have shown that there are approximately 12 million people are cared in emergency departments due to traumatic wounds every year. At a medical center of central Taiwan, patients with traumatic wounds accounts for about 20% of all medical services. The patient’ wound care has became an important problem for about 85% of trauma patients after being discharged. Aim:
The purpose of this study is to explore the effectiveness of wound self-care program for emergency traumatic patient in Taiwan.
The study is a true experimental design by using two groups posttest. Conveniences sampling will be used and randomly assigned as either intervention or control group followed by their admitted number in emergency department at a level one hospital in a central district of Taiwan. A total of 400 participants will be recruited in this study. A 20 minuets wound self care program will be given to patients in the intervention group. The health program includes the oral description, demonstration, practice of wound care, education sheet, and the resources of wound self-care. A questionnaire will be used to evaluate the effectiveness of the program after 48~72 hours as patient followed up in out-patient department. The questionnaire includes demographic data, wound self-care knowledge and skill scale, and the wound care quality related index such as infection, healing process, absence of work or school et al.
The data will be analyzed by SPSS 17.0. The frequency, percentage, t-test and logistic regression statistical analysis will be applied to answer for the purpose of this study.
The effectiveness of health program will improve patients’ knowledge and skill of’ wound self-care and as result a better quality of wound cares.