Date of Award

12-6-2021

Degree Type

Thesis

Degree Name

MSc in Nursing

First Advisor

Dr.Salma Rattani

Second Advisor

Mr. Hussain Maqbool

Third Advisor

Ms. Laila Cassum

Department

School of Nursing and Midwifery, Pakistan

Abstract

Background: Pressure ulcer (PU) in patients with neurological disorders is a common health problem and is considered a burden on the health care system. Pressure ulcer in patients with neurological disorders manifests negative impacts to patients such as, creating discomfort, pain, prolonged hospital stay, and sometimes additional treatment such as wound debridement and daily wound dressing. Purpose: The objective of the study was to identify the risk and associated factors for the development of open wound PU among patients with close wound PU who were hospitalized with neurological disorders.
/="/">Methodology: A Cross-sectional analytical study design was used and 93 study participants were recruited in the study from a private tertiary care hospital, the Murshid Hospital and Healthcare Centre (MHHCC), Pakistan. The data was collected from 30th June to 30th September 2021. A purposeful consecutive non-probability-based sampling technique was used for the collection of data. The data was collected through a structured questionnaire composed of five parts: demographic characteristics, special protocol, preventive devices, remedies, and the Braden scale. The data analysis was done by using SPSS 21 for the results therefore, Chi-Square test and an independent t-test were used.
/="/">Results: The study found that the Glasgow Comma Scale (p = 0.005), nutrition (p = 0.002) and total Braden score (p = 0.03) were statistically associated with the open wound pressure ulcer occurrence while the participants’ Age (p = 0.47), sex (p = 0.56), limb paralysis (p = 0.43), physiotherapy remedies (p = 0.08), range of motion (p = 0.07), body mass index (p = 0.12), comorbidity (p = 0.07), positioning (p = 0.13), activity (p = 0.18), mobility (p = 0.76) ,shear and friction (p = 0.84) were found statistically non-significant in this study and having no association in development of open wound PU to closed wound PU among hospitalized patients with neurological disorders.
/="/">Conclusion: To conclude the findings of this study, a significant difference between association with and without open wound PU in hospitalized patients with neurological disorders was seen in terms of mean GCS, length of hospital stay, caring of back and the mean Braden score and its subscales, i.e., sensory perception, moisture, and patient nutritional status.

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Last Page

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