Enterostomal therapist combined with family doctor contract service model in community pressure ulcer management

Abstract

Objective To explore the effect of enterostomal therapist (ET) combined with family doctor contracting service model on the prevention of pressure ulcer in elderly patients with high-risk pressure ulcer and the awareness rate of related professional knowledge in community pressure ulcer management. Methods From June, 2017 to June, 2018, 78 elderly patients with the high-risk pressure ulcer were selected, According to the model of community intervention there were 40 case in the contract group and 38 cases in the control group. voluntarily acceptingthe contract service of enterostomal therapist and family doctor in the community were set as a contract group, who were provided only with family doctor service a control group. Both groups were intervened for 6 months. The incidence of pressure ulcer and the awareness rate of pressure ulcer related knowledge of the caregivers and the care practice of the two groups were compared. Results After the intervention, the incidence and severity of pressure ulcers were significantly lower in the contract group than in the control group (P<0.05); the pressure sore knowledge score and care behavior score were significantly higher in the contract group than in the control group [(16.75±1.82) vs. (9.68±3.53) and (51.25±1.61) vs. (33.16±3.09)], with statistical differences (both P<0.05). Conclusions The service mode of enterostomal therapist combined with family doctor can be adopted. It is helpful to reduce the risk of pressure ulcer and take the initiative to participate in the prevention of pressure ulcer. It also improves the satisfaction and quality of life of the signatories and reduces the cost of prevention and treatment of pressure ulcer. Key words: Enterostomal therapist; Family doctor; Contract service; Pressure ulcer