Effects of care bundles for patients with pressure ulcers and the impact on self-care efficacy.

OBJECTIVE To investigate the effects of care bundles for patients with pressure ulcers and the impact on self-care efficacy. METHOD A total of 160 patients with pressure ulcers were enrolled and divided into two groups using a lottery method. The control group (n=80) was cared for with routine nursing while the observation group (n=80) was additionally nursed with care bundles for 3 months. Both groups were compared in terms of grading of pressure ulcers, self-care efficacy, pressure ulcer management, awareness rate, and quality of life. RESULTS At 3 months after nursing, the grading of pressure ulcers was significantly improved in both groups. The observation group exhibited higher incidence of pressure ulcers, unstageable and deep tissue injury than the control group (P<0.05). DSES scores were improved in both groups (P<0.05). Scores of daily living, health behavior, compliance behavior, and emotional management in the observation group were higher than those in the control group (P<0.05). The skills of pressure ulcer management were strengthened in both groups (P<0.05). Scores of nutritional support, repositioning, skin care, dressing changes, and pressure ulcer assessment in the observation group were higher than those in the control group (P<0.05). The observation group also exhibited higher scores in terms of diet, pressure ulcer monitoring, lesion staging, complications and knowledge of pressure ulcer triggers than the control group (P<0.05). Quality of life was significantly improved in both groups after 3 months of nursing. PH, RP, BP, GH, VT, SF, RE and MH scores in the observation group were higher than those in the control group (P<0.05). CONCLUSION Care bundles can improve pressure ulcer grading, enhance patient self-care efficacy and skills of pressure ulcer management, and help improve patient awareness rates and quality of life for patients with pressure ulcers, which is worth of promoting.