Factors Contributing To Pressure Ulcer Among Admitted Patients In Moroto Regional Referral Hospital In Moroto District.

ABSTRACT.

Globally, world stop pressure ulcer day showed nearly 70, 000 who were affected by pressure ulcer yearly, between 4% and 6% of the patients in acute setting were more than 5% to 10% of patients in non acute setting had pressure ulcer.

The study was focused on factors contributing to pressure ulcer among admitted

patients in Moroto Regional Referral hospital in Moroto.

This was a cross-sectional study design and quantitative in nature, this was selected due to its rapidity in data collection.

Results showed that majority of respondents 19 (47.5%) were of age between 31-40 years old. 23 (57.5%) were female while only 17 (42.5%) were male, most of the respondents 15 (38%) adequately observed malnutrition that would predispose these patients pressure ulcer development. Also 23 (57.5%) of Nurses reported that they had pressure relieving devices in their health care setting and were more likely to demonstrate pressure ulcer prevention practices.

Conclusively, the preventive, measures to prevent pressure ulcer as reported by respondents included; Health education of the patient and family, repositioning, assessment, use of reliving devices, proper bladder and urine care, the researcher therefore recommended the following measures; Perioperative administration, monitoring and patients assessment, to improve pressure ulcer among admitted patients.

TABLE OF CONTENT

ABSTRACT. ............................................................................................... II

COPYRIGHT ............................................................................................. III

DECLARATION .............................................................................................. IV

AUTHORIZATION ............................................................................................. V

DEDICATION: ............................................................................................ VI

LIST OF TABLES ........................................................................................... XI

LIST OF FIGURES ......................................................................................... XII

LIST OF ACRONYMS AND ABBREVIATIONS. .................................................... XIII

DEFINITION OF TERMS. .......................................................................................... XIV

CHAPTER ONE. .......................................................................................... 1

1.0INTRODUCTION. ............................................................................................... 1

1.1 BACK GROUND .......................................................................................... 1

1.2 PROBLEM STATEMENT. ................................................................................................. 4

1.3 PURPOSE OF THE STUDY. ............................................................................................... 5

1.4 SPECIFIC OBJECTIVES. .................................................................................................. 5

1.5RESEARCH QUESTIONS. .................................................................................................. 5

CHAPTER TWO: LITERATURE REVIEW. ................................................................... 8

2.0 INTRODUCTION. ............................................................................................ 8

2.1 PATIENT RELATED FACTORS TO PRESSURE ULCER. ........................................................ 8

CHAPTER THREE: METHODOLOGY ........................................................................ 13

3.1 INTRODUCTION. .............................................................................................. 13

3.2 STUDY DESIGN AND RATIONALE. ............................................................................... 13

ix

3.3 STUDY SETTING AND RATIONALE. .............................................................................. 13

3.4 STUDY POPULATION. ......................................................................................... 14

3.4.1 SAMPLE SIZE DETERMINATION. ............................................................................... 14

3.4.2 SAMPLING PROCEDURE. ........................................................................................... 15

3.4.3 SELECTION CRITERIA. .............................................................................................. 15

INCLUSION CRITERIA. ........................................................................................... 15

3.5 STUDY VARIABLES ......................................................................................... 16

3.5.1 DEPENDENT VARIABLES. ......................................................................................... 16

3.5.2 INDEPENDENT VARIABLE ......................................................................................... 16

3.6 RESEARCH INSTRUMENTS. .......................................................................................... 16

3.7 DATA COLLECTION PROCEDURE. ................................................................................ 16

3.7.1 DATA MANAGEMENT. .............................................................................................. 17

3.7.2 DATA ANALYSIS AND PRESENTATION. ..................................................................... 17

3.7.3 QUALITY CONTROL TECHNIQUES. ........................................................................... 18

3.8 ETHICAL CONSIDERATIONS. ........................................................................................ 18

3.9 ANTICIPATED STUDY LIMITATIONS. ........................................................................... 18

3.10 DISSEMINATION OF RESULTS. ................................................................................... 19

4.1 SOCIO-DEMOGRAPHICS OF THE RESPONDENTS ............................................................ 20

4.2 THE PATIENT RELATED FACTORS TO PRESSURE ULCER IN MOROTO REGIONAL

REFERRAL HOSPITAL IN MOROTO DISTRICT ....................................................................... 23

4.3. HEALTH RELATED FACTORS RESPONSE TO PRESSURE ULCER ...................................... 27

x

4.4 THE PREVENTIVE MEASURES OF PRESSURE SORES IN MOROTO

REGIONAL REFERRAL HOSPITAL IN MOROTO DISTRICT. ................................ 29

CHAPTER FIVE: ......................................................................................... 36

DISCUSSION, CONCLUSION AND RECOMMENDATIONS ................................... 36

5.0 INTRODUCTION ......................................................................................... 36

5.1 DISCUSSION ........................................................................................... 36

5.2 CONCLUSION .............................................................................................. 41

5.3 RECOMMENDATIONS ................................................................................................... 43

CONSENT FORM ........................................................................................................... 49

QUESTIONNAIRES ....................................................................................................... 51

APPENDIX III: LETTER OF APPROVAL ................................................................... 59

APPENDIX IV; THE MAP OF UGANDA SHOWINGMOROTO DISTRICTERROR! BOOKMARK APPENDIX V: MAP OF MOROTO SHOWING MOROTO REGIONAL

REFERALHOSPITAL ................................. ERROR! BOOKMARK NOT DEFINED.