+1 (629)348-3199Facilitators, Barriers and Knowledge of Self-Management Practices to Prevent Pressure Injury among Spinal -Cord Injury Patients in Rehabilitation Phase in South West- Nigeria
Joint Event on 2nd European Nursing Congress & International Conference on Clinical Nursing & Practice
October 24-25, 2019 | Zurich, Switzerland
Rose Ekama Ilesanmi
RAK Medical and Health Sciences, UAE
Keynote : J Intensive Crit Care Nurs
Abstract:
Introduction: Evidence indicate that over 80% of patients with
spinal cord injury (SCI) will develop pressure injuries (PI) at one
point in a lifetime. Consequently, clinical recommendations
for PI prevention includes structured education at appropriate
levels to persons with SCI and their care givers. In Nigeria, PI
is a common secondary medical complication associated with
SCI and accounts for 1/4th of the total cost. Several studies
a have targeted knowledge and practice of care providers.
We found a dearth of studies on self-management strategies
of patients with SCI in rehabilitative phase of the disease.
Aim of Study: To evaluate the facilitators, barriers and
knowledge of self-management practices to prevent PI
among community dwellers with SCI.
Methodology: A Survey of sixty (61) purposively selected
patients with SCI. Patients were met at neurological and
physiotherapy clinics in two selected tertiary hospitals in
south west Nigeria. Data were collected using a validated
structured questionnaire (Correlation Coefficient 0.73) to
examine knowledge of risk factors and the self –management
practices (repositioning and skin care practices). SPSS version
22 was used for data analysis and hypotheses were tested at
5% level of significance.
Results: Respondents’mean age was 40years and were more
males (67.2%) than females (32.8%). There were 53(87.0%)
paraplegics and 8(13.0%) quadriplegics. Of this 21(34.4%)
have had pressure injury following discharge from hospital and
11(18.0%) still had PI at time of study. Findings also showed
that 35(57.4%) possess good knowledge of risk factors for PI
and 31(50.8%) had poor knowledge of the self-management
strategies (repositioning and skin care) to prevent PIs.
Conclusion: There is need for a targeted individualized
education and support to SCI patients prior to discharge
to enhance patients’self-efficacy. The family caregivers
should also be involved in this empowerment to ensure
continual support of the patients at home. Periodic
evaluation at outpatients to strengthen patients’ selfmanagement
abilities is recommended.
Biography:
Rose Ekama Ilesanmi is a Clinical Nurse Specialist in Medical Surgical Nursing (Adult Health) and a certified Interdisciplinary wound-care Nurse. As a University lecturer, She teaches Adult Health Nursing at bachelor’s level and Advanced Health Assessment to graduate level students. As a researcher, her research activities to date has focused on maintaining safety of hospitalized patients, care and prevention of chronic wounds, health and professional education, pressure injury prevention through knowledge translation researches. She has also worked on risk factors for Non-Communicable Diseases (NCDs) particularly cancer prevention. She has successfully pioneered behavioral change studies in pressure injury prevention among nurses and collaborated with other researchers. Both individually and collaboratively, her research activities have produced several peer-reviewed publications. She is well positioned to contribute positively to relevant projects as a Nurse Leader, Clinician and Health Educator.
E-mail: rose@rakmhsu.ac.ae
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