RT info:eu-repo/semantics/doctoralThesis
T1 Eficacia de la intervención especifica con personal sanitario responsable del cuidado de pacientes con heridas de difícil cicatrización
A1 Martínez Delgado, María de las Mercedes
A2 Universidad de Valladolid. Escuela de Doctorado
K1 Lesiones y heridas
K1 Trainig
K1 Formación
K1 Nurse
K1 Enfermería
K1 Wound
K1 Herida
K1 Chronic
K1 Crónica
K1 32 Ciencias Médicas
AB Chronic wounds represent a significant health expense and a high cost in terms of quality of life for patients. The professionals responsible for these patients must have sufficient training to be able to reach an etiological diagnosis of the injury and to be able to address it from a comprehensive perspective.Main objectiveTo evaluate, according to scientific evidence, the level of healing of the chronic wounds under study, once an etiological diagnosis of the wound has been reached through appropriate assessment, treatment and follow-up, after having provided specific training to the health personnel responsible for these patients.MethodologyAn observational study was carried out in three phases: creation and validation of the tool (TCHC), training of health professionals and approach to patients with wounds that are difficult to heal by trained nurses.ResultsPhase I: a knowledge assessment tool called “Knowledge assessment test for professionals on chronic wounds (TCHC)” is designed with the aim of collecting data on the level of knowledge that a significant percentage of the Nursing staff of the Health Area of ​​the province of Soria (Castilla y León, Spain) has in the comprehensive approach to wounds that are difficult to heal. It is validated using the Delphi method. 152 nurses participated, of which 56.6% belonged to the Hospital Area, 34.21% to Primary Care and 9.21% to the Social Health Center. The results obtained in general show a percentage of correct answers of 55.7% in the entire sample.Phase II: a specialized training course on the comprehensive approach to chronic wounds of 100 hours is designed. 12 nurses and 8 students of the 4th year of the Nursing Degree of Soria participate. They carried out the THCH before and after the training. The results show (n = 15) that in the pretest there was a 51.1% correct answer and in the posttest, 72.67%, the difference being highly significant (p < 0.001).Phase III: an intervention, observation and follow-up is carried out on 15 institutionalised patients who present 24 injuries of different etiologies. Healing is achieved in 54.2% of the injuries at three months (T3) and 58.3% at six months (T6), the latter figure being lower than expected due to the death of eight of the patients from Covid-19 during confinement. The dressing material is modified according to the criteria of the PhD student, that of the external advisors who were consulted and those established in the clinical practice guidelines, according to scientific evidence.ConclusionsIt has been determined that a high percentage of the nursing staff responsible for dealing with difficult-to-heal wounds in the Soria Health Area do not know how to make the etiological diagnosis taking into account all the factors involved in the scarring process. It has been observed that they have an average level of knowledge about diagnostic methods and treatments due, fundamentally, to the lack of knowledge of the most current scientific evidence.It has been shown that specific training greatly improves theoretical knowledge on the approach to chronic wounds and, if put into clinical practice, complete healing is possible in a few months and improves the patient's quality of life if there are no extrinsic factors that prevent it.
YR 2024
FD 2024
LK https://uvadoc.uva.es/handle/10324/74665
UL https://uvadoc.uva.es/handle/10324/74665
LA spa
NO Escuela de Doctorado
DS UVaDOC
RD 11-abr-2025