Knowledge on prevention of complications related to immobility among caregivers of orthopedic patients at selected hospitals of Chitwan district

Abstract

Immobility is a condition in which a person is unable to move freely or is restricted for therapeutic reasons. Immobility affects all systems of the body leading to complications. The objective of the study is to find out the knowledge on prevention of complications related to immobility among caregivers of orthopedic patients admitted on orthopedic ward of Chitwan Medical College Teaching Hospital (CMCTH), College of Medical Sciences Teaching Hospital (CMSTH) and Bharatpur Hospital, Chitwan. The study design was descriptive, cross sectional and 133 caregivers were interviewed by using semi structured interview schedule. Data was analyzed by using SPSS and various tests such as frequency distribution, chisquare and odds ratio. The study findings revealed that 45.9% of respondents were from adjacent districts of Chitwan, 45.9% were between age group 16-30 years, 56.4% were female, 84.2% were married and 70.7% were literate. The highest mean knowledge score of caregivers was in the area of joint contracture (44.4%) followed by bedsore (39.3%), hypostatic pneumonia (37.6%), urinary tract infection (32.1%) and least mean knowledge score was in the area of deep vein thrombosis (25.2%) and constipation (25.1%) respectively. The level of knowledge is statistically significant with area of residence (p=0.038), marital status (p=0.020) and educational status (p=0.001) of respondents. The study concluded that caregivers had poor knowledge regarding preventive measures. Awareness programme need to be planned and implemented.

Knowledge, Attitude and Practice Among Caregivers Towards Pressure Ulcer in Spinal Cord Injury at Rehabilitation Center in Bangladesh

“…Regarding relationship between caregiver and patient, it is predicted that if the patient were married, wife and mother were the primary caregiver and other family members were rarely involved in the caretaking. The related result was noticed where level of knowledge is statistically signi cant with area of residence, marital status and educational status of respondents [16].…”

“…It is reported that the knowledge of caregivers regarding bedsore care was inadequate and practices were found to be incorrect [21]. The caregivers had inappropriate information about prevention of complications resulting due to immobility [16]. It is assumed that age group and educational background may be a factor related to this moderate level of knowledge while, the results showed that age and level of education had a highly signi cant relation.…”

“…The caregivers engaged in a long-term care demonstrated negative attitude towards the disability [15], because people with tetraplegia require precise care that effected caregiver's attitude leading to decrease in quality of care [14]. The evaluation of bedsore practices presented with 12% of caregivers have had improper techniques on bed mobility that further deteriorated the PU [4] and also had inappropriate knowledge and practice about preventive care of PU on immobilized patients [16].…”

Pengetahuan Penjaga Terhadap Amalan Penjagaan Ulser Tekanan Warga Tua Terlantar di Rumah

“…Oleh itu, rawatan hospital juga seharusnya merangkumi pendidikan penjagaan dan rawatan untuk pesakit dan penjaga tentang amalan penjagaan yang betul di rumah. Penjaga memainkan peranan penting dalam menguruskan semua aspek perawatan pesakit (Poudyal, Neupane & Lopchan, 2014). Mereka adalah orang yang selalu bersama pesakit daripada doktor dan jururawat.…”

Effect of Educational Guidelines for Prevention of Immobilization Complications on Caregivers' Performance and Patients' Functional Condition

“…It is estimated that approximately from 1.2 million people are suffering from bedsores it is reported that there are 60,000 deaths annually from complications arising from bedsores [9].…”