Book of ( Effectiveness of Home Caregivers Teaching Program on Prevention of Decubitus Ulcer in Bedridden Elderly Patients)
Abstract
Title:
Effectiveness of a Home Caregivers Teaching Program on the Prevention of
Decubitus Ulcers in Bedridden Elderly Patients, Ras Al-Khaimah
Background: Elderly individuals are at increased risk of illness due to advancing
age, comorbidities, and reduced physiological resilience. Prolonged immobility
often leads to complications such as decubitus ulcers, which significantly
affect quality of life.
Aim: This
study evaluated the effectiveness of a structured teaching program for home
caregivers in preventing decubitus ulcers among bedridden elderly patients.
Method: A
quasi-experimental pretest–posttest design was adopted. The study population
included caregivers of 160 patients from Ras Al Khaimah Medical Centre (80
patients) and Julphar Health Center (80 patients). A convenience sample of 50
caregivers (25 from each center) was selected. Caregivers received training on
evidence-based home care practices for bedridden elderly. Knowledge was
assessed using pre- and posttests.
Results:
Caregivers were predominantly hired, Arabic-speaking, illiterate females
without health problems. Most elderly patients were on oral feeds, experienced
incontinence, and had comorbidities such as hypertension, diabetes,
cerebrovascular accidents, and sleep disorders. Pretest findings revealed poor
(45%) or very poor (29%) caregiver knowledge (74% total). Posttest results
demonstrated significant improvement, with 85% achieving excellent, 13% very
good, and 2% good knowledge scores. Statistical analysis confirmed the
effectiveness of the teaching program (p = 0.000).
Conclusion: The home caregivers teaching program was highly effective in improving
knowledge and preventive practices related to decubitus ulcers among caregivers
of bedridden elderly patients. This highlights the importance of structured
caregiver education in reducing complications and enhancing elderly care
outcomes.
Book Description
Bedridden elderly patients face one of the most serious and preventable
complications of immobility: decubitus ulcers (pressure sores). These
wounds not only cause pain and suffering but also increase healthcare costs and
reduce quality of life. In many homes, caregivers—often family members or hired
helpers—lack the knowledge and training needed to prevent such ulcers, leaving
vulnerable patients at risk.
This book presents the findings of a quasi-experimental study
conducted in Ras Al-Khaimah, where a structured teaching program was delivered
to home caregivers of elderly patients. The program significantly improved
caregivers’ knowledge and skills, transforming their ability to provide safe,
effective care.
Readers will discover:
- The background
and urgency of elderly care challenges in home settings.
- A
clear explanation of the teaching program design, methods, and outcomes.
- Evidence
showing how caregiver education can dramatically reduce the risk of
decubitus ulcers.
- Practical
insights for nurses, educators, policymakers, and families caring for
elderly patients.
By combining research evidence with real-world application, this book
demonstrates that empowering caregivers through education is a powerful tool
for prevention and better patient outcomes. It is essential reading for
nursing students, healthcare professionals, and anyone committed to improving
elderly care at home.
Corresponding Author details:
Dr. Huda Rasheed, Nurse Educator, Ph.D. Educational Science, MSN Community Health Nursing, RN-BSN Nursing Science.
Email: alhammadyh@yahoo.com
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