Comprehensive Nursing Care for Bedridden Patients: Strategies to Prevent Bedsores and Enhance Comfort

Abstract

Objective: This study aims to evaluate the effectiveness of various nursing care strategies in preventing bedsores and enhancing comfort for bedridden patients. Methods: The study included a sample of 245 bedridden patients and employed a mixed-method approach, combining quantitative and qualitative data. Various nursing strategies were implemented, such as regular repositioning, the use of specialized mattresses, skin care protocols, nutritional support, and patient education. Data collection methods included patient medical records, direct observation, and interviews with patients and caregivers. Quantitative data was analyzed using statistical methods to measure the incidence of bedsores, while qualitative data from interviews was thematically analyzed to assess patient comfort and satisfaction. Results: The incidence of bedsores showed a significant decrease post-intervention. Prior to the intervention, 30% of patients (73 out of 245) developed bedsores, while post-intervention, only 10% of patients (25 out of 245) developed bedsores, indicating a 66.7% reduction. Patient comfort, measured using a comfort scale, increased from an average rating of 5.2 (on a scale of 1-10) pre-intervention to 8.4 post-intervention. The implementation of nutritional support strategies led to a reduction in malnutrition rates from 25% (61 out of 245) pre-intervention to 10% (24 out of 245) post-intervention. Caregiver feedback was overwhelmingly positive, with 85% reporting improvements in patient care and skin integrity management. Additionally, 90% of caregivers felt more confident in implementing the care strategies after receiving training. Conclusion: The study concludes that a comprehensive nursing care approach, integrating multiple strategies, is effective in preventing bedsores and enhancing the comfort of bedridden patients. Continuous education and training for caregivers are essential to sustain these positive outcomes.