TOPIC: FACTORS AFFECTING WOUND HEALING PROCESS IN PATIENTS WITH POSTOPERATIVE AND PRESSURE ULCER WOUNDS, A CASE OF SURGICAL WARD AT KISUMU COUNTY HOSPITAL.

Abstract

This study explores wound management practices globally, with a focus on Sub-Saharan Africa and Kenya. It highlights the role of evidence-based guidelines, such as those from WHO and RNAO, in improving patient outcomes. The challenges faced in resource-limited settings, particularly Kisumu County, are examined, alongside local innovations in wound care. This study explores factors influencing wound healing in postoperative patients and pressure ulcers. This study explores the experiences and practices of qualified nursing staff, patients, and their families in the male surgical ward (Ward 2) at Kenyatta County Hospital (KCH), Kisumu County, Kenya. Using stratified random sampling, the study excludes clinical students and focuses on consenting participants to ensure relevant and accurate data collection. This study at Kisumu County Hospital (KCH) targeted 200 individuals aged 40-75, including patients with surgical and pressure ulcer wounds and registered nurses. Using systematic random sampling, every third patient was selected. The sample size was determined using the Tamane Toro formula, resulting in a minimum sample of 134 participants to ensure reliable data collection for the study. Research packs containing a cover letter, questionnaire, and permission letter were distributed to consenting nurses and patients at KCH. Questionnaires were collected within 24–48 hours, depending on the participant's schedule. Data collection lasted one month, with translations provided as needed. This study examined the factors influencing wound healing in patients at Kisumu County Hospital, focusing on age, gender, chronic conditions, education, and hospital resources. Results showed that advanced age and conditions like diabetes negatively impacted wound healing. Gender did not significantly affect outcomes. Additionally, inadequate dressing materials, insufficient staffing, and low patient education on self-care were identified as major challenges. The study recommends improving health education, ensuring adequate resources, increasing staffing, and revising nursing curricula to enhance wound care management and patient outcomes.

(Clinical aspects of full thickness wound healing, Crivera AE, Spencer JM Clinical Dermatology, 25(1):39-48, 01 Jan 2017)