ผลของโปรแกรม i-CARE ในการวางแผนดูแลก่อนกลับบ้านเพื่อป้องกันการติดเชื้อในกระแสเลือด ในผู้ป่วยที่มีอุปกรณ์ช่วยเหลือและแผลกดทับ

Kanchana  Watcharapanich; Duangmanee  Wiyathus

Authors

Kanchana Watcharapanich B.N.S.
Duangmanee Wiyathus M.N.S. APCN

Keywords:

i-CARE program, Discharge planning, Bloodstream infection, Caregivers, Medical devices

Abstract

This study aimed to investigate the effectiveness of the i-CARE program on the knowledge and skills of patient caregivers, the incidence of bloodstream infections and the rate of remission within 28 days post-discharge, including satisfaction with the program. This one-group pretest–posttest quasi-experimental study was conducted with 40 patient caregivers. The i-CARE program was delivered individually to caregivers before discharge, providing education, skills training, and follow-up regarding the management of medical devices (urinary catheters/feeding tubes), wound care principles, pressure injury prevention, and recognition of signs of severe infection. Data were analyzed using the Paired t-test and McNemar's Test (p < 0.05). Results: Post-intervention, knowledge scores significantly increased from 5.70 ± 1.49 to 9.35 ±5.27 (p=0.010), and the proportion of caregivers with correct care skills increased from 37.50%to 85.00% (p <0.001). The readmission rate significantly decreased from 30.00% to 5.00% (p < 0.01). No cases of bloodstream infection were found. Caregivers reported high satisfaction with the program, with a mean score of 4.63 ±0.48.

Conclusion : The i-CARE program is highly effective in increasing caregiver knowledge and skills and significantly reducing the risk of infection and hospital readmission. This demonstrates its potential for implementation as a standard discharge planning tool for at-risk patients.

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