Objective: This clinical study aimed to compare factors and effects of nursing intervention utilizing a clinical nursing practice guideline on pressure ulcer prevention in orthopedic patients.

Research design: Quasi experimental

Materials and methods: The sample were 108 of immobilize patients who were admitted in ward traumatic ward and Orthopedics ward. The sample was divided into 2 groups: 38 patients in the experimental group who received nursing intervention according to the Clinical Nursing Practice Guideline for Pressure Ulcer Prevention by Visual and Sound Control & Mixed gloves conquer pressure ulcers and 108 patients in the control group who received regular nursing care. Data collection was conducted in the first day of admitted to day 7th.

Results: The results revealed that aged average of subjects was 37.6 years old. Most of them had multiple fractures. The patients who received the guideline developed no pressure ulcers, while 4 cases of patients who received regular nursing care as conducted by nursing staff developed pressure ulcers. The patients who developed pressure ulcers had low to a high risk of pressure at initial admission. Pressure ulcers developed on the 4th-6th day of hospitalization and the severity of skin lesion progressed from stage 1 to stage 2, or 3 within 2 weeks. Locations of pressure ulcers were at the coccyx and buttock. Risk factors of pressure ulcer were body mass index (BMI) health welfare age and Braden score which lower than 12.

Conclusion: The results indicated that nursing intervention utilizing the Clinical Nursing Practice Guideline for Pressure Ulcers Prevention could prevent pressure ulcers effectively.