The Effect of Web-Based Training and Counseling Given to Caregivers on the Pressure Injury Risk, Level of Dependence-Independence, and Caregivers' Burden of Care in Bedridden Patients
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 31
- 主要终点
- Findings regarding sociodemographic characteristics
研究概览
简要总结
Education and counseling of patients and caregivers, either face-to-face or using various communication technologies, are reported to have significant effects. Nurses are in a key position in the education and counseling of patients and their relatives for the prevention of pressure injury. Although the share of health technologies in the management of pressure injury is important, it is also important for nurses to use these technologies. Web-based education, which is a part of health technologies, is defined as an education and training program created by using the features of internet and computer technologies.
详细描述
To prevent pressure injuries; It has been determined that there are a limited number of studies in which training, telephone monitoring and counseling are provided to caregivers The originality of this study, which was conducted to evaluate the effect of web-based training given to caregivers on the pressure injury development of bedridden patients, addiction independence level and care burden of caregivers; The training is designed as web-based and creates a guide that caregivers can use during the care process.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 100 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •The patient;
- •Being over 18 years of age
- •Being open to communication (Mini Mental Test Score >25 points),
- •Medium or high risk according to the Braden pressure injury assessment scale (score ≤14 according to the Braden pressure injury risk assessment scale)
- •Being at least a moderately dependent patient according to the Barthel Index (score ≤90 according to the Barthel Index) The caregiver;
- •Being primarily responsible for patient care,
- •Being over 18 years of age
- •Having a family bond with the patient,
- •No monthly fee for providing care, (except for those receiving a monthly care pension from the state)
- •Lack of healthcare workers (physician, midwife, nurse),
- •Ability to read and write,
- •Having a smartphone and internet access,
- •Accepting a home visit,
- •There is no physical or psychiatric obstacle that prevents communication,
排除标准
- •The patient;
- •Having cancer,
- •Having an active skin disease,
- •Blood glucose and blood pressure are not under control,
- •Use of medication that may be associated with pressure injury (corticosteroid, immunosuppressive, sedative medication, antineoplastic medication, norepinephrine) is an exclusion criterion from the study.
- •Criteria for Exclusion from the Study The patient;
- •The patient is hospitalized,
- •The patient's exitus is a criterion for exclusion from the study.
研究组 & 干预措施
interventions to be applied to the experimental group (web-based training and consultancy )
Web-based education and counseling services will be provided as an intervention. Web-based education will be provided to the caregiver in the patient's room in two face-to-face sessions within forty-eight hours before the patient is discharged. Counseling will include telephone follow-up and home visits after discharge. Telephone follow-up will be done once a week, for a total of 8 times, and home visits will be done 3 times over an 8-week period. The results will be assessed using the Braden Pressure Injury Risk Scale, Barthell Index, and data collection tools for patients in the experimental group, and the Zarit Caregiver Burden Scale will be used for caregivers.
干预措施: Experimental group (Other)
interventions to be applied to the control group
Caregivers in the control group will receive routine nursing care and no intervention will be made. At the end of the study, the website and educational content will be shared with patients and their relatives.
干预措施: Experimental group (Other)
结局指标
主要结局
Findings regarding sociodemographic characteristics
时间窗: 8 weeks, "up to two months".
Evaluation of data that may be related to pressure injuries for patients and caregivers. Data such as patient\'s age, height, weight, chronic diseases and data such as caregivers\' age, inclination, and caregiving duration will be evaluated as averages and percentages.
Evaluation of the results regarding the patient's level of dependency and independence
时间窗: 8 weeks, "up to two months".
According to the total scores of the Barthell Life Activities Index; 0-20 points: "Fully dependent", 21-61 points: "Extremely dependent", 62-90 points: "Moderately dependent", 91-99 points: "Mildly dependent" and 100 points: "Fully independent"
Assessment of patient's pressure injury risk score
时间窗: 8 weeks, "up to two months".
According to the braden pressure injury risk assessment scale: The total scale score is between 6 and 23. As the scores from the scale decrease, the risk of developing a pressure injury increases. Individuals with a scale score of 12 and below are considered to be at high risk for developing a pressure injury, those with a score of 13-14 are considered to be at medium risk, and those with a score of 15-16 are considered to be at low risk. According to the inclusion criteria for this study, patients must be assessed as high and medium risk according to the Braden pressure injury risk assessment scale.
Results regarding the caregiver's care burden
时间窗: 8 weeks, "up to two months".
According to the zarit caregiver burden scale: If the resulting score is between 22-46 points, it is defined as 'light load', if it is between 47-55 points, it is defined as 'moderate load', and if it is between 56-110 points, it is defined as 'severe load'.
次要结局
未报告次要终点
研究者
Şerife Kelle Dikbaş
Phd Student
Istanbul University - Cerrahpasa