Evaluate Knowledge Translation Care Plan on Knowledge, Attitude, and Practice of Caregivers and Care Effects of Patients With Pressure Injury
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 70
- 试验地点
- 1
- 主要终点
- caregiver's attitude
研究概览
简要总结
Background and importance:
In 2003, a pressure injury is listed as one of the indicators of care quality in clinical setting by Taiwan joint commission on hospital accreditation. That reflects that a pressure injury is a significant heath care issue. Nowadays, it still constantly happens at hospitals, home, and nursing homes: Pressure injuries cause pain, and increase length of hospital stay, rehospitalization rate, and death rate. In current clinical practice, standardized guidelines and basic principles are followed for pressure injury management, and it is found that most of the caregivers are unsure about what are the consequences of having pressure injuries and how to manage and prevent them. Therefore, the caregivers are more passive, and feel nervous and confused. In literature, there are guidelines for pressure injury prevention and management. However, they are primarily designed for heath professionals. As a result, to achieve evidence-based practice and knowledge translation, I hope to make individual management plans for each patient, provide caring support, and follow up with patients. And caregivers can benefit from knowledge, attitude, practice, and caring effect.
详细描述
Goals:
The study aims to achieve knowledge translation in nursing for pressure injury care. The caregivers of patients with pressure injuries and their family can benefit from translating of knowledge, attitude, and practice, and they can have more knowledge related to pressure injuries, and learn how to react to and care for patients. In this way, it will be possible to promote wound healing and prevent recurrence of pressure injuries.
Method:
This study is a randomized controlled trial. There are seventy participants. The experimental group receives care plans in which knowledge translation is applied, and the control group receives usual care. Generalized estimating equations, GEE, is used to assess the effectiveness of care plans with knowledge translation for patients and family with pressure injuries.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 0 Years 至 100 Years（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Grade 1-3 pressure injury diagnosed by medical staff.
- •The patient needs to have a caregiver.
- •The patient and the caregiver need to be older than 20 years old, (4) The informed consent of this study.
- •(5) The caregiver Those who understand the content of health education (MMSE>24 points)
排除标准
- •The patient has >3 disease diagnoses,
- •The patient is diagnosed by a doctor as a terminally ill patient or the life expectancy is less than 3 months,
- •There is a life-threatening acute problem (active bleeding site, acute myocardial infarction, acute bronchitis, etc. ),
- •pressure injury caused by invasive pipeline placement,
- •need to wear non-invasive positive pressure respirator, (6) need to stay in intensive care center for a long time (>10 days),
- •need a long time For surgical patients, each operation takes > 5 hours,
- •the caregiver has dementia,
- •the caregiver has mental illness or alcohol and drug addiction,
- •no caregiver.
研究组 & 干预措施
knowledge translation in nursing for pressure injury care
Using guideline and evidence based practice for pressure injury. The experimental group has received knowledge translation in nursing for pressure injury care with precaution teaching plan by using self-designed teaching materials, manuals, videoes, multimedia tools (power point, LINE official account, LINE one-on-one lesson, virtual lesson), in-person assistance and assessment in 12weeks.
干预措施: knowledge translation in nursing for pressure injury care (Behavioral)
Regular care
The controlled group maintained the regular nursing intervention.
干预措施: knowledge translation in nursing for pressure injury care (Behavioral)
结局指标
主要结局
caregiver's attitude
时间窗: 6 weeks and 12 weeks
Use the self-made questionnaire to understand the caregivers' attitudes towards pressure injuries, such as whether they have motivation to care for them, whether they think it is important to prevent pressure injuries, whether they are confident that they can take good care of them, etc.
caregiver's practice
时间窗: 6 weeks and 12 weeks
Using a self-made questionnaire, the caregiver actually evaluates the situation of caring for the crush injury, such as: body positioning, repositioning, nutritional supply status, wound dressing change, wound grading assessment, body cleanliness, whether the protrusion of the bone is paid attention to, reducing Pressure equipment, etc.
wound healing
时间窗: 6 weeks and 12 weeks
PUSH tool. Measure Length x Width, Exudate Amount and Tissue Type in pressure injury.
caregiver's knowledge
时间窗: 6 weeks and 12 weeks
Using a self-made questionnaire, the informal caregivers' knowledge of pressure injuries, such as: how does a pressure injury form, what are the care methods for a pressure injury, what should be prepared for wound care, methods to prevent a pressure injury, etc.
次要结局
- The recurrence rate of pressure injury three months after intervention(12 weeks)
- The rehospitalization rate(12 weeks)
- The mortality rate(12 weeks)
研究者
Yi-Syuan Lai
nurse
National Defense Medical Center, Taiwan