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

Istanbul University - Cerrahpasa

Status: Not yet enrolling

Conditions: Pressure Injury Prevention

Treatments: Other: Experimental group

Study type: Interventional

Funder types: Other

Identifiers

NCT06832345

interventation

Details and patient eligibility

About

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.

Full description

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.

Enrollment: 31 estimated patients

Sex: All

Ages: 18 to 100 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

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,

Exclusion criteria

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.

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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31 participants in 2 patient groups

interventions to be applied to the experimental group (web-based training and consultancy )

Other group

Description:

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.

Treatment:

Other: Experimental group

interventions to be applied to the control group

Other group

Description:

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.

Treatment:

Other: Experimental group