Pressure Injury、Caregiver、Knowledge Translation

NCT06128005 | Recruiting

• 1 other identifier: pressureinjury853121
• Study Type: interventional
• Target: 70
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Pressure Injury; Pressure Ulcer

Keywords

caregiver; nursing plan

Outcome Measures

Primary Outcomes (4)

• wound healing

  PUSH tool. Measure Length x Width, Exudate Amount and Tissue Type in pressure injury.

  6 weeks and 12 weeks

• caregiver's knowledge

  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.

  6 weeks and 12 weeks

• caregiver's attitude

  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.

  6 weeks and 12 weeks

• caregiver's practice

  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.

  6 weeks and 12 weeks

Secondary Outcomes (3)

• The recurrence rate of pressure injury three months after intervention

  12 weeks

• The rehospitalization rate

  12 weeks

• The mortality rate

  12 weeks

Study Arms (2)

knowledge translation in nursing for pressure injury care

EXPERIMENTAL

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.

Behavioral: knowledge translation in nursing for pressure injury care

Regular care

PLACEBO COMPARATOR

The controlled group maintained the regular nursing intervention.

Behavioral: knowledge translation in nursing for pressure injury care

Interventions

knowledge translation in nursing for pressure injury care BEHAVIORAL

Pressure injury's knowledge and healing of wound.

Regular care; knowledge translation in nursing for pressure injury care

Eligibility Criteria

• Age: 0 Years - 100 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• 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)

You may not qualify if:

• 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.

Sponsors & Collaborators

• Yi-Syuan Lai: lead

Study Sites (1)

Vivian

Keelung, Zhongzheng District, Taiwan

RECRUITING

Related Publications (8)

• Santamaria N, Gerdtz M, Sage S, McCann J, Freeman A, Vassiliou T, De Vincentis S, Ng AW, Manias E, Liu W, Knott J. A randomised controlled trial of the effectiveness of soft silicone multi-layered foam dressings in the prevention of sacral and heel pressure ulcers in trauma and critically ill patients: the border trial. Int Wound J. 2015 Jun;12(3):302-8. doi: 10.1111/iwj.12101. Epub 2013 May 27.

  PMID: 23711244 BACKGROUND

• Munoz N, Posthauer ME, Cereda E, Schols JMGA, Haesler E. The Role of Nutrition for Pressure Injury Prevention and Healing: The 2019 International Clinical Practice Guideline Recommendations. Adv Skin Wound Care. 2020 Mar;33(3):123-136. doi: 10.1097/01.ASW.0000653144.90739.ad.

  PMID: 32058438 BACKGROUND

• Mervis JS, Phillips TJ. Pressure ulcers: Pathophysiology, epidemiology, risk factors, and presentation. J Am Acad Dermatol. 2019 Oct;81(4):881-890. doi: 10.1016/j.jaad.2018.12.069. Epub 2019 Jan 18.

  PMID: 30664905 BACKGROUND

• Lin F, Wu Z, Song B, Coyer F, Chaboyer W. The effectiveness of multicomponent pressure injury prevention programs in adult intensive care patients: A systematic review. Int J Nurs Stud. 2020 Feb;102:103483. doi: 10.1016/j.ijnurstu.2019.103483. Epub 2019 Nov 21.

  PMID: 31835122 BACKGROUND

• Jeyathevan G, Cameron JI, Craven BC, Jaglal SB. Identifying Required Skills to Enhance Family Caregiver Competency in Caring for Individuals With Spinal Cord Injury Living in the Community. Top Spinal Cord Inj Rehabil. 2019 Fall;25(4):290-302. doi: 10.1310/sci2504-290.

  PMID: 31844381 BACKGROUND

• Tescher A, Deppisch M, Munro C, Jorgensen V, Cuddigan J. Perioperative pressure injury prevention: National Pressure Injury Advisory Panel root cause analysis toolkit 3.0. J Wound Care. 2022 Dec 1;31(Sup12):S4-S9. doi: 10.12968/jowc.2022.31.Sup12.S4.

  PMID: 36475846 BACKGROUND

• Haesler E, Pittman J, Cuddigan J, Law S, Chang YY, Balzer K, Berlowitz D, Carville K, Kottner J, Litchford M, Moore Z, Mitchell P, Sigaudo-Roussel D. An exploration of the perspectives of individuals and their caregivers on pressure ulcer/injury prevention and management to inform the development of a clinical guideline. J Tissue Viability. 2022 Feb;31(1):1-10. doi: 10.1016/j.jtv.2021.10.008. Epub 2021 Oct 30.

  PMID: 34776327 BACKGROUND

• Cuddigan J, Haesler E, Moore Z, Carville K, Kottner J. Development, dissemination and evaluation of a smartphone-based app for pressure ulcer/injury prevention and treatment for use at the bedside. J Wound Care. 2022 Dec 1;31(Sup12):S29-S39. doi: 10.12968/jowc.2022.31.Sup12.S29.

  PMID: 36475841 BACKGROUND

MeSH Terms

Conditions

Pressure Ulcer

Interventions

Nursing

Condition Hierarchy (Ancestors)

Skin Ulcer; Skin Diseases; Skin and Connective Tissue Diseases

Intervention Hierarchy (Ancestors)

Professional Practice; Organization and Administration; Health Services Administration

Study Officials

• Yi-Syuan Lai

  Student

  STUDY CHAIR

Central Study Contacts

Yi-Syuan Lai

CONTACT

886-0925810218; family8531@hotmail.com

Yi-Syuan Lai

CONTACT

886-0925810218; s9759057@yahoo.com.tw

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: nurse

Study Record Dates

• First Submitted: April 11, 2022
• First Posted: November 13, 2023
• Study Start: October 1, 2020
• Primary Completion: March 2, 2024
• Study Completion: June 2, 2024
• Last Updated: March 21, 2024

Record last verified: 2024-03

Data Sharing

• IPD Sharing: Will share
• Shared Documents: CSR
• Time Frame: When I will complete the research, that can be sharing forever.
• Access Criteria: Anyone have pressure injury's problem

Locations

TW (1)