Clinical trial NCT06128005: Pressure Injury、Caregiver、Knowledge Translation
Official title: Evaluate Knowledge Translation Care Plan on Knowledge, Attitude, and Practice of Caregivers and Care Effects of Patients With Pressure Injury
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Pressure Injury
Pressure Ulcer
Keywords: caregiver
nursing plan
Lead sponsor: National Defense Medical Center, Taiwan
Sponsor class: OTHER
First posted: 2023-11-13
Enrollment: 70
Sex: ALL
Minimum age (years): 0
Maximum age (years): 100
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

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.

Detailed description: 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.

Eligibility criteria: Inclusion Criteria:

1. Grade 1-3 pressure injury diagnosed by medical staff.
2. The patient needs to have a caregiver.
3. 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)

Exclusion Criteria:

1. The patient has \>3 disease diagnoses,
2. The patient is diagnosed by a doctor as a terminally ill patient or the life expectancy is less than 3 months,
3. There is a life-threatening acute problem (active bleeding site, acute myocardial infarction, acute bronchitis, etc. ),
4. pressure injury caused by invasive pipeline placement,
5. need to wear non-invasive positive pressure respirator, (6) need to stay in intensive care center for a long time (\>10 days),
6. need a long time For surgical patients, each operation takes \> 5 hours,
7. the caregiver has dementia,
8. the caregiver has mental illness or alcohol and drug addiction,
9. no caregiver.

Primary outcomes:
measure: wound healing
timeFrame: 6 weeks and 12 weeks
measure: caregiver's knowledge
timeFrame: 6 weeks and 12 weeks
measure: caregiver's attitude
timeFrame: 6 weeks and 12 weeks
measure: caregiver's practice
timeFrame: 6 weeks and 12 weeks
Secondary outcomes:
measure: The recurrence rate of pressure injury three months after intervention
timeFrame: 12 weeks
measure: The rehospitalization rate
timeFrame: 12 weeks
measure: The mortality rate
timeFrame: 12 weeks
Other outcomes:
Locations:
city: Keelung
country: Taiwan
facility: Vivian
state: Zhongzheng District
Study officials:
affiliation: Student
name: Yi-Syuan Lai
role: STUDY_CHAIR
References:
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