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

Overview

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.

Detailed 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.

Interventions

• Other Experimental group
  Web-based training will be shared with patient relatives before the patient is discharged. A home visit will be made 2-3 days after the patient is discharged. Data collection forms will be collected by the researcher at each home visit. A total of four home visits and eight telephone follow-ups will be made within two months.

Primary outcome measures

• Findings regarding sociodemographic characteristics [Time frame: 8 weeks, "up to two months".]
• Evaluation of the results regarding the patient's level of dependency and independence [Time frame: 8 weeks, "up to two months".]
• Assessment of patient's pressure injury risk score [Time frame: 8 weeks, "up to two months".]
• Results regarding the caregiver's care burden [Time frame: 8 weeks, "up to two months".]

Eligibility criteria

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.

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: No

Study design

Allocation

Randomized

Model

Parallel assignment

Masking

Open label

Primary purpose

Prevention

Study locations

Center list to be confirmed — check the primary protocol.

Identifiers

NCT: NCT06832345 · interventation

Primary sources (government registries)

• ClinicalTrials.gov (US NIH)

View this study on ClinicalTrials.gov ↗