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Family-centred empowerment using telenursing on pressure injury incidence in post-discharge stroke patients.
- Source :
- Journal of Wound Care; Jan2024, Vol. 33 Issue 1, p51-59, 9p
- Publication Year :
- 2024
-
Abstract
- Objective: The aim of this study was to evaluate the effect of a family-centred empowerment intervention on the incidence, stage and status of pressure injury (PI) in patients diagnosed with stroke during the post-discharge period with a telenursing approach. Method: This randomised controlled clinical trial (RCT) was conducted with patients admitted to Ghaem Hospital in Mashhad and who were diagnosed with stroke. Patients were randomly assigned to one of two equal-sized groups: intervention and control. Family education and follow-up of the intervention group was performed using WhatsApp messenger for one month. Caregivers of patients in the control group received the routine training programme. The incidence, stage and status of PIs of both groups were measured at the beginning and at one month later using the Braden Scale, the EPUAP/NPUAP Classification System, and the Pressure Ulcer Scale for Healing (PUSH). Results: A total of 60 patients took part in the RCT (30 patients allocated to each group). The incidence of PI in the control group was significantly higher than in the intervention group (p<0.001). The results showed significantly lower stages of PI in the intervention group than in the control group (p<0.001 and p<0.05 for univariable and multivariable models, respectively). The results showed a significantly lower PUSH score in the intervention group than in the control group (p<0.001 and p<0.05 for univariable and multivariable models, respectively). Conclusion: The findings of this RCT show that the empowerment and training of caregivers of patients diagnosed with stroke after discharge using telenursing can reduce the incidence and severity of PIs and improve their status in these patients. [ABSTRACT FROM AUTHOR]
- Subjects :
- PILOT projects
HEALTH education
RESEARCH
STATISTICS
CAREGIVERS
PRESSURE ulcers
MULTIVARIATE analysis
FAMILIES
DISEASE incidence
MANN Whitney U Test
SELF-efficacy
RANDOMIZED controlled trials
PRE-tests & post-tests
T-test (Statistics)
STROKE patients
DESCRIPTIVE statistics
CHI-squared test
STATISTICAL sampling
DATA analysis software
TELENURSING
DISCHARGE planning
BEDSORE risk factors
Subjects
Details
- Language :
- English
- ISSN :
- 09690700
- Volume :
- 33
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- Journal of Wound Care
- Publication Type :
- Academic Journal
- Accession number :
- 174691010
- Full Text :
- https://doi.org/10.12968/jowc.2024.33.1.51