| Objective The paper is to know pressure ulcer-related cognition,behaviors and care pressure in main caregivers for patients with pressure ulcer risk in grade-III level-A hospitals of Lan Zhou,to evaluation the intervention effect of Teach-back method in cognition of pressure ulcer and related behaviors,and to provide new strategies for health education in main caregivers for patients with pressure ulcer risk.Method The study is composed by two parts.In the first part,a total of 194 main caregivers for inpatients with pressure ulcer risk from 9 grade-III level-A hospitals in Lan Zhou were enrolled.A cognition questionnaire,a behavior questionnaire and the Caregiver Strain Index(CSI)were taken as the investigation tools,while mean± standard deviation,percentage description and multiple linear analysis were used as the analysis method to know their cognition,behaviors and pressure about pressure ulcer.In the second part,a total of 60 main caregivers,who met the inclusion criteria on the basis of informed content from a grade-III level A hospital,were selected and divided into the control group and the experiment group according to their admission time.The experiment group received the health education of Teach-back method,while The control group received routine health education.Paired t test or two-sample t test were used to compare pressure ulcer-related cognition,behaviors,turnover operation between the two groups of caregivers.Result The investigation results are as follows.(1)The average score of pressure ulcer cognition in the caregivers was 46.88±4.71,wherein the average score of relevant knowledge was 21.25±3.59,the score of perceived susceptibility was 6.81±1.24,and the score of perceived severity was 18.82±2.21.(2)The average score of pressure ulcer-related behaviors was 37.98±5.58;the score of skin nursing ranked the top and was followed by nutrition support,while the score of turnover behavior was the lowest.Pressure ulcer-related knowledge and age were main causes affecting caring behaviors for pressure ulcer.(3)The average of pressure in the caregivers was 9.28±2.91;83.85% of the total amount were under pressure.mostly about work and economic issues.Main factors influencing caregiver's pressure were experience of caring for a similar patient,marital status,cohabitation with a patient,gender and pressure ulcer-related knowledge.The intervention results are presented below.(1)There was no difference in general data,cognition and behavior of pressure ulcers between the two group(P>0.05).(2)The experiment group's cognition scores of pressure ulcers(54.66±2.21)and the scores of pressure ulcers-related behaviors(45.55±2.96)and scores of all dimensions increased after intervention(P<0.05).The cognition score of pressure sore after intervention(48.80±3.19)and the knowledge dimension,perception susceptibility dimension,total score of pressure ulcer-related behavior scores(39.17±3.49)and all dimensions(P<0.05)were increased in the control group,but there was no difference in perceived severity scores(P=0.057)(3)After the intervention,the test group had higher scores in pressure ulcer-related cognition and all dimensions,total scores of related behaviors,turn over behavior and nutrition support,turn over operation and satisfaction scores than the control group(P<0.05),but there was no difference in skin nursing scores between the two groups(P=0.051).Conclusion(1)Main caregivers for patients with pressure ulcer risk are short of pressure ulcer-related knowledge,act disorderly during the course of pressure ulcer prevention,and suffer from high pressure.(2)Compared with traditional health education,the Teach-back health education method significantly promotes pressure ulcer-related knowledge in caregivers,improves their caring behaviors. |
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