The relationship between pressure ulcers and palliative care patient caregivers’ knowledge levels

Yeşim Karakaya; Hilal Özkaya; Emine Tuzcular; Işık Gönenç

doi:10.22391/fppc.670074

Research Article

The relationship between pressure ulcers and palliative care patient caregivers’ knowledge levels

Year 2020, Volume: 5 Issue: 1, 18 - 23, 24.03.2020

Yeşim Karakaya , Hilal Özkaya , Emine Tuzcular , Işık Gönenç

https://doi.org/10.22391/fppc.670074

Cited By: 2

Abstract

Introduction: The need for care and palliative care increased with the prolongation of mean life expectancy. One of the most frequently observed symptoms in palliative care is pressure ulcers. We aimed to measure the knowledge levels of caregivers serving hospitalized patients in the palliative care service and to investigate their relationship with socio-demographic characteristics, especially the knowledge levels.
Methods: This study enrolled 109 people providing care to patients who received inpatient palliative care between November 1 and December 31, 2018. A questionnaire including questions about socio-demographic characteristics and knowledge about pressure ulcers was administered. The pressure ulcer status of the patients was evaluated by a physician.
Results: The mean age of the caregivers was 49.49 ± 10.91 years (22-69). The mean knowledge level of the participants was 70.09 ± 18.58%. The minimum score was 0, and the maximum score was 100. It was found that 62.4% of the caregivers received information about pressure ulcers in the past, 30.3% of them didn’t receive any information about pressure ulcers, and 7.3% received partial information.
Conclusion: The knowledge level of the caregivers who were informed about pressure ulcers was significantly higher than those who were not informed (p=0.005). Therefore, we think that continuous education has an essential place in preventing pressure ulcers.

Keywords

Pressure ulcer , caregiver , health knowledge

References

1. Kivanc MM. [Palliative care services in Turkey] (in Turkish). HSP. 2017;4(2):132-5. https://doi.org/10.17681/hsp-dergisi.316894
2. Gulhan M. [Palliative care] (in Turkish). Available at: http://file.lookus.net/TGHYK/tghyk.39.pdf. (Access Date: February 12, 2019).
3. Yucel A. [Pressure Sores] (in Turkish). Turk J Intense Care. 2008;6(2):73-82. http://cms.galenos.com.tr/Uploads/Article_4250/73-82.pdf
4. Demirel M, Demiralp CO, Yormuk E. [Clinic experiences for pressure sores: years between 2000 and 2005] (in Turkish). J Ankara Univ Fac Med. 2007;60(2):81-7. https://doi.org/10.1501/Tipfak_0000000229
5. Costa MP, Sturtz G, Costa FPP, Ferreira MC, Filho TEPB. Epidemiological profile and treatment of pressure sores: experience with 77 cases. Acta Ortop Bras. 2005;13(3):124-32. http://dx.doi.org/10.1590/S1413-78522005000300005
6. Qaseem A, Mir TP, Starkey M, Denberg TD. Risk assessment and prevention of pressure ulcers: a clinical practise guideline from the American College of physicians. Ann Intern Med. 2015;162(5):359-69. https://doi.org/10.7326/M14-1567
7. Sonmez A. [Pressure Sores] (in Turkish). TJFMPC. 2003;7(2):57-62. http://www.turkailehekderg.org/wp-content/uploads/2014/07/c07-s02-01.pdf
8. Cowan L, Garvan C, Rugs D, Barks L, Chavez M, Orozco T. Pressure injury education in the department of veterans affairs. J Wound Ostomy Continence Nurs. 2018;45(5):419-24. https://doi.org/10.1097/WON.0000000000000468
9. Hosseinpoor AR, Bergen N, Chatterji S. Socio-demographic determinants of caregiving in older adults of low- and middle- income countries. Age Ageing. 2013;42:330-8. https://doi.org/10.1093/ageing/afs196
10. Mersal FA, Mersal NA, Hussein HA. Effect on educational guidelines for prevention of immobilization complications on caregivers’ performance and patients’ functional condition. Am J Nurs Res. 2017;5(2):32-41. https://doi.org/10.12691/ajnr-5-2-1
11. Dilworth- Anderson P, Brummett H, Goodwin P, Williams SW, Williams RB, Siegler IC. Effect of race on cultura l justifications for caregiving. J Gerontol B Psychol Sci Soc Sci. 2005; 60(5):257-62. https://doi.org/10.1093/geronb/60.5.S257
12. Oliveira WT, Matsuda LM, Sales CA. Relationship between wellness and socio-demographic characteristics of caregivers of people with cancer. Invest Educ Enferm. 2016; 34(1):128-36. http://dx.doi.org/10.17533/udea.iee.v34n1a15
13. Aathi MK. Knowledge of nurses regarding prevention pressure ulcer. RRJoM. 2013;3(2):12-6.
14. Woo KY, Krasner DL, Kennedy B, Wardle D, Moir O. Palliative wound care management strategies for palliative patients and their circles of care. Adv Skin Wound Care. 2015; 28(3):130-40. https://doi.org/10.1097/01.ASW.0000461116.13218.43
15. Galvao NS, Serique MAB, Santos VLCG, Nogueira PC. Knowledge of nursing team on pressure ulcer prevention. Rev Bras. 2017;70(2):294-300. http://dx.doi.org/10.1590/0034-7167-2016-0063
16. Simonetti V, Comparcini D, Flacco ME, Giovanni P, Cicolini G. Nursing students’ knowledge and attitude on pressure ulcer prevention evidence-based guidelines: a multicenter cross-sectional study. Nurse Educ Today. 2015; 35(4):573-9. https://doi.org/10.1016/j.nedt.2014.12.020
17. Tweed C, Tweed M. Intensive care nurses’ knowledge of pressure ulcers: development of an assessment tool and effect of an educational program. Am J Crit Care. 2008;17(4):338-46. https://doi.org/10.4037/ajcc2008.17.4.338
18. Levine JM, Humphrey S, Lebovits S, Fogel J. The unavoidable pressure ulcer: a retrospective case series. JCOM. 2009;16 (8):359-63.
19. Nix D. Implementing and sustaining urinary catheter securement. Perspectives recovery strategies from the orto Home. Vol. 10, No.3. Available at: https://www.mnhospitals.org/Portals/0/Documents/patientsafety/PU_Med_dev/device_prevention_article.pdf. Access Date: (March 2, 2019).
20. Duzkaya DS, Terzi B, Yakut T, Kizil N. [Where we are on pressure ulcers? Data of last year in pediatric intensive care unit] (in Turkish).J Ata Uni Hem. 2014;17(4):239-44. https://dergipark.org.tr/tr/pub/ataunihem/issue/2667/34775
21. Freundlich K. Pressure injuries in medically complex children: a review. Children (Basel). 2017; 4(4): 25. https://doi.org/10.3390/children4040025
22. Parnham A. Pressure ulcer risk assessment and prevention in children. Nurs Child Young People. 2012;24(2):24-9. https://doi.org/10.7748/ncyp2012.03.24.2.24.c8976
23. Kurtulus Z, Pinar R. [Relation between Albumin Levels and Pressure Sore in High-Risk Patients Defined with Braden’s Risk Assessment Tool] (in Turkish). Cumhuriyet Univ J Sch Nurs 2003;7(2):1-10. Available at: http://eskidergi.cumhuriyet.edu.tr/makale/624.pdf Access Date: March 24, 2020)
24. Tosun ZK, Boluktas RP. [Pressure Ulcer prevalence and effecting factors among elderly patients in intensive care units]. J Turk Soc Crit Care Nurs. 2015;19(2):43-53. https://dergipark.org.tr/en/download/article-file/260163

Palyatif bakım hastalarında basınç ülserleri ile bakım verenlerin bilgi düzeyleri arasındaki ilişki

Year 2020, Volume: 5 Issue: 1, 18 - 23, 24.03.2020

Yeşim Karakaya , Hilal Özkaya , Emine Tuzcular , Işık Gönenç

https://doi.org/10.22391/fppc.670074

Cited By: 2

Abstract

Giriş: Ortalama yaşam süresinin uzamasıyla bakıma ihtiyaç duyan bireyler ve palyatif bakım ihtiyacı artmıştır. Palyatif bakımda en sık değerlendirilen semptomlardan biri bası yarasıdır. Araştırmamızda palyatif bakım servisinde yatmakta olan hastaya bakım veren kişilerin bası yarası ile ilgili bilgi düzeylerini ölçmeyi ve bilgi düzeyleri başta olmak üzere diğer sosyodemografik özellikleriyle ilişkisini araştırmayı amaçladık.
Yöntem: Çalışmamıza palyatif bakım servisinde 1 Kasım ile 31 Aralık 2018 tarihleri arasında yatarak tedavi alan hastalara bakım veren 109 kişi dahil edildi. Bakım verenlere sosyodemografik özellikleri ve bası yarası ile ilgili bilgi düzeyini değerlendiren soruları içeren anket formu uygulandı, bakım verenlerin baktıkları hastaların yara evresi hekim tarafından değerlendirildi
Bulgular: Çalışmaya katılan bakım verenlerin yaş ortalaması 49,4±10,9 (22-69) idi. Katılımcıların bilgi düzeyi puan ortalaması 70,1±18,5’dir. Minimum puan 0 maksimum puan 100’dür. Bakım verenlerin %62,4’ünün bası yarası ile ilgili bilgilendirme aldığı, %30,3’ünün bası yarası ile ilgili bilgilendirme almadığı, %7,3’ünün ise kısmen bilgilendirme aldığı bulunmuştur.
Sonuç: Bası yarası ile ilgili bilgilendirme alan bakım verenlerin bilgi düzeyi değerleri, bilgilendirilmeyenlerden istatistiksel olarak anlamlı düzeyde yüksek bulunmuştur (p=0.005). Bu yüzden bu eğitimlerin devamının, bası yarasını önlemede önemli yer tuttuğunu düşünmekteyiz.

Keywords

bası yarası , bakıcı , sağlık bilgisi

References

1. Kivanc MM. [Palliative care services in Turkey] (in Turkish). HSP. 2017;4(2):132-5. https://doi.org/10.17681/hsp-dergisi.316894
2. Gulhan M. [Palliative care] (in Turkish). Available at: http://file.lookus.net/TGHYK/tghyk.39.pdf. (Access Date: February 12, 2019).
3. Yucel A. [Pressure Sores] (in Turkish). Turk J Intense Care. 2008;6(2):73-82. http://cms.galenos.com.tr/Uploads/Article_4250/73-82.pdf
4. Demirel M, Demiralp CO, Yormuk E. [Clinic experiences for pressure sores: years between 2000 and 2005] (in Turkish). J Ankara Univ Fac Med. 2007;60(2):81-7. https://doi.org/10.1501/Tipfak_0000000229
5. Costa MP, Sturtz G, Costa FPP, Ferreira MC, Filho TEPB. Epidemiological profile and treatment of pressure sores: experience with 77 cases. Acta Ortop Bras. 2005;13(3):124-32. http://dx.doi.org/10.1590/S1413-78522005000300005
6. Qaseem A, Mir TP, Starkey M, Denberg TD. Risk assessment and prevention of pressure ulcers: a clinical practise guideline from the American College of physicians. Ann Intern Med. 2015;162(5):359-69. https://doi.org/10.7326/M14-1567
7. Sonmez A. [Pressure Sores] (in Turkish). TJFMPC. 2003;7(2):57-62. http://www.turkailehekderg.org/wp-content/uploads/2014/07/c07-s02-01.pdf
8. Cowan L, Garvan C, Rugs D, Barks L, Chavez M, Orozco T. Pressure injury education in the department of veterans affairs. J Wound Ostomy Continence Nurs. 2018;45(5):419-24. https://doi.org/10.1097/WON.0000000000000468
9. Hosseinpoor AR, Bergen N, Chatterji S. Socio-demographic determinants of caregiving in older adults of low- and middle- income countries. Age Ageing. 2013;42:330-8. https://doi.org/10.1093/ageing/afs196
10. Mersal FA, Mersal NA, Hussein HA. Effect on educational guidelines for prevention of immobilization complications on caregivers’ performance and patients’ functional condition. Am J Nurs Res. 2017;5(2):32-41. https://doi.org/10.12691/ajnr-5-2-1
11. Dilworth- Anderson P, Brummett H, Goodwin P, Williams SW, Williams RB, Siegler IC. Effect of race on cultura l justifications for caregiving. J Gerontol B Psychol Sci Soc Sci. 2005; 60(5):257-62. https://doi.org/10.1093/geronb/60.5.S257
12. Oliveira WT, Matsuda LM, Sales CA. Relationship between wellness and socio-demographic characteristics of caregivers of people with cancer. Invest Educ Enferm. 2016; 34(1):128-36. http://dx.doi.org/10.17533/udea.iee.v34n1a15
13. Aathi MK. Knowledge of nurses regarding prevention pressure ulcer. RRJoM. 2013;3(2):12-6.
14. Woo KY, Krasner DL, Kennedy B, Wardle D, Moir O. Palliative wound care management strategies for palliative patients and their circles of care. Adv Skin Wound Care. 2015; 28(3):130-40. https://doi.org/10.1097/01.ASW.0000461116.13218.43
15. Galvao NS, Serique MAB, Santos VLCG, Nogueira PC. Knowledge of nursing team on pressure ulcer prevention. Rev Bras. 2017;70(2):294-300. http://dx.doi.org/10.1590/0034-7167-2016-0063
16. Simonetti V, Comparcini D, Flacco ME, Giovanni P, Cicolini G. Nursing students’ knowledge and attitude on pressure ulcer prevention evidence-based guidelines: a multicenter cross-sectional study. Nurse Educ Today. 2015; 35(4):573-9. https://doi.org/10.1016/j.nedt.2014.12.020
17. Tweed C, Tweed M. Intensive care nurses’ knowledge of pressure ulcers: development of an assessment tool and effect of an educational program. Am J Crit Care. 2008;17(4):338-46. https://doi.org/10.4037/ajcc2008.17.4.338
18. Levine JM, Humphrey S, Lebovits S, Fogel J. The unavoidable pressure ulcer: a retrospective case series. JCOM. 2009;16 (8):359-63.
19. Nix D. Implementing and sustaining urinary catheter securement. Perspectives recovery strategies from the orto Home. Vol. 10, No.3. Available at: https://www.mnhospitals.org/Portals/0/Documents/patientsafety/PU_Med_dev/device_prevention_article.pdf. Access Date: (March 2, 2019).
20. Duzkaya DS, Terzi B, Yakut T, Kizil N. [Where we are on pressure ulcers? Data of last year in pediatric intensive care unit] (in Turkish).J Ata Uni Hem. 2014;17(4):239-44. https://dergipark.org.tr/tr/pub/ataunihem/issue/2667/34775
21. Freundlich K. Pressure injuries in medically complex children: a review. Children (Basel). 2017; 4(4): 25. https://doi.org/10.3390/children4040025
22. Parnham A. Pressure ulcer risk assessment and prevention in children. Nurs Child Young People. 2012;24(2):24-9. https://doi.org/10.7748/ncyp2012.03.24.2.24.c8976
23. Kurtulus Z, Pinar R. [Relation between Albumin Levels and Pressure Sore in High-Risk Patients Defined with Braden’s Risk Assessment Tool] (in Turkish). Cumhuriyet Univ J Sch Nurs 2003;7(2):1-10. Available at: http://eskidergi.cumhuriyet.edu.tr/makale/624.pdf Access Date: March 24, 2020)
24. Tosun ZK, Boluktas RP. [Pressure Ulcer prevalence and effecting factors among elderly patients in intensive care units]. J Turk Soc Crit Care Nurs. 2015;19(2):43-53. https://dergipark.org.tr/en/download/article-file/260163

There are 24 citations in total.

Details

Primary Language	English
Subjects	Primary Health Care
Journal Section	Original Research
Authors	Yeşim Karakaya 0000-0001-6624-6562 Hilal Özkaya 0000-0002-4223-9701 Emine Tuzcular 0000-0001-6131-7085 Işık Gönenç 0000-0003-4615-688X
Publication Date	March 24, 2020
Submission Date	January 3, 2020
Acceptance Date	March 23, 2020
Published in Issue	Year 2020 Volume: 5 Issue: 1

Cite

APA	Karakaya, Y., Özkaya, H., Tuzcular, E., Gönenç, I. (2020). The relationship between pressure ulcers and palliative care patient caregivers’ knowledge levels. Family Practice and Palliative Care, 5(1), 18-23. https://doi.org/10.22391/fppc.670074
AMA	Karakaya Y, Özkaya H, Tuzcular E, Gönenç I. The relationship between pressure ulcers and palliative care patient caregivers’ knowledge levels. Fam Pract Palliat Care. April 2020;5(1):18-23. doi:10.22391/fppc.670074
Chicago	Karakaya, Yeşim, Hilal Özkaya, Emine Tuzcular, and Işık Gönenç. “The Relationship Between Pressure Ulcers and Palliative Care Patient Caregivers’ Knowledge Levels”. Family Practice and Palliative Care 5, no. 1 (April 2020): 18-23. https://doi.org/10.22391/fppc.670074.
EndNote	Karakaya Y, Özkaya H, Tuzcular E, Gönenç I (April 1, 2020) The relationship between pressure ulcers and palliative care patient caregivers’ knowledge levels. Family Practice and Palliative Care 5 1 18–23.
IEEE	Y. Karakaya, H. Özkaya, E. Tuzcular, and I. Gönenç, “The relationship between pressure ulcers and palliative care patient caregivers’ knowledge levels”, Fam Pract Palliat Care, vol. 5, no. 1, pp. 18–23, 2020, doi: 10.22391/fppc.670074.
ISNAD	Karakaya, Yeşim et al. “The Relationship Between Pressure Ulcers and Palliative Care Patient Caregivers’ Knowledge Levels”. Family Practice and Palliative Care 5/1 (April2020), 18-23. https://doi.org/10.22391/fppc.670074.
JAMA	Karakaya Y, Özkaya H, Tuzcular E, Gönenç I. The relationship between pressure ulcers and palliative care patient caregivers’ knowledge levels. Fam Pract Palliat Care. 2020;5:18–23.
MLA	Karakaya, Yeşim et al. “The Relationship Between Pressure Ulcers and Palliative Care Patient Caregivers’ Knowledge Levels”. Family Practice and Palliative Care, vol. 5, no. 1, 2020, pp. 18-23, doi:10.22391/fppc.670074.
Vancouver	Karakaya Y, Özkaya H, Tuzcular E, Gönenç I. The relationship between pressure ulcers and palliative care patient caregivers’ knowledge levels. Fam Pract Palliat Care. 2020;5(1):18-23.