Caregivers’ Knowledge, Attitude, and Practice towards Pressure Injuries in Spinal Cord Injury at Rehabilitation Center in Bangladesh

Advances in Orthopedics, 2022 · DOI: https://doi.org/10.1155/2022/8642900 · Published: June 13, 2022

Spinal Cord Injury Social Support Dermatology

Simple Explanation

This study aimed to understand how much caregivers know, how they feel, and what they do to prevent pressure injuries (PIs) in people with spinal cord injuries (SCI). Pressure injuries are a common problem for individuals with SCI due to limited mobility. The study found that caregivers generally have a moderate understanding and practice related to PI prevention, but their attitudes are neutral. This suggests that caregivers might not fully appreciate the importance of consistent preventive measures. The research also identified specific areas where caregivers need more training, such as proper patient positioning, skin care, and regular consultations with doctors. Improving these areas could significantly reduce the occurrence of PIs among SCI patients.

Study Duration

Not specified

Participants

127 caregivers of individuals with spinal cord injury

Evidence Level

Cross-sectional study

Key Findings

1
Caregivers demonstrated a moderate level of knowledge regarding PI prevention and care (M = 73.68%).
2
Caregivers exhibited a neutral attitude towards PI prevention and care (M = 70.32%).
3
There was a positive correlation between caregivers’ knowledge and attitude (r = 0.30, p < 0.01) and between knowledge and practice (r = 0.37, p < 0.01).

Research Summary

This study investigated the knowledge, attitude, and practice (KAP) of caregivers regarding pressure injury (PI) prevention and care in individuals with spinal cord injury (SCI) at a rehabilitation center in Bangladesh. The findings revealed that caregivers had a moderate level of knowledge and practice, but a neutral attitude towards PI prevention and care. Significant correlations were found between knowledge and attitude, and between knowledge and practice. The study suggests that caregivers require enhanced training and support to develop a more positive attitude and improve their practices in PI prevention, focusing on areas such as patient positioning, skin care, and regular medical consultations.

Practical Implications

Targeted Training Programs

Develop specific educational programs for caregivers focused on improving their knowledge and skills in areas such as patient positioning, skin care, and the importance of regular medical consultations.

Attitude Enhancement Strategies

Implement strategies to foster a more positive attitude among caregivers towards pressure injury prevention, emphasizing the impact of their role on the well-being of individuals with SCI.

Community Support Systems

Establish community-based support systems for caregivers to provide ongoing education, resources, and emotional support, ensuring they are well-equipped to manage and prevent pressure injuries effectively.

Study Limitations

1
The study used a convenience sampling method, which might limit the generalizability of the findings.
2
The cross-sectional design does not allow for the establishment of causal relationships between caregivers' KAP and patient outcomes.
3
The study was conducted at a single rehabilitation center in Bangladesh, potentially limiting the applicability of the results to other settings or populations.

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