OBJECTIVE: This paper describes an educational model for increasing and retaining the knowledge of pressure ulcer prevention and management in veterans with spinal cord injury (SCI) or multiple sclerosis (MS) who have had surgical repair of a pressure ulcer. It also describes the correlates of pressure ulcer knowledge at admission and discharge. METHODS: Before pressure ulcer surgery, 41 male veterans with SCI or MS were randomized to either an intervention group or a control group. A pressure ulcer prevention knowledge test was administered before surgery and at discharge from the hospital, as well as at 3, 6, 12, and 24 months after discharge for the intervention group and at the end of participation for the control group. Other measures obtained at admission included health locus of control and health beliefs. Near the end of their hospital stay, participants of the intervention group received 4 hours of structured, individualized education on the prevention of pressure ulcers while participants of the control group received standard education. RESULTS: Results indicated that participants in the intervention group gained more knowledge during hospitalization than did those in the control group. Lower admission knowledge scores were related to the "chance" dimension of locus of control, nonbelief that an ulcer would interfere "a lot" in one's life, and nonbelief that daily skin checks make "a lot" of difference in whether one gets an ulcer. Lower discharge knowledge scores were related to older age, older age at onset, a greater number of previous pressure ulcer surgeries, and nonbelief that daily skin checks make "a lot" of difference in whether one gets an ulcer. Both groups retained most of their discharge knowledge up to 24 months postdischarge or to discontinuation because of recurrence. CONCLUSIONS: Enhanced, individualized education about pressure ulcer prevention and management was effective in improving pressure ulcer knowledge during hospitalization for surgical repair of a pressure ulcer. The effect of the intervention on recurrence of pressure ulcers will be addressed in future reports.
RCT Entities:
OBJECTIVE: This paper describes an educational model for increasing and retaining the knowledge of pressure ulcer prevention and management in veterans with spinal cord injury (SCI) or multiple sclerosis (MS) who have had surgical repair of a pressure ulcer. It also describes the correlates of pressure ulcer knowledge at admission and discharge. METHODS: Before pressure ulcer surgery, 41 male veterans with SCI or MS were randomized to either an intervention group or a control group. A pressure ulcer prevention knowledge test was administered before surgery and at discharge from the hospital, as well as at 3, 6, 12, and 24 months after discharge for the intervention group and at the end of participation for the control group. Other measures obtained at admission included health locus of control and health beliefs. Near the end of their hospital stay, participants of the intervention group received 4 hours of structured, individualized education on the prevention of pressure ulcers while participants of the control group received standard education. RESULTS: Results indicated that participants in the intervention group gained more knowledge during hospitalization than did those in the control group. Lower admission knowledge scores were related to the "chance" dimension of locus of control, nonbelief that an ulcer would interfere "a lot" in one's life, and nonbelief that daily skin checks make "a lot" of difference in whether one gets an ulcer. Lower discharge knowledge scores were related to older age, older age at onset, a greater number of previous pressure ulcer surgeries, and nonbelief that daily skin checks make "a lot" of difference in whether one gets an ulcer. Both groups retained most of their discharge knowledge up to 24 months postdischarge or to discontinuation because of recurrence. CONCLUSIONS: Enhanced, individualized education about pressure ulcer prevention and management was effective in improving pressure ulcer knowledge during hospitalization for surgical repair of a pressure ulcer. The effect of the intervention on recurrence of pressure ulcers will be addressed in future reports.
Authors: Anthony Gélis; Arnaud Dupeyron; Jean Pierre Daures; David Goossens; Dominique Gault; Jean Paul Pedelucq; Michel Enjalbert; Eric Maupas; Paul Kennedy; Charles Fattal Journal: Spinal Cord Date: 2018-06-12 Impact factor: 2.772
Authors: M Arora; L A Harvey; J V Glinsky; H S Chhabra; S Hossain; N Arumugam; P K Bedi; L Lavrencic; A J Hayes; I D Cameron Journal: Spinal Cord Date: 2016-12-20 Impact factor: 2.772
Authors: Mike Carlson; Cheryl L P Vigen; Salah Rubayi; Erna Imperatore Blanche; Jeanine Blanchard; Michal Atkins; Barbara Bates-Jensen; Susan L Garber; Elizabeth A Pyatak; Jesus Diaz; Lucia I Florindez; Joel W Hay; Trudy Mallinson; Jennifer B Unger; Stanley Paul Azen; Michael Scott; Alison Cogan; Florence Clark Journal: J Spinal Cord Med Date: 2017-04-17 Impact factor: 1.985
Authors: Mary Ann Regan; Robert W Teasell; Dalton L Wolfe; David Keast; William B Mortenson; Jo-Anne L Aubut Journal: Arch Phys Med Rehabil Date: 2009-02 Impact factor: 3.966
Authors: Amanda McIntyre; Stephanie L Marrocco; Samantha A McRae; Lindsay Sleeth; Sander Hitzig; Susan Jaglal; Gary Linassi; Sarah Munce; Dalton L Wolfe Journal: Top Spinal Cord Inj Rehabil Date: 2020
Authors: Florence Clark; Elizabeth A Pyatak; Mike Carlson; Erna Imperatore Blanche; Cheryl Vigen; Joel Hay; Trudy Mallinson; Jeanine Blanchard; Jennifer B Unger; Susan L Garber; Jesus Diaz; Lucia I Florindez; Michal Atkins; Salah Rubayi; Stanley Paul Azen Journal: Clin Trials Date: 2014-02-26 Impact factor: 2.486
Authors: Marylou Guihan; Susan L Garber; Charles H Bombardier; Barry Goldstein; Sally A Holmes; Lishan Cao Journal: J Spinal Cord Med Date: 2008 Impact factor: 1.985