A cross-sectional study on self-management of pressure ulcer prevention in paraplegic patients

Laat, H.E.W. de; Munter, Anne C de; Burg, M.J. van der; Ulrich, Dietmar; Kloeters, Oliver

doi:10.1016/j.jtv.2016.08.002

Cited by 12 publications

(3 citation statements)

References 43 publications

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“…It is concerning that more than 90% of our sample have Level 1 PAM scores. Our results are similar to those reported in a study from Nepal, which showed that 81.5% of the sample were at patient activation Level 1 ( 27 , 28 ). The lack of patient activation education programs in the Yi minority language could be an important reason for this finding.…”

Section: Discussionsupporting

confidence: 91%

Status and factors associated with patient activation and its relationship with HIV clinic outcomes among Yi minority people living with HIV in Liangshan, China: a cross-sectional study

An,

Tang,

Xiao

et al. 2023

Front. Public Health

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IntroductionPatient activation is determined by an individual’s knowledge, skills and confidence in managing his/her health. It is vital for people living with HIV (PLWH) to enhance their self-management skills and health outcomes, especially those from low- and middle-income regions, since they are at higher risk of worse health outcomes. However, literature from those regions is limited, especially in China.ObjectivesThis study aimed to explore the status and factors associated with patient activation among Yi minority PLWH in Liangshan, China and to determine whether patient activation is associated with HIV clinic outcomes.MethodsThis cross-sectional study included 403 Yi minority people living with HIV in Liangshan between September and October 2021. All participants completed an anonymous survey measuring sociodemographic characteristics, HIV-related information, patient activation and illness perception. Multivariate linear regression and multivariate binary logistic regression were used to explore factors associated with patient activation and the association between patient activation and HIV outcomes, respectively.ResultsThe Patient Activation Measure (PAM) score was low (mean = 29.8, standard deviation = 4.1). Participants with negative illness perception, low income, and self-rated antiretroviral therapy (ART) effect based on self-perception were most likely to have a lower PAM score (β = −0.3, −0.2, −0.1, respectively; all p < 0.05); those with having disease knowledge learning experiences and an HIV-positive spouse were more likely to have a higher PAM score (β = 0.2, 0.2, respectively; both p < 0.001). A higher PAM score (AOR=1.08, 95% CI: 1.02, 1.14) was associated with viral suppression, mediated by gender (AOR=2.25, 95% CI: 1.38, 3.69).ConclusionLow patient activation level among Yi minority PLWH impacts HIV care. Our findings indicate patient activation is associated with viral suppression for minority PLWH in low- and middle-income settings, suggesting that tailored interventions enhancing patient activation may improve viral suppression.

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Section: Discussionsupporting

confidence: 91%

Status and factors associated with patient activation and its relationship with HIV clinic outcomes among Yi minority people living with HIV in Liangshan, China: a cross-sectional study

An,

Tang,

Xiao

et al. 2023

Front. Public Health

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“…This discrepancy could potentially be elucidated by the superior provision of nursing care specifically tailored for the most susceptible groups of individuals residing in long-term care facilities, particularly those who are immobilized. The research conducted by de Laat et al presented evidence indicating that a previous history of PUs does not correlate with future responsible or compliant behavior in terms of health management among paraplegic patients 30 . Furthermore, the advantageous elements of interventions aimed at self-management support have demonstrated their efficacy, thereby providing valuable implications for healthcare professionals in terms of guiding their support for individuals at risk of PUs 31 .…”

Section: Discussionmentioning

confidence: 98%

The prevalence and risk factors of pressure ulcers among residents of long-term care institutions: a case study of Kazakhstan

Zhetmekova,

Kassym,

Kussainova

et al. 2024

Sci Rep

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Limited information is available regarding the prevalence of pressure ulcers (PUs) in residential homes in Central Asia. Therefore, the aim of this study was to identify the prevalence rates and risk factors associated with PUs among residents of long-term care medical institutions in the Republic of Kazakhstan. This cross-sectional study was conducted in four long-term care institutions in Kazakhstan. The study sample consisted of 640 patients who were assessed for the presence of PUs and associated risk factors. The evaluation was performed using the International Prevalence Measurement of Care Quality (Landelijke Prevalentiemeting Zorgkwaliteit, LPZ), the Braden scale, and the Care Dependency Score (CDS). The overall prevalence of PUs, classified as categories I–IV, was found to be 37%. When excluding category I PUs, the prevalence decreased to 35.6%. The odds ratios (ORs) for presenting with PUs were as follows: history of stroke (OR 5.22), diseases of the digestive system (OR 10.01), presence of spinal cord lesions/paraplegia (OR 20.50), recent reported confusion within the last 7 days (OR 184.00), and limited extent dependency according to the CDS (OR 4.44; 95%CI 1.31–16.1). It is imperative to establish specialized training programs aimed at equipping medical personnel, relatives, and patients themselves with the necessary skills to provide optimal care for individuals affected by PUs.

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“…This finding seems to be in contrast to the extensive efforts by health care professionals to instruct patients how to prevent new pressure ulcers and by patients to incorporate these recommendations in their normal life by self-management programs. In a former study [35] we found that the vast majority of spinal cord injury patients do agree that the responsibility for the management of their own health conditions lies within themselves. However, there is a gap between the intended and actual behavior to prevent pressure ulcers.…”

Section: Tablementioning

confidence: 95%

Surgical reconstruction of pressure ulcers in spinal cord injury individuals: A single- or two-stage approach?

Braafhart

Laat

Wagner

et al. 2020

Journal of Tissue Viability

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A cross-sectional study on self-management of pressure ulcer prevention in paraplegic patients

Cited by 12 publications

References 43 publications

Status and factors associated with patient activation and its relationship with HIV clinic outcomes among Yi minority people living with HIV in Liangshan, China: a cross-sectional study

Status and factors associated with patient activation and its relationship with HIV clinic outcomes among Yi minority people living with HIV in Liangshan, China: a cross-sectional study

The prevalence and risk factors of pressure ulcers among residents of long-term care institutions: a case study of Kazakhstan

Surgical reconstruction of pressure ulcers in spinal cord injury individuals: A single- or two-stage approach?

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