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

Abstract

The purpose of this study was to determine caregivers’ knowledge, attitude, and practice (KAP) on the prevention and care of pressure injuries (PIs) in individuals with spinal cord injury. A quantitative cross-sectional study with descriptive correlation design was used to implement a modified semistructured questionnaire using a convenient sampling method. McDonald’s standard of learning outcome measurement criteria was used to categorize caregivers’ KAP. A Pearson product-moment correlation coefficient (r) was utilized to assess the relationships between caregivers’ KAP, with a p value of 0.05 or less considered statistically significant. The study findings indicate that caregivers had a moderate level of knowledge (M = 73.68%, SD = 6.43), a neutral attitude (M = 70.32%, SD = 6.89), and a moderate level of practice (M = 74.77%, SD = 9.08). A positive correlation existed between caregivers’ knowledge and attitude (r = 0.30, p < 0.01 ), as well as between knowledge and practice (r = 0.37, p < 0.01 ). Nevertheless, there was no correlation between attitude and practice (r = 0.12, p > 0.05 ). The study findings suggest that caregivers need to develop a positive attitude and expand their knowledge in order to improve their practice. The KAP factors that require higher priority were positioning and turning the patient, preventing skin breakdown, assessing weight changes over time, interest in patient care, additional care for PIs, frequently changing the individual’s position, priority to PI care, interest in other types of care other than PIs, using special cushions, consulting doctors on a regular basis, being aware of clothing and fabrics, proper transfer technique, pressure relief, and skin inspection, among others.

Knowledge regarding Basic Life Support among Health Care Workers of the Hospital of Nepal

“…A descriptive study design was used on the healthcare workers of the hospital. Te sample size was calculated by using the z 2 pq/L 2 formula where z = tabulated value in the 95% level of signifcance (1.96), p = prevalence rate = 52%, q = 1 − p = 1-52/ 100 = 0.48, L = allowable error = 10% = 10/100 = 0.1 the sample size found to be was 96 [11][12][13]. Te study used a technique called purposive sampling.…”

A systematic review of caregivers' knowledge and related factors towards pressure ulcer prevention

“…As mentioned in Table 1, 927 caregivers participated in eight studies 14,18,22‐27 . The average age of the participants was 40.50 (SD = 12.67).…”

“…As shown in Table 1, factors such as level of education, 22,23,25 age, 18,23 occupation, 23 informed about PUs, 14 attitude, 27 and practice 27 have a significant positive relationship with caregivers' knowledge related to the prevention of PUs. Knowledge had a significant negative relationship with age 22,24 .…”

“…According to the findings of a study conducted in Egypt, caregivers do not have a sufficient level of knowledge on the prevention of PU 23 . However, the findings of a study conducted in Bangladesh indicated that caregivers' knowledge of PU prevention is at an acceptable level 27 …”

“…Following a careful examination of the full texts of the publications, 22 studies were disregarded because of insufficient techniques or results, and 18 studies were disregarded because of a lack of data. Eight studies 14,18,[22][23][24][25][26][27] were ultimately included in this systematic review.…”