Teaching Wound Care to Family Caregivers

Kirkland-Kyhn, Holly; Generao, Stephanie Anne; Teleten, Oleg; Young, Heather M.

doi:10.1097/01.naj.0000530941.11737.1c

Cited by 13 publications

(15 citation statements)

References 18 publications

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“…In the present study, ICGs with an education level lower than high school were significantly more likely to have a low level of T2D-related knowledge compared with ICGs with other educational levels; thus, priority should be given to these ICGs when designing interventions in the community. This supports recent studies by Kirkland et al [ 28 ] and Silva et al [ 29 ], where people with higher levels of education are more receptive to health education campaigns. In addition, higher education can also lead to more accurate health beliefs and knowledge, and thus lead to better lifestyle choices, better skills as well as greater self-advocacy.…”

Section: Discussionsupporting

confidence: 91%

“…Spouse caregivers are particularly vulnerable, often because of older age, low education, lower income and social isolation [ 17 ]. Access to systematic and easy-to-follow training is therefore crucial for the well-being of ICGs and the effectiveness of the care they are providing [ 18 ]. In our study, the majority of ICGs reported a lack of knowledge on caregiving activities.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Perceived knowledge on type-2 diabetes of informal caregivers in rural communities of Thai Binh, Vietnam: Implications for health education

Nguyen

Bygbjerg

Meyrowitsch

et al. 2021

Public Health in Practice

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Perceived knowledge on type-2 diabetes of informal caregivers in rural communities of Thai Binh, Vietnam: Implications for health education

Nguyen

Bygbjerg

Meyrowitsch

et al. 2021

Public Health in Practice

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“…When patients are discharged from hospital to home, there are expectations for family members, when possible, to be caregivers. Therefore, both patients and family caregivers need education about changing wound dressings to optimize their skills, recognize abnormal conditions, and alleviate fear (Kirkland‐Kyn et al, ).…”

Section: Introductionmentioning

confidence: 99%

The impact of an mHealth app on knowledge, skills and anxiety about dressing changes: A randomized controlled trial

Chang

Hou

Yeh

et al. 2019

Journal of Advanced Nursing

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Aims To evaluate the effectiveness of a mobile health (mHealth) application, based on self‐regulation theory, on patients’ knowledge of wound care, skills in changing dressings and anxiety. Design A prospective randomized controlled trial. Methods Seventy patients (or family members) at a 1,500‐bed university hospital in Taiwan were randomized into an experimental (N = 35) or control group (N = 35) from March to December 2016. The experimental group used a mHealth application for wound care; the control group received verbal instructions and a booklet. Instruments to collect data were a wound care knowledge scale, wound care skills scale, State‐Trait Anxiety Inventory, and a digital heart variability device. Data were collected at baseline, after three additional demonstrations and before discharge. The generalized estimating equation was used for statistical analysis. Results The experimental group showed significantly higher levels of wound care knowledge, improved wound care skills, lower levels of state anxiety, and lower heart rate variability than the control group after baseline data collection. Conclusions Results support hat a mHealth application may be effective in health education. Clinicians can use the results to promote patients’ wound care knowledge, enhance their wound care skills, and reduce anxiety related to dressing changes. Impact Lack of wound care knowledge and skills can affect the willingness and ability to perform effective wound dressing changes, producing anxiety and having an impact on a patient's self‐care after hospital discharge. mHealth applications (apps) have the potential to deliver health information in targeted and tailored ways that strengthen the self‐management of diseases. mHealth app can increase wound care knowledge, improve care skills, and reduce anxiety related to wound care. mHealth app effectively supports self‐monitoring of the wound healing process, self‐judgement of the wound condition, and self‐reaction of wound care accuracy. mHealth app provides step‐by‐step visual tutorials on wound care that allow patients and family caregivers to take pictures of the wounds and monitor the wound healing process. mHealth app for wound care knowledge is an effective and individualized method for learning. Clinical Trial: This study was registered by U.S. National Library of Medicine, ClinicalTrials.gov (ID: NCT03683303).

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“…The social support offered by ICGs also creates a feeling of acceptance and high level life satisfaction among persons with diabetes-related foot problems [ 25 ]. However, it has been identified that majority of ICG fear making mistakes and found tasks such as wound dressing to be emotionally challenging and indicated that they needed training to be effective at home [ 26 ]. Despite some of the known evidence of the active role ICGs can play in DFU care, a systematic review indicated that from 1995 to 2013, only 1% of publications in the literature mentioned ICGs as members of the wound care team [ 27 ].…”

Section: Introductionmentioning

confidence: 99%

Prevention and Management of Diabetes-Related Foot Ulcers through Informal Caregiver Involvement: A Systematic Review

Suglo

Winkley

Sturt

2022

Journal of Diabetes Research

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Background. The literature remains unclear whether involving informal caregivers in diabetes self-care could lead to improved diabetic foot outcomes for persons at risk and/or with foot ulcer. In this review, we synthesized evidence of the impact of interventions involving informal caregivers in the prevention and/or management of diabetes-related foot ulcers. Methods. A systematic review based on PRISMA, and Synthesis Without Meta-analysis (SWiM) guidelines was conducted. MEDLINE (Ovid), Embase (Ovid), PsycINFO, CINAHL, and Cochrane Central Register of Controlled Trial of the Cochrane Library databases were searched from inception to February 2021. The following MESH terms were used: diabetic foot, foot ulcer, foot disease, diabetes mellitus, caregiver, family caregiver ,and family. Experimental studies involving persons with diabetes, with or at risk of foot ulcers and their caregivers were included. Data were extracted from included studies and narrative synthesis of findings undertaken. Results. Following the search of databases, 9275 articles were screened and 10 met the inclusion criteria. Studies were RCTs ( n = 5 ), non-RCTs ( n = 1 ), and prepoststudies ( n = 4 ). Informal caregivers through the intervention programmes were engaged in diverse roles that resulted in improved foot ulcer prevention and/or management outcomes such as improved foot care behaviors, increased diabetes knowledge, decreased HbA1c (mmol/mol or %), improved wound healing, and decreased limb amputations rates. Engaging both caregivers and the person with diabetes in education and hands-on skills training on wound care and foot checks were distinctive characteristics of interventions that consistently produced improved foot self-care behavior and clinically significant improvement in wound healing. Conclusion. Informal caregivers play diverse and significant roles that seem to strengthen interventions and resulted in improved diabetes-related foot ulcer prevention and/or management outcomes. However, there are multiple intervention types and delivery strategies, and these may need to be considered by researchers and practitioners when planning programs for diabetes-related foot ulcers.

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Teaching Wound Care to Family Caregivers

Cited by 13 publications

References 18 publications

Perceived knowledge on type-2 diabetes of informal caregivers in rural communities of Thai Binh, Vietnam: Implications for health education

Perceived knowledge on type-2 diabetes of informal caregivers in rural communities of Thai Binh, Vietnam: Implications for health education

The impact of an mHealth app on knowledge, skills and anxiety about dressing changes: A randomized controlled trial

Prevention and Management of Diabetes-Related Foot Ulcers through Informal Caregiver Involvement: A Systematic Review

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