Pressure ulcers among community-dwelling bedridden patients, including elevated risk of pressure ulcer development and limited caregiver competence in pressure ulcer prevention and care Community care
Conditions
Interventions
Participants in the standard care group received standard ward nursing care, including turning every 2 hours, skin inspection , and use of standard mattresses and so on,Participants assigned to the co
(2) a WeChat support group for theoretical guidance and timely communication
(3) risk-tailored follow-up based on Braden scores, high risk weekly, moderate risk biweekly, low risk every four weeks, delivered via WeChat, phone, or home visits by supervised medical student volun
(4) individualized adjustments to address barriers such as low nighttime repositioning adherence or limited access to pressure-relieving equipment.
Standard Care Group,Multi-component pressure ulcers prevention intervention
standard community based prevention care
Sponsors
Youjiang Medical University for Nationalities
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1.aged 18 years or older; 2. long-term bedridden status, defined as continuous bed rest for at least 3 months and spending more than 8 hours per day in bed or using a wheelchair; 3.no PUs at baseline; 4.residence in a community within Baise City; and 5.provision of written informed consent by the patient or their legally authorized representative.
Exclusion criteria
Exclusion criteria: 1. inability or unwillingness of patients or family members to cooperate with home-based PUs prevention education; 2.medical contraindications to repositioning; 3.receipt of palliative care; 4. severe cognitive impairment precluding informed consent or participation in study procedures; 5.transfer from the community to hospital care due to acute illness or critical conditions during the study period.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pressure ulcers incidence 30 days after the intervention was completed European Pressure Ulcer Advisory Panel (classification system | — |
Secondary
| Measure | Time frame |
|---|---|
| Pressure ulcers risk 30 days after the intervention was completed Braden Scale,Caregiver knowledge pressure ulcersregarding prevention 30 days after the intervention was completed Chinese version of the Knowledge Assessment Instrument for Pressure Ulcer Preventio,Caregiving ability 30 days after the intervention was completed Chinese version of the Caregiver Task Inventory | — |
Countries
China
Contacts
Public ContactSamoraphop Banharak
Please provide to Khon Kaen University, Thailand
Outcome results
None listed