The Effect of Self-Efficacy Promoting Program on Perceived Self-Efficacy and Behaviors in Prevention of Pressure Injury among Caregivers, and Incidence of Pressure Injury in Dependent Patients

Authors

  • Norwatee Mayi Faculty of Nursing, Princess of Naradhiwas University, Thailand
  • Ratjai Vachprasit Faculty of Nursing, Prince of Songkla University, Thailand
  • Wipa Sae-Sia Faculty of Nursing, Prince of Songkla University, Thailand

Keywords:

Self-efficacy, Behavior, Pressure injury, Caregiver, Dependent patient

Abstract

Introduction: Pressure injury (PI) is a major complication found among dependent patients. Caregivers play a pivotal role in preventing PI among these patients. Research objective: To examine the effect of a self-efficacy promoting program on perceived self-efficacy and behaviors in prevention of PI among caregivers and incidence of PI in dependent patients. Research methodology: This study used a two-group quasi-experimental repeated-measure design and it was conducted among caregivers and dependent patients admitted in one tertiary care hospital, southern region of Thailand. The first 25 dependent patients and their caregivers were assigned to a control group and received usual care. The latter 25 dependent patients and their caregivers were assigned to an experimental group and received self-efficacy promoting program combined with usual care. Instruments used for data collection consisted of a Perceived Self-Efficacy to Prevent PI in Dependent Patients (PSEPPI-DPT) Questionnaire, a Behavior to Prevent PI in Dependent Patients (BPPI-DPT) Questionnaire, and a Skin Assessment Tool. The program and all instruments were tested for content validity by three experts, yielding a content validity index of .85 to 1.0. Reliability of the PSEPPI-DPT Questionnaire and the BPPI-DPT Questionnaire for oral feeding and nasogastric tube feeding yielded a Cronbach alpha coefficient of .76 to .95. Reliability of the skin assessment tool yielded inter-rater reliability of .80. Data were analyzed using descriptive statistic, Chi-square, Fisher’s exact test, independent t-test, one-way repeated measures ANOVA, and two-way repeated measures ANOVA. Results: Mean scores of perceived self-efficacy and behaviors of PI prevention among caregivers in the experimental group after day 3 during hospitalization and day 7 after discharge from a hospital were significantly higher than those at baseline (F1.23, 29.58=105.27, p<.001; and F1.11,26.55=112.72, p<.001, respectively). Mean scores of perceived self-efficacy and behaviors of PI prevention among caregivers after day 3 during hospitalization and day 7 after discharge from a hospital in the experimental group were significantly different from those of the control group (F1,48=24.56, p< .001; and F1,48 = 14.54, p< .001, respectively). Patients in the experimental group had less PI incidence on day 3 and day 7 after discharge from a hospital than that of the control group. However, there was no significant difference of this incidence between the groups (p=.05, and p=.05, respectively) Conclusion: The self-efficacy promoting program can promote self-efficacy and PI prevention behaviors among caregivers who care for dependent patients during transitional phase from hospital to home. Implications: Nurses are suggested to promote caregiver’s self-efficacy and behaviors of PI prevention among dependent patients to decrease PI incidence.

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References

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Published

2021-10-28

How to Cite

1.
Mayi N, Vachprasit R, Sae-Sia W. The Effect of Self-Efficacy Promoting Program on Perceived Self-Efficacy and Behaviors in Prevention of Pressure Injury among Caregivers, and Incidence of Pressure Injury in Dependent Patients. JHNR [Internet]. 2021 Oct. 28 [cited 2022 Dec. 4];37(3):89-104. Available from: https://he01.tci-thaijo.org/index.php/bcnbangkok/article/view/248333

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Research articles