Pressure ulcer knowledge, beliefs and practices in a group of South Africans with spinal cord injury

Spinal Cord Series and Cases, 2019 · DOI: https://doi.org/10.1038/s41394-019-0226-4 · Published: September 8, 2019

Spinal Cord Injury Rehabilitation Dermatology

Simple Explanation

Pressure ulcers are a common and serious complication after spinal cord injuries. They can negatively affect a person's life and health. This study looks at what people with spinal cord injuries in South Africa know, believe, and do to prevent these ulcers. The study found that many participants lacked knowledge about pressure ulcers and their prevention. This lack of knowledge may lead to poor practices in preventing pressure ulcers. The study suggests a need for better training programs about pressure ulcer prevention for people with spinal cord injuries in South Africa, tailored to their specific needs and circumstances.

Study Duration

April and March 2015

Participants

71 (inpatients, outpatients and peer supporters)

Evidence Level

Cross-sectional survey

Key Findings

1
The mean combined knowledge score about pressure ulcers was 42.7%, indicating a significant knowledge deficit among participants.
2
While most participants believed pressure ulcers to be serious, only 60.6% believed they could prevent them, and adherence to recommended practices like regular pressure relief was low (49%).
3
Higher knowledge scores correlated positively with better adherence to pressure relief practices, highlighting the importance of education in promoting preventive behaviors.

Research Summary

This study investigated the knowledge, beliefs, and practices related to pressure ulcers among South Africans with spinal cord injuries. It revealed significant gaps in knowledge and adherence to preventive practices. Participants generally perceived pressure ulcers as serious but lacked a comprehensive understanding of prevention strategies and the link between general health and skin health. The findings underscore the need for targeted educational programs and interventions to improve pressure ulcer prevention among individuals with spinal cord injuries in similar resource-constrained settings.

Practical Implications

Improvement of Rehabilitation Programs

The study suggests the implementation of structured PU-prevention programs within SCI rehabilitation settings.

Peer Supporter Training

Regular refresher courses for peer supporters are recommended to enhance their knowledge and ability to educate others.

Use of Technology

Explore the use of mobile phones to help with timing issues to ensure proper and effective weight shifts.

Study Limitations

1
Generalizing results to other clients and settings requires caution due to non-systematic sampling.
2
The instrument used for data collection was not tested for reliability and criterion validity.
3
The study may be subject to underreporting of previous pressure ulcers due to knowledge deficits.

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