Shirai Takami, Bulandres Priscilla, Choi Jee-Ae, D'Ortenzio David, Moon Nathan, Musselman Kristin, Gabison Sharon
Department of Physical Therapy, University of Toronto, Toronto, Canada.
Toronto Rehabilitation Institute, KITE, Toronto, Canada.
Disabil Rehabil. 2022 Feb;44(3):468-477. doi: 10.1080/09638288.2020.1771780. Epub 2020 Jun 4.
As many as 30-60% of individuals living with spinal cord injury/disease (SCI/D) experience at least one pressure injury (PI) in their lifetime. Best practice guidelines in SCI/D rehabilitation emphasize the importance of providing education regarding PI prevention and management for individuals living with SCI/D. Mobile educational applications can be used for PI education however there is limited research on the user-experiences of mobile educational applications about PIs for individuals living with SCI/D.
The purpose of this study was to explore the experiences of individuals living with SCI/D on the use of Pressure Ulcer Target (PUT), a mobile educational app for PI prevention and management.
METHODS/OVERVIEW: Nine participants living with SCI/D used PUT over two weeks. Individual semi-structured interviews were conducted to explore the participants' perceptions regarding the utility, aesthetics and ease of use of PUT and suggested modifications. A conventional content analysis was used to identify themes and categories from the data.
User-experiences with PUT fell into four themes: (1) Strengths and weakness; (2) Target population; (3) Key concepts and messages; and (4) Recommendations for improvement.
PUT serves as a review of previously acquired PI knowledge and should be introduced early in rehabilitation to motivate users to prevent PIs. Future studies exploring healthcare professionals' perspectives of PUT are warranted.Implications for rehabilitationPUT aids individuals living with SCI/D in the community to review PI prevention and management strategies that they learned as inpatients.The use of pictures to deliver patient education regarding PI prevention and management through a mHealth app is recommended.PUT should be introduced early in rehabilitation to motivate users to prevent PIs.
多达30%-60%的脊髓损伤/疾病（SCI/D）患者一生中至少经历过一次压疮（PI）。SCI/D康复的最佳实践指南强调了为SCI/D患者提供有关PI预防和管理教育的重要性。移动教育应用程序可用于PI教育，然而，关于针对SCI/D患者的PI移动教育应用程序的用户体验的研究有限。
本研究的目的是探讨SCI/D患者使用用于PI预防和管理的移动教育应用程序“压疮目标”（PUT）的体验。
方法/概述：9名SCI/D患者在两周内使用PUT。进行了个人半结构化访谈，以探讨参与者对PUT的实用性、美观性和易用性的看法以及建议的改进。采用传统内容分析法从数据中识别主题和类别。
对PUT的用户体验分为四个主题：（1）优点和缺点；（2）目标人群；（3）关键概念和信息；（4）改进建议。
PUT可作为对先前获得的PI知识的回顾，应在康复早期引入，以激励用户预防PI。有必要开展未来研究，探索医疗保健专业人员对PUT的看法。
对康复的启示
PUT有助于社区中的SCI/D患者回顾他们作为住院患者学到的PI预防和管理策略。
建议通过移动健康应用程序使用图片进行有关PI预防和管理的患者教育。
PUT应在康复早期引入，以激励用户预防PI。
