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家庭照顾者对脑血管和脊髓疾病患者压力性溃疡预防装置及设备的认知

Family caregivers' perception of pressure ulcer prevention devices and equipment for patients with cerebrovascular and spinal disease.

作者信息

Choi Hyein, Tak Sunghee H

机构信息

College of Nursing, Seoul National University, Seoul, Republic of Korea.

College of Nursing, Seoul National University, Seoul, Republic of Korea; Research Institute of Nursing Sciences, College of Nursing, Seoul National University, Seoul, Republic of Korea.

出版信息

Appl Nurs Res. 2025 Feb;81:151893. doi: 10.1016/j.apnr.2024.151893. Epub 2024 Dec 10.

Abstract

BACKGROUND

Family caregivers play a crucial role in preventing pressure ulcers in patients with cerebrovascular and spinal diseases. Despite the availability of advanced devices, including Internet of Things(IoT) based smart mattresses, the adoption and effectiveness of these technologies are influenced by caregivers' experiences and perceptions.

OBJECTIVE

To investigate the experiences and perceptions of family caregivers regarding pressure ulcer prevention devices and equipment, with a focus on the factors influencing the intention to adopt IoT-based smart mattresses.

DESIGN

A cross-sectional survey study.

SETTING(S) AND PARTICIPANTS: 159 family caregivers of patients with cerebrovascular and spinal diseases, who had experiences with pressure ulcer prevention devices.

METHODS

Data for this study were collected through survey questionnaires. Descriptive statistics, frequency analysis and multiple regression analysis were conducted.

RESULTS

Caregivers reported using an average of 1.69 types of pressure ulcer prevention equipment, with cushions (37.7 %) and mattresses (44.0 %) being the most commonly used. Ease of use and comfort were identified as key factors contributing to their satisfaction. The multiple regression model (R = 0.54, p < .001) revealed that ease of use (p < .01), perceived usefulness (p < .01), and perceived necessity (p < .01) were significant predictors of participants' intention to adopt smart mattresses. In addition, the number of digital devices owned by caregivers was positively associated with the intention to adopt smart mattress (p < .001).

CONCLUSIONS

The findings of this study show the importance of usability and digital inclusion in the adoption of smart health technologies by caregivers. A user-centered approach to device development is recommended to better meet the practical needs of family caregivers.

摘要

背景

家庭护理人员在预防脑血管和脊髓疾病患者发生压疮方面发挥着关键作用。尽管有包括基于物联网(IoT)的智能床垫在内的先进设备,但这些技术的采用情况和有效性受到护理人员经验和认知的影响。

目的

调查家庭护理人员对压疮预防设备和器材的经验及认知,重点关注影响采用基于物联网的智能床垫意愿的因素。

设计

一项横断面调查研究。

地点和参与者

159名有压疮预防设备使用经验的脑血管和脊髓疾病患者的家庭护理人员。

方法

本研究数据通过调查问卷收集。进行了描述性统计、频率分析和多元回归分析。

结果

护理人员报告平均使用1.69种压疮预防设备,其中坐垫(37.7%)和床垫(44.0%)是最常用的。易用性和舒适度被确定为影响他们满意度的关键因素。多元回归模型(R = 0.54,p <.001)显示,易用性(p <.01)、感知有用性(p <.01)和感知必要性(p <.01)是参与者采用智能床垫意愿的显著预测因素。此外,护理人员拥有的数字设备数量与采用智能床垫的意愿呈正相关(p <.001)。

结论

本研究结果表明了可用性和数字包容性在护理人员采用智能健康技术方面的重要性。建议采用以用户为中心的设备开发方法,以更好地满足家庭护理人员的实际需求。

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