Knowledge, attitude and practice of family caregivers on pressure injury prevention for community-dwelling older adults: a cross-sectional study in an Indonesia City

Abstract Background Older adults in Indonesia are mostly living at home with their families. Informal care provided by family caregivers is essential to prevent older adults from getting pressure injuries (PIs). The objectives of this study were to examine the knowledge, attitude and practice of fam...

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Main Authors: Sheizi Prista Sari, Irma H. J. Everink, Christa Lohrmann, Yufitriana Amir, Eka Afrima Sari, Ruud J. G. Halfens, Jos M. G. A. Schols
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Nursing
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Online Access:https://doi.org/10.1186/s12912-024-02662-w
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author Sheizi Prista Sari
Irma H. J. Everink
Christa Lohrmann
Yufitriana Amir
Eka Afrima Sari
Ruud J. G. Halfens
Jos M. G. A. Schols
author_facet Sheizi Prista Sari
Irma H. J. Everink
Christa Lohrmann
Yufitriana Amir
Eka Afrima Sari
Ruud J. G. Halfens
Jos M. G. A. Schols
author_sort Sheizi Prista Sari
collection DOAJ
description Abstract Background Older adults in Indonesia are mostly living at home with their families. Informal care provided by family caregivers is essential to prevent older adults from getting pressure injuries (PIs). The objectives of this study were to examine the knowledge, attitude and practice of family caregivers regarding PI prevention among community-dwelling older adults in Indonesia. Methods A cross-sectional survey was conducted involving 267 family caregivers randomly selected from a population list provided by municipalities in Bandung, West Java, Indonesia. The study utilized the paper-based Knowledge, Attitude, and Practice on Pressure Injury (KAP-PI) questionnaire. Descriptive analyses (i.e. percentage, mean and standard deviation) were used to present participants’ scores in each domain based on their characteristics or categories and scores in every single item of questions or statements. Bivariate comparison analyses were conducted using independent t-test or ANOVA test to compare scores and a Chi-square was run to check correlations between knowledge, attitude and practice domains. Results This study show that more than half of the participants (61.0%) had insufficient knowledge about PI prevention, but nearly all participants (94.4%) had a positive attitude toward PI prevention for their older relatives. Still, 41.2% of the participants had inadequate practice on PI prevention. A correlation analysis revealed that having sufficient knowledge and a positive attitude towards PI prevention were positively correlated with practice (p < .05). Conclusion This study highlights a significant gap in family caregivers’ knowledge and practice regarding pressure injury (PI) prevention, despite their generally positive attitudes toward the care of older relatives. The findings are the initial diagnosis to guide educational strategies. Research should be performed to explore effective educational materials and an education program and also the necessary professional support to strengthen family caregivers’ role in PI prevention.
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spelling doaj-art-271c8003679745b58bf3c13109dc23012025-01-12T12:13:54ZengBMCBMC Nursing1472-69552025-01-0124111010.1186/s12912-024-02662-wKnowledge, attitude and practice of family caregivers on pressure injury prevention for community-dwelling older adults: a cross-sectional study in an Indonesia CitySheizi Prista Sari0Irma H. J. Everink1Christa Lohrmann2Yufitriana Amir3Eka Afrima Sari4Ruud J. G. Halfens5Jos M. G. A. Schols6Faculty of Nursing, Universitas PadjadjaranDepartment of Health Services Research, Care and Public Health Research Institute (CAPHRI), Maastricht UniversityDepartment of Nursing Science, Medical University of GrazFaculty of Nursing, Universitas RiauFaculty of Nursing, Universitas PadjadjaranDepartment of Health Services Research, Care and Public Health Research Institute (CAPHRI), Maastricht UniversityDepartment of Health Services Research, Care and Public Health Research Institute (CAPHRI), Maastricht UniversityAbstract Background Older adults in Indonesia are mostly living at home with their families. Informal care provided by family caregivers is essential to prevent older adults from getting pressure injuries (PIs). The objectives of this study were to examine the knowledge, attitude and practice of family caregivers regarding PI prevention among community-dwelling older adults in Indonesia. Methods A cross-sectional survey was conducted involving 267 family caregivers randomly selected from a population list provided by municipalities in Bandung, West Java, Indonesia. The study utilized the paper-based Knowledge, Attitude, and Practice on Pressure Injury (KAP-PI) questionnaire. Descriptive analyses (i.e. percentage, mean and standard deviation) were used to present participants’ scores in each domain based on their characteristics or categories and scores in every single item of questions or statements. Bivariate comparison analyses were conducted using independent t-test or ANOVA test to compare scores and a Chi-square was run to check correlations between knowledge, attitude and practice domains. Results This study show that more than half of the participants (61.0%) had insufficient knowledge about PI prevention, but nearly all participants (94.4%) had a positive attitude toward PI prevention for their older relatives. Still, 41.2% of the participants had inadequate practice on PI prevention. A correlation analysis revealed that having sufficient knowledge and a positive attitude towards PI prevention were positively correlated with practice (p < .05). Conclusion This study highlights a significant gap in family caregivers’ knowledge and practice regarding pressure injury (PI) prevention, despite their generally positive attitudes toward the care of older relatives. The findings are the initial diagnosis to guide educational strategies. Research should be performed to explore effective educational materials and an education program and also the necessary professional support to strengthen family caregivers’ role in PI prevention.https://doi.org/10.1186/s12912-024-02662-wKnowledgeAttitudePracticeFamily caregiversPressure InjuryPrevention
spellingShingle Sheizi Prista Sari
Irma H. J. Everink
Christa Lohrmann
Yufitriana Amir
Eka Afrima Sari
Ruud J. G. Halfens
Jos M. G. A. Schols
Knowledge, attitude and practice of family caregivers on pressure injury prevention for community-dwelling older adults: a cross-sectional study in an Indonesia City
BMC Nursing
Knowledge
Attitude
Practice
Family caregivers
Pressure Injury
Prevention
title Knowledge, attitude and practice of family caregivers on pressure injury prevention for community-dwelling older adults: a cross-sectional study in an Indonesia City
title_full Knowledge, attitude and practice of family caregivers on pressure injury prevention for community-dwelling older adults: a cross-sectional study in an Indonesia City
title_fullStr Knowledge, attitude and practice of family caregivers on pressure injury prevention for community-dwelling older adults: a cross-sectional study in an Indonesia City
title_full_unstemmed Knowledge, attitude and practice of family caregivers on pressure injury prevention for community-dwelling older adults: a cross-sectional study in an Indonesia City
title_short Knowledge, attitude and practice of family caregivers on pressure injury prevention for community-dwelling older adults: a cross-sectional study in an Indonesia City
title_sort knowledge attitude and practice of family caregivers on pressure injury prevention for community dwelling older adults a cross sectional study in an indonesia city
topic Knowledge
Attitude
Practice
Family caregivers
Pressure Injury
Prevention
url https://doi.org/10.1186/s12912-024-02662-w
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