TY - JOUR AU - McKeown, Eamonn AU - McGraw, Caroline AU - Holder, Pru AU - Shand, Jenny AU - Hirani, Shashivadan P PY - 2022 DA - 2022/9/16 TI -照顾有压力性溃疡风险的非正式护理人员的教育应用程序(iCare)的接受性和影响:混合方法试点研究JO - JMIR形式Res SP - e36517 VL - 6 IS - 9kw -压疮KW -非正式护理人员KW -智能手机应用程序KW -移动健康KW -移动健康KW -教育技术KW -健康教育KW -手机AB -背景:压疮是由持续压力引起的皮肤损伤区域。非正式护理人员在预防居家老年人和残疾人的压疮方面发挥着核心作用。研究强调，非正式护理人员缺乏压疮培训，并表明压疮风险与护理人员负担高有关。目的:本试点研究评估了一款智能手机应用程序，该应用程序特别关注非正式护理人员的压疮预防教育。这款应用是基于微学习原理开发的。这项研究旨在探索护理人员对应用程序可接受性的看法，并确定应用程序是否增加了他们对护理角色的知识和信心。方法:在这项同时进行的混合方法研究中，参与者在基线和第2周和第6周结束时完成定量问卷调查，以检查护理自我效能、护理准备、护理人员紧张、压疮知识以及应用程序的可接受性和可用性。参与者的子样本在第1周参加了“大声思考”访谈，在第2周和第6周结束时参加了半结构化访谈。结果:在32名参与者中，23人(72%)完成了第2周的问卷调查，16人(50%)完成了第6周的问卷调查; 66% (21/32) of carers participated in qualitative “think aloud” interviews, and 18 (56%) also participated in semistructured interviews at week 2, and 13 (41%) at week 6. Pressure ulcer knowledge scores significantly changed (F1,6.112=21.624; P=.001) from baseline (mean 37.5; SE 2.926) to the second follow-up (mean 59.72, SE 3.985). Regarding the qualitative data, the theme “I’m more careful now and would react to signs of redness” captured participants’ reflections on the new knowledge they had acquired, the changes they had made to their caring routines, their increased vigilance for signs of skin damage, and their intentions toward the app going forward. There were no significant results pertaining to improved preparedness for caregiving or caregiving self-efficacy or related to the Caregiver Strain Index. Participants reported above average usability scores on a scale of 0 to 100 (mean 69.94, SD 18.108). The app functionality and information quality were also rated relatively high on a scale of 0 to 5 (mean 3.84, SD 0.704 and mean 4.13, SD 0.452, respectively). Overall, 2 themes pertaining to acceptability and usability were identified: “When you’re not used to these things, they take time to get the hang of” and “It’s not a fun app but it is informative.” All participants (n=32, 100%) liked the microlearning approach. Conclusions: The iCare app offers a promising way to improve informal carers’ pressure ulcer knowledge. However, to better support carers, the findings may reflect the need for future iterations of the app to use more interactive elements and the introduction of gamification and customization based on user preferences. SN - 2561-326X UR - https://formative.www.mybigtv.com/2022/9/e36517 UR - https://doi.org/10.2196/36517 UR - http://www.ncbi.nlm.nih.gov/pubmed/36112413 DO - 10.2196/36517 ID - info:doi/10.2196/36517 ER -