- P: People at risk for dependency-related skin lesions and their primary caregivers. - I: Training of caregivers of people at risk of suffering from dependency-related skin lesions (CRLD) through an educational nursing program in the prevention of these lesions based on a nursing group educational support system within the framework of care for chronicity and dependency. Direct intervention that involves an indirect intervention in people at risk of suffering CRLD. - C: Caregivers of persons at
Prevention of skin lesions related to dependence
This study will analyze the effectiveness of an educational program based on a nursing group educational support system for caregivers in the prevention of skin lesions related to dependence in terms of reducing the appearance of these lesions in the at-risk population of the Arnedo Health Center. Intervention group: Interventions will be carried out in weekly group training sessions. The control of the appearance of dependency-related skin lesions (lesiones cutáneas relacionadas con la dependencia; CRLD), knowledge index, health-related quality of life, and caregiver overload will be assessed at 0, 1, 3 and 6 months after having received the sessions. Before starting the intervention, the validated questionnaires/instruments will be delivered as participants are recruited for the study, and these questionnaires will be used to measure the variables under study (test phase). The recruitment and completion of the questionnaires will last two months, closing the entry of new participants if the sample size has been reached. Detailed standardized individual counseling will be provided in the control group activity. Randomization will be carried out in a simple manner so that each patient has the same probability of being in one or the other intervention group by generating random numbers using the Excel program. A list will be created with an alphanumeric code of each person participating in the study and these will be randomly placed in the control or intervention group. One or two of the investigators, different from the people who recruit, intervene and assess the research participants, will be in charge of generating the list and including the assigned random identification number in a sealed envelope.
1. Patients at risk of developing CRLD according to the Braden scale for the prediction of pressure ulcer risk available in Selene AP (Selene®). 2. Primary caregiver identified 3. Sufficient knowledge in terms of understanding, reading and writing correctly in Spanish 4. The caregiver has received standardized CRLD prevention training provided by their referring nurse or research team
1. Occasional or secondary caregivers who are not primary caregivers, i.e., who do not assume full responsibility for the caregiving task 2. Caregivers who do not speak Spanish 3. Caregivers who present cognitive impairment or learning difficulties 4. Caregivers who are not sufficiently independent for basic activities of daily living (ABVD) and have a Barthel index ≤ 60