The Influence of the Education Provided to Family Caregivers on Bedridden Patients and Caregivers: A Randomized Controlled Study

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Turkish Journal of Family Medicine and Primary Care, vol.13, no.3, pp.318-334, 2019 (Peer-Reviewed Journal) identifier


Objective: This study was conducted with the aim of investigating the influence of the education provided to the caregivers ofbedridden patients in accordance with the Ausubel’s expository teaching strategy on the patients and the caregivers. Material andMethods: The randomized controlled intervention study included 132 patients (66 males and 66 females) in intervention group and132 patients in control group and their family caregivers. In the first stage, the healthcare professionals for home care were given eneducation. In the second stage, 20-hour training intervention was carried out as expository within the frame of requirementsdetermined for family caregivers. The control group was included in the routine program within the scope of home care service. Theefficiency of these interventions was evaluated by using knowledge test of bedridden patient care, Zarit burden interview, inventory onevaluation of care provided by family members, pressure sore risk definition form (Braden Scale), and geriatric depression scale(GDS). Results: Intervention and control groups were found to be similar with regard to the parameters measured in pre-test. It wasdetermined that after the training intervention, the caregivers had an increased knowledge level of bedridden patient care(p<0,001), their care burden significantly decreased (p<0.001), the efficiency of care provided by the family members was significantin favor of the interventiongroup (p<0.05),risk level of pressure sores of the patients was lower in the intervention group compared tocontrol group (p<0.05), the median value of geriatric depression in bedridden patients decreased from 18 to 15 in intervention group,and their depression symptoms decreased (p<0.05).Conclusion: The education given as expository to family caregivers of bedriddenpatients was effective in increasing the caregiving competence, reducing the care burden, increasing the caregiving knowledge level,reducing the pressure risk and decreasing depression level of the patients.