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

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 (R² = 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.