Design of Innovative Clothing for Pressure Injury Prevention: End-User Evaluation in a Mixed-Methods Study.

The global relevance of pressure injury (PI) prevention technologies arise from their impact on the quality of life of people with limited mobility and the costs associated with treating these preventable injuries. The purpose of this mixed methods study is to evaluate the design of a prototype integrating Smart Health Textiles for PI prevention based on feedback from specialist nurses who care for individuals who are prone to or have PIs. This is a mixed methods study. A structured questionnaire was conducted as part of an evaluation of a prototype garment for the prevention of PIs. This questionnaire was applied during the evaluation of the prototype and afterwards focus group discussions were held with experts. Descriptive statistics techniques were used to analyze the data and thematic and integrated content analysis was conducted through concomitant triangulation. Nineteen nurses took part, aged 30 to 39 years (52.6%) and with 12.31 ± 8.96 years of experience. Participants showed that the prototype required more manipulation and physical effort, which interfered its usefulness, in addition to presenting difficulties with the openings and the material of the closure system, which interfered with the ease of use and learning. Overall satisfaction with the product was moderate, with some areas for improvement found, such as satisfaction, recommendations to colleagues, and pleasantness of use. It is concluded that areas for improvement have been found in all dimensions, including in the design of openings and the choice of materials. These findings supply significant insights for improving clothing to meet the needs of healthcare professionals and patients.

Prevalência e caracterização de acidentes domésticos e lazer de idosos em contexto comunitário: Estudo observacional transversal / Prevalence and characterization of home and leisure accidents of Community-dwelling older people: An observational cross-sectional study / Prevalencia y caracterización de los accidentes domésticos y de ocio de las personas mayores en entornos comunitarios: Un estudio observacional transversal

Resumo Enquadramento: O envelhecimento da população contribui para o aumento de acidentes domésticos, com graves consequências pessoais, familiares, sociais. Objetivos: Avaliar a prevalência e caraterísticas de acidentes domésticos em pessoas idosas clientes de unidades funcionais de um Centro de Saúde. Metodologia: Estudo observacional transversal, amostra não probabilística, por conveniência, de 139 pessoas idosas. Resultados: As quedas no domicílio são os acidentes domésticos com maior prevalência nos últimos 12 meses, em sequência de escorregamento. Observaram-se algumas associações baixas, mas estatisticamente significativas, entre o número de quedas, o risco de queda e medo de cair, e entre a idade, o risco de queda e medo de cair. Conclusão: Os resultados observados implicam medidas adequadas por parte dos enfermeiros, integrados em equipas interdisciplinares. A realização de novos estudos de cariz longitudinal, permitirá a monitorização das medidas adotadas e as adaptações necessárias para prevenir e diminuir o risco de queda, e melhorar a qualidade de vida da população envelhecida.

Abstract Background: Population aging contributes to an increase in home accidents, with serious personal, family, and social consequences. Objectives: To assess the prevalence and characteristics of home accidents in older people using functional units of a Health Center. Methodology: Cross-sectional, observational study with a non-probability convenience sample of 139 older people. Results: Falls at home are the most prevalent home accident in the past 12 months, as a consequence of slipping. Some low but statistically significant associations were observed between the number of falls, risk of falling, and fear of falling, and between age, risk of falling, and fear of falling. Conclusion: The results indicate that nurses, integrated into interdisciplinary teams, should take appropriate measures. Further longitudinal studies will allow monitoring the measures adopted and the necessary adaptations to prevent and reduce the risk of falling and improve the quality of life of the aging population.

Resumen Marco contextual: El envejecimiento de la población contribuye a aumentar los accidentes domésticos, con graves consecuencias personales, familiares y sociales. Objetivos: Evaluar la prevalencia y las características de los accidentes domésticos en las personas mayores de las unidades funcionales de un centro de salud. Metodología: Estudio observacional transversal, muestra no probabilística, por conveniencia, de 139 personas mayores. Resultados: Las caídas en el domicilio son los accidentes domésticos más frecuentes en los últimos 12 meses, después de los resbalones. Se observaron algunas asociaciones bajas pero estadísticamente significativas entre el número de caídas, el riesgo de caídas y el miedo a caerse, y entre la edad, el riesgo de caídas y el miedo a caerse. Conclusión: Los resultados observados implican que los enfermeros, integrados en equipos interdisciplinarios, toman las medidas adecuadas. Otros estudios longitudinales permitirán hacer un seguimiento de las medidas adoptadas y de los ajustes necesarios para prevenir y reducir el riesgo de caídas y mejorar la calidad de vida de la población envejecida.