Abstract：
BACKGROUND: This pilot study assessed text messaging as an early intervention for preventing pressure ulcers (PrUs) in individuals with spinal cord injury (SCI) post-hospital discharge.
METHODS: Thirty-nine wheelchair-users discharged after acquiring a SCI, underwent randomisation into an intervention group (n = 20) with text messages and a control group (n = 19). All participants received standard post-discharge care and completed a skincare questionnaire before and 6-month after discharge. Primary outcomes included feasibility and acceptability of early intervention using text messaging, alongside performance, concordance, and attitudes toward skincare. Secondary outcomes measured perception and the incidence of PrUs.
RESULTS: Baseline demographics were comparable between the intervention and control groups. Eight of 20 participants completed 6-month follow-up questionnaires in the intervention group, six participants completed the 6-month questionnaires in the control group,. Participants expressed high satisfaction with text messages, understanding of content, and increased confidence in preventing PrUs. At 6-month post-discharge, the intervention group showed improved prevention practices, heightened awareness of PrU risks, and increased perceived importance of prevention, which were not observed in the control group. However, there were no significant differences in PrU incidence, possibly due to the small sample size and short follow-up.
CONCLUSIONS: The study demonstrates that using text messaging as an early intervention for PrU prevention in individuals with SCI is feasible and well-received. Preliminary results suggest a positive impact on participants\' attitudes and practices, indicating the potential of text messaging to reduce PrU incidence. However, further research with larger samples and extended follow-up is crucial to validate these promising initial findings.
METHODS: Thirty-nine wheelchair-users discharged after acquiring a SCI, underwent randomisation into an intervention group (n = 20) with text messages and a control group (n = 19). All participants received standard post-discharge care and completed a skincare questionnaire before and 6-month after discharge. Primary outcomes included feasibility and acceptability of early intervention using text messaging, alongside performance, concordance, and attitudes toward skincare. Secondary outcomes measured perception and the incidence of PrUs.
RESULTS: Baseline demographics were comparable between the intervention and control groups. Eight of 20 participants completed 6-month follow-up questionnaires in the intervention group, six participants completed the 6-month questionnaires in the control group,. Participants expressed high satisfaction with text messages, understanding of content, and increased confidence in preventing PrUs. At 6-month post-discharge, the intervention group showed improved prevention practices, heightened awareness of PrU risks, and increased perceived importance of prevention, which were not observed in the control group. However, there were no significant differences in PrU incidence, possibly due to the small sample size and short follow-up.
CONCLUSIONS: The study demonstrates that using text messaging as an early intervention for PrU prevention in individuals with SCI is feasible and well-received. Preliminary results suggest a positive impact on participants\' attitudes and practices, indicating the potential of text messaging to reduce PrU incidence. However, further research with larger samples and extended follow-up is crucial to validate these promising initial findings.
摘要：
背景：这项初步研究评估了短信作为预防脊髓损伤（SCI）患者出院后压疮（PrU）的早期干预措施。
方法：39名轮椅使用者在获得SCI后出院，随机分为有短信的干预组（n=20）和对照组（n=19）。所有参与者都接受了标准的出院后护理，并在出院前和出院后6个月完成了护肤问卷。主要结果包括使用短信进行早期干预的可行性和可接受性，除了性能，和谐，以及对护肤的态度。次要结果测量感知和PrUs的发生率。
结果：基线人口统计学在干预组和对照组之间具有可比性。在干预组中，20名参与者中有8名完成了为期6个月的随访问卷，对照组有6名参与者完成了为期6个月的问卷，.与会者对短信表示高度满意,对内容的理解,并增强了预防Pru的信心。出院后6个月，干预组表现出改进的预防措施，提高对PrU风险的认识，意识到预防的重要性增加，对照组未观察到。然而,PrU发病率没有显著差异，可能是由于样本量小，随访时间短。
结论：该研究表明，在SCI患者中使用短信作为预防PrU的早期干预措施是可行且广受好评的。初步结果表明，对参与者的态度和做法有积极影响，表明短信降低PrU发病率的潜力。然而,更大样本的进一步研究和延长随访对于验证这些有希望的初步发现至关重要.
方法：39名轮椅使用者在获得SCI后出院，随机分为有短信的干预组（n=20）和对照组（n=19）。所有参与者都接受了标准的出院后护理，并在出院前和出院后6个月完成了护肤问卷。主要结果包括使用短信进行早期干预的可行性和可接受性，除了性能，和谐，以及对护肤的态度。次要结果测量感知和PrUs的发生率。
结果：基线人口统计学在干预组和对照组之间具有可比性。在干预组中，20名参与者中有8名完成了为期6个月的随访问卷，对照组有6名参与者完成了为期6个月的问卷，.与会者对短信表示高度满意,对内容的理解,并增强了预防Pru的信心。出院后6个月，干预组表现出改进的预防措施，提高对PrU风险的认识，意识到预防的重要性增加，对照组未观察到。然而,PrU发病率没有显著差异，可能是由于样本量小，随访时间短。
结论：该研究表明，在SCI患者中使用短信作为预防PrU的早期干预措施是可行且广受好评的。初步结果表明，对参与者的态度和做法有积极影响，表明短信降低PrU发病率的潜力。然而,更大样本的进一步研究和延长随访对于验证这些有希望的初步发现至关重要.
