Video Edukasi sebagai Inovasi Media untuk Meningkatkan Pengetahuan Pencegahan Gangguan Integritas Kulit pada Pasien Stroke

Abstract

Background: Stroke is a leading cause of long-term disability and increases the risk of immobilization-related complications, particularly impaired skin integrity in the form of pressure ulcers. Family caregivers play a crucial role in prevention, and video-based education is considered more effective than conventional methods. Objective: This study aimed to examine the effect of video education on improving family caregivers’ knowledge regarding the prevention of skin integrity disorders in stroke patients. Methods: A pre-experimental study with a one group pre-test post-test design was conducted among 61 family caregivers selected using consecutive sampling. A 10-item knowledge questionnaire was used as the instrument. The intervention consisted of a 30-minute YouTube video covering early signs of pressure ulcers, repositioning schedules every 2 hours, back massage techniques, use of oil/lotion, supportive devices, and maintaining skin hygiene and nutrition. The video was shown daily for one week using laptops or mobile phones and monitored via a WhatsApp group, where participants were required to follow instructions and complete polls as proof of viewing. Knowledge was measured before and after the intervention. Data were analyzed using the Wilcoxon Signed Ranks Test. Results: The mean knowledge score increased from 13.33 (pre-test) to 19.52 (post-test). Before the intervention, most respondents were in the poor category (62.3%), whereas after the intervention the majority improved to the good category (91.8%). The Wilcoxon test indicated a significant difference with p = 0.000 (p<0.05). Conclusion: YouTube-based video education monitored via WhatsApp groups proved effective in improving family caregivers’ knowledge of pressure ulcer prevention in stroke patients. This media is recommended as part of routine hospital education programs.