Chianca Tânia Couto Machado, Rezende Jomara Figueiredo Pinto, Borges Eline Lima, Nogueira Vera Lucia, Caliri Maria Helena Larcher
Basic Nursing Department, Federal University of Minas Gerais College of Nursing, Minas Gerais, Brazil.
Ostomy Wound Manage. 2010 Oct;56(10):58-64.
To facilitate the implementation of evidence-based skin and pressure ulcer (PU) care practices and related staff education programs in a university hospital in Brazil, a cross-sectional study was conducted to evaluate nurses' knowledge about PU prevention, wound assessment, and staging. Of the 141 baccalaureate nurses (BSN) employed by the hospital at the time of the study, 106 consented to participate. Using a Portuguese version of Pieper's Pressure Ulcer Knowledge Test (PUKT), participants were asked to indicate whether 33 statements about PU prevention and eight about PU assessment and staging were true or false. For the 33 prevention statements, the average number answered correctly was 26.07 (SD 4.93) and for the eight assessment statements the average was 4.59 (SD 1.62). Nurses working on inpatient clinical nursing units had significantly better scores (P = 0.000). Years of nursing experience had a weak and negative correlation with correct PUKT scores (r = -0.21, P = 0.033) as did years of experience working in the university hospital (r = -.179, P <.071). Incorrect responses were most common for statements related to patient positioning, massage, PU assessment, and staging definitions. The results of this study confirm that nurses have an overall understanding of PU prevention and assessment principles but important knowledge deficits exist. Focused continuing education efforts are needed to facilitate the implementation of evidence-based care.
为促进巴西一家大学医院循证皮肤及压疮护理实践和相关员工教育项目的实施，开展了一项横断面研究，以评估护士关于压疮预防、伤口评估及分期的知识。在研究开展时，该医院雇佣的141名本科护士（护理学学士）中，106名同意参与。使用葡萄牙语版的皮珀压疮知识测试（PUKT），要求参与者指出33条关于压疮预防的陈述以及8条关于压疮评估和分期的陈述是真还是假。对于33条预防陈述，正确回答的平均数量为26.07（标准差4.93），对于8条评估陈述，平均数量为4.59（标准差1.62）。在内科临床护理单元工作的护士得分显著更高（P = 0.000）。护理年限与PUKT正确得分呈弱负相关（r = -0.21，P = 0.033），在大学医院工作的年限也是如此（r = -0.179，P < 0.071）。与患者体位、按摩、压疮评估及分期定义相关的陈述，错误回答最为常见。本研究结果证实，护士对压疮预防和评估原则有总体认识，但存在重要的知识欠缺。需要有针对性的继续教育努力来促进循证护理的实施。
