Ilesanmi Rose Ekama, Ofi Bola Abosede, Adejumo Prisca Olabisi
Department of Nursing, University of Ibadan, Ibadan, Nigeria.
Ostomy Wound Manage. 2012 Feb;58(2):24-32.
Pressure ulcer (PU) development remains a significant complication among at-risk patients. Optimal prevention strategies start with knowledge about current evidence-based prevention interventions. A pilot study was conducted to describe nurses' level of knowledge of PU preventive interventions and to test the reliability of the Pressure Ulcer Knowledge Test (PUKT) among Nigerian nurses. One hundred, eleven (111) nurses were purposively selected from specific wards of a state teaching hospital in South West Nigeria. While 106 nurses (95.5%) correctly identified patients at risk for PU development, 78 participants (70.3%) had low (<59% correct) prevention intervention knowledge scores. No significant differences in PU prevention intervention knowledge scores were observed between nurses with different educational backgrounds (P = 0.317) or years of working experience (P >0.005). The Cronbach's alpha coefficient for reliability was 0.861. The results of this study confirm that many PU prevention interventions in Nigeria are based on tradition and that a structured educational approach is needed to enable Nigerian nurses to provide evidence-based PU prevention interventions.
压疮（PU）的发生仍然是高危患者的一个重大并发症。最佳预防策略始于了解当前基于证据的预防干预措施。开展了一项试点研究，以描述护士对PU预防干预措施的知识水平，并测试尼日利亚护士中压疮知识测试（PUKT）的可靠性。从尼日利亚西南部一家州立教学医院的特定病房中，有目的地挑选了111名护士。虽然106名护士（95.5%）正确识别出有发生PU风险的患者，但78名参与者（70.3%）的预防干预知识得分较低（正确率<59%）。不同教育背景的护士之间（P = 0.317）或工作年限不同的护士之间（P >0.005），在PU预防干预知识得分上未观察到显著差异。可靠性的克朗巴哈系数为0.861。本研究结果证实，尼日利亚的许多PU预防干预措施基于传统，需要一种结构化的教育方法，以使尼日利亚护士能够提供基于证据的PU预防干预措施。
