Department of Nursing, Faculty of Health Sciences, The Open University of Sri Lanka, Nawala, Nugegoda, Sri Lanka.
Department of Physiology, Faculty of Medical Sciences, University of Sri Jayewardenepura, Nugegoda, Sri Lanka.
J Clin Nurs. 2018 Jan;27(1-2):e203-e212. doi: 10.1111/jocn.13917. Epub 2017 Aug 3.
To assess nurses' knowledge on diabetic ulcer disease and their attitudes towards patients suffering from it and to identify factors which influence them.
Diabetic wound care is an evolving specialty with the rising prevalence of diabetes foot complications. As nurses play a key role in wound care, their knowledge and attitudes are important in providing optimum care to patients.
Descriptive cross-sectional survey design.
The study was conducted in three teaching hospitals. Data were collected using a pretested, validated, self-administered questionnaire from purposively recruited, voluntarily participating nurses (n = 200) who were in diabetic wound care practice for ≥1 year.
Lack of formal wound care training was reported by 91.2%. Mean knowledge score was 77.9 (range 53.3-100 on a scale from 0-100) with 57.8% of nurses obtaining ≥80%. Nurses demonstrated an overall positive attitude towards caring for diabetic ulcer patients (median = 41, range 23-50 on a scale from 10-50). However, the study identified deficits in core knowledge and some negative attitudes such as insensitivity to pain. Statistically significant associations were seen between nurses' knowledge and duration of nursing, wound care experience and the type of unit they are attached to. In-service education (77.2%) and knowledge sharing with peers (77.9%) were the most popular knowledge-updating sources. Although 98.6% of nurses were interested in wound care, only 8.3% wished to engage in research. No correlation was observed between nurses' knowledge and attitudes.
Gaps in core knowledge and negative attitudes may be attributed to inadequate training, suboptimal update of knowledge and lack of interest in wound care research.
Wound care training should be made mandatory to improve quality of care given by nurses to patients with diabetic ulcers. Continuous professional development, evidence-based practices and wound care research should be encouraged.
评估护士对糖尿病溃疡病的知识以及他们对患有该病的患者的态度，并确定影响他们的因素。
糖尿病伤口护理是一个不断发展的专业领域，随着糖尿病足并发症的患病率不断上升。由于护士在伤口护理中起着关键作用，他们的知识和态度对于为患者提供最佳护理非常重要。
描述性横断面调查设计。
该研究在三所教学医院进行。使用经过预先测试、验证的自我管理问卷，从从事糖尿病伤口护理实践≥1 年的有目的招募的自愿参与者护士（n=200）中收集数据。
91.2%的人报告缺乏正规的伤口护理培训。平均知识得分为 77.9（范围为 0-100，分值为 0-100），其中 57.8%的护士得分≥80%。护士对照顾糖尿病溃疡患者的总体态度积极（中位数=41，范围为 23-50，分值为 10-50）。然而，研究发现核心知识存在缺陷，以及一些负面态度，如对疼痛不敏感。护士的知识与护理时间、伤口护理经验以及他们所属的单位类型之间存在统计学显著关联。在职教育（77.2%）和与同行分享知识（77.9%）是最受欢迎的知识更新来源。尽管 98.6%的护士对伤口护理感兴趣，但只有 8.3%的护士希望从事研究。护士的知识与态度之间没有相关性。
核心知识的差距和负面态度可能归因于培训不足、知识更新不佳以及对伤口护理研究缺乏兴趣。
应强制进行伤口护理培训，以提高护士对糖尿病溃疡患者的护理质量。应鼓励持续的专业发展、循证实践和伤口护理研究。
