Tallier Peggy C, Reineke Patricia R, Asadoorian Kathy, Choonoo John G, Campo Marc, Malmgreen-Wallen Christine
Mercy College, 555 Broadway, Dobbs Ferry, NY, USA.
Mercy College, Dobbs Ferry, NY, USA.
Appl Nurs Res. 2017 Aug;36:106-110. doi: 10.1016/j.apnr.2017.06.009. Epub 2017 Jun 8.
Hospital acquired pressure ulcers have a detrimental effect on patient quality of life, morbidity, mortality, and cost to the healthcare industry. Little is known about pressure ulcer prevention in perioperative services.
The objectives of this study were to describe perioperative registered nurses (RNs) knowledge, attitudes, behaviors, and barriers about pressure ulcer prevention and to determine if knowledge and the availability of a pressure ulcer staging tool are predictors of pressure ulcer prevention behavior.
A cross-sectional descriptive pilot study was conducted. Sixty-two perioperative RNs from 10 acute care hospitals participated.
Perioperative nurses believed carrying out pressure ulcer prevention strategies is essential to nursing practice but only two-thirds reported conducting pressure ulcer risk assessment on all patients and daily assessment on at risk patients. Results indicated a knowledge deficit regarding assessment and prevention of pressure ulcers as performance on the PUKT (72%) fell below the recommended score of 90%. Results of binary logistic regression indicated that knowledge as measured by the PUKT and availability of a pressure ulcer staging tool were statistically significant (p=0.03) predictors of pressure ulcer prevention behavior. The initial model without the predictor variables, indicated an overall success rate of correct predictions of 64% which increase to 73% when the predictor variables were added to the initial model.
Although perioperative nurses believe that pressure ulcer prevention is important, a knowledge deficit exists and there is a need for pressure ulcer prevention education.
医院获得性压疮会对患者的生活质量、发病率、死亡率以及医疗行业成本产生不利影响。围手术期服务中压疮预防方面的情况鲜为人知。
本研究的目的是描述围手术期注册护士（RN）关于压疮预防的知识、态度、行为及障碍，并确定压疮预防知识和压疮分期工具的可用性是否是压疮预防行为的预测因素。
开展了一项横断面描述性试点研究。来自10家急症护理医院的62名围手术期RN参与其中。
围手术期护士认为实施压疮预防策略对护理实践至关重要，但只有三分之二的护士报告对所有患者进行压疮风险评估，并对有风险的患者进行每日评估。结果表明，在压疮评估和预防方面存在知识欠缺，因为在压疮知识测试（PUKT）中的表现（72%）低于推荐的90分。二元逻辑回归结果表明，以PUKT衡量的知识和压疮分期工具的可用性是压疮预防行为的统计学显著（p=0.03）预测因素。没有预测变量的初始模型显示，正确预测的总体成功率为64%，当将预测变量添加到初始模型时，这一成功率提高到73%。
尽管围手术期护士认为压疮预防很重要，但仍存在知识欠缺，需要开展压疮预防教育。
