Karadag Ayişe, Hanönü Seval C, Eyikara Evrim
Koç University School of Nursing, Istanbul, Turkey.
Gazi University Institute of Health Sciences, Department of Nursing, Ankara, Turkey.
Ostomy Wound Manage. 2017 Oct;63(10):34-41.
Nurses play an important role in identifying patients at risk for medical device-related (MDR) pressure injuries and preventing their occurrence. A prospective, descriptive study was conducted across 6 hospitals in Ankara, Turkey between December 2014 and June 2015 to assess nursing perceptions about and interventions used for the pre- vention of MDR pressure ulcers. A questionnaire was used to collect demographic information and data on experience with MDR pressure ulcers; in addition, participants completed a Nursing Interventions Form that included 10 statements regarding basic nursing interventions to prevent MDR pressure ulcers; answer options were I perform, I partly perform, I do not perform. Of the 1555 nurses invited, 606 (38%) participated. Nurses who chose to volunteer completed the study instruments independently at their convenience; their responses were entered directly into the statistical analysis system by the researchers. Demographic and interventions data were analyzed using frequency and percentage distributions. Participant mean age was 30.0 ± 6.83 years, most were women (86.9%), with a mean of 8.47 ± 6.70 years of experience. Most had a bachelor's degree (55.1%), 38.2% worked in intensive care units, 50.2% participated in a scienti c program regarding the prevention/treatment of pressure ulcers after their gradu- ation, and 87.9% provided care to patients with pressure ulcers. A great majority (80.1%) of the nurses believed the use of medical devices can lead to pressure ulcers and 59.2% had experience with MDR pressure ulcers, but almost 20% did not believe medical devices can cause a pressure ulcer. The nurses identi ed 18 medical devices that posed the highest risk of causing MDR pressure ulcers; the 3 most commonly identi ed devices were endotracheal tubes (59.7%), tracheostomy ties (58.9%), and blood pressure cuffs (58.4%). The most common interventions used by these nurses included ensuring correct device positioning (87.9%) and loosening devices at least once every shift (80%) when medical conditions allowed. These ndings suggest nurses may not be aware of the risk for pressure ul- cers associated with a number of medical devices, indicating a need for comprehensive inservice training programs and research to identify optimal measures and methods to prevent MDR pressure ulcers.
护士在识别有医疗器械相关（MDR）压力性损伤风险的患者并预防其发生方面发挥着重要作用。2014年12月至2015年6月期间，在土耳其安卡拉的6家医院开展了一项前瞻性描述性研究，以评估护士对预防MDR压疮的看法及所采用的干预措施。通过问卷调查收集人口统计学信息以及有关MDR压疮的经验数据；此外，参与者填写了一份护理干预表格，其中包含10条关于预防MDR压疮的基本护理干预措施的陈述；回答选项为“我执行”“我部分执行”“我不执行”。在受邀的1555名护士中，606名（38%）参与了研究。选择自愿参与的护士在方便的时候独立完成研究工具；研究人员将他们的回答直接录入统计分析系统。使用频率和百分比分布对人口统计学和干预措施数据进行分析。参与者的平均年龄为30.0±6.83岁，大多数为女性（86.9%），平均工作经验为8.47±6.70年。大多数拥有本科学历（55.1%），38.2%在重症监护病房工作，50.2%在毕业后参加过关于预防/治疗压疮的科学项目，87.9%为有压疮的患者提供护理。绝大多数（80.1%）护士认为使用医疗器械会导致压疮，59.2%有MDR压疮的护理经验，但近20%不认为医疗器械会导致压疮。护士们识别出18种导致MDR压疮风险最高的医疗器械；最常被识别出的3种器械是气管内导管（59.7%）、气管切开系带（58.9%）和血压袖带（58.4%）。这些护士最常用的干预措施包括确保器械正确放置（87.9%）以及在病情允许时每班至少松开器械一次（80%）。这些研究结果表明，护士可能并未意识到许多医疗器械会带来压疮风险，这表明需要开展全面的在职培训项目和研究，以确定预防MDR压疮的最佳措施和方法。
