Saleh Mohammad Y N, Papanikolaou Panos, Nassar Omayyah S, Shahin Abeer, Anthony Denis
Clinical Nursing Department, School of Nursing, The University of Jordan, Amman, Jordan.
Independent Investigator of Nursing Issues, 3 Thrush Close Cardiff, CF3 0PE, UK.
J Tissue Viability. 2019 Nov;28(4):210-217. doi: 10.1016/j.jtv.2019.10.005. Epub 2019 Oct 25.
To assess nurses' knowledge on pressure ulcer (PU) prevention and treatment in Jordan, and the frequency of and factors influencing nurses' implementation of PU prevention and treatment interventions.
Highly educated and experienced nurses can provide effective PU care; however, previous studies highlighted poor knowledge and implementation of PU care.
A correlational study examining nurses' knowledge of PU prevention and frequency of PU preventive actions in Jordanian hospitals.
Participants were 377 nurses and 318 patients from 11 hospitals. Data were collected to quantify the frequency of nurses' implementation of pressure ulcer prevention and treatment interventions for patients suffering from PUs and/or at risk of PU development using a self-reported cross-sectional survey and prospective 8-h observation.
For observed PU prevention while type of hospital and number of beds in units were significant it is not known without further work if this is replicable. For observed PU treatment, linear regression analysis revealed significant negative beta values for more than 50 beds in clinical unit (β = -2.49).
The study addressed new factors, facilitating the provision of prevention and treatment strategies to PU development, including type of clinical institution and number of beds in clinical unit.
There is a need to develop training programmes to improve insufficient nurses' knowledge and, thus, clinical practices on PU prevention and treatment. These programmes would assist both junior and senior nurses and other key stakeholders (e.g. hospital managers, policy-makers, and educators) to improve the performance of PU services, thus, minimising patient suffering.
评估约旦护士对压疮预防与治疗的知识，以及护士实施压疮预防与治疗干预措施的频率和影响因素。
受过高等教育且经验丰富的护士能够提供有效的压疮护理；然而，先前的研究强调了压疮护理方面知识的匮乏和实施情况不佳。
一项相关性研究，调查约旦医院护士对压疮预防的知识以及压疮预防措施的实施频率。
研究对象为来自11家医院的377名护士和318名患者。通过自我报告的横断面调查和为期8小时的前瞻性观察收集数据，以量化护士对患有压疮和/或有发生压疮风险的患者实施压疮预防和治疗干预措施的频率。
对于观察到的压疮预防，虽然医院类型和科室病床数量具有显著意义，但如果没有进一步研究，尚不清楚这是否具有可重复性。对于观察到的压疮治疗，线性回归分析显示临床科室病床数超过50张时，β值呈显著负相关（β = -2.49）。
该研究揭示了新的影响因素，有助于制定针对压疮发生的预防和治疗策略，包括临床机构类型和临床科室病床数量。
有必要制定培训计划，以改善护士在压疮预防和治疗方面知识的不足，进而改进临床实践。这些计划将有助于初级和高级护士以及其他关键利益相关者（如医院管理人员、政策制定者和教育工作者）提高压疮护理服务的绩效，从而最大程度减轻患者痛苦。
