Caliskan Nurcan, Gulnar Emel, Aydogan Sinan, Bayram Sule Biyil, Yagci Nilay
Gazi University, Faculty of Health Sciences, Department of Nursing, Ankara, Turkey.
Kırıkkale University, Faculty of Health Sciences, Department of Nursing, Kırıkkale, Turkey.
Wound Manag Prev. 2019 Sep;65(9):36-47.
Nurses play an important role in identifying, evaluating, monitoring, and managing patients with urinary incontinence (UI).
This study was conducted to determine nurses' knowledge, attitudes, practices, and obstacles to managing patients' UI.
A descriptive study was conducted between September 2017 and February 2018 at 2 university hospitals, 2 private hospitals, and 4 state hospitals in a metropolitan city in Turkey. All registered nurses present at the times of data collection were eligible to participate. After providing informed consent, they were asked to complete a 25-item demographic characteristic questionnaire, a 7-item UI assessment and care implementation form, a 12-item form assessing obstacles faced during UI care provision, a 24-item UI knowledge questionnaire (higher scores indicated more knowledge; a score of 70% correct was considered adequate), and the Urinary Incontinence Attitude Scale. The latter comprised 15 Likert-type questions that measures attitudes toward UI symptoms, treatment, and prevention (maximum score of 60; higher scores infer positive attitude). Data were collected and entered into a software program for statistical analysis including Mann Whitney U, chi-square, and correlation tests. Incomplete forms were excluded.
Of the 475 potential participants, 254 nurses completed all forms; 228 (89.8%) were women, 177 (69.7%) had a bachelor's degree, 146 (57.5%) worked in a state hospital, and 105 (41.3%) worked for 2 to 3 years. The mean score for UI knowledge was 15.22 ± 3.43 (range 0-24), and the mean attitude score was 46.40 ± 5.50 (range 15-60). The major nurse- or hospital-related obstacles to providing UI care were a lack of systems for patient follow-up (67.7%) and lack of patient education materials (60.2%). A weak positive correlation was noted between UI knowledge level and attitude (r = 0.263; P = .000).
Although nurses had a positive attitude toward UI, UI knowledge scores were low. Lack of patient follow-up systems and patient education materials were important obstacles to nurses providing UI care. In addition to addressing these obstacles, postgraduation evidence-based UI education for nurses is needed to optimize care.
护士在识别、评估、监测和管理尿失禁（UI）患者方面发挥着重要作用。
本研究旨在确定护士在管理患者尿失禁方面的知识、态度、实践和障碍。
2017年9月至2018年2月在土耳其一个大城市的2所大学医院、2所私立医院和4所国立医院进行了一项描述性研究。数据收集时在场的所有注册护士均有资格参与。在获得知情同意后，要求他们完成一份包含25项内容的人口统计学特征问卷、一份包含7项内容的尿失禁评估和护理实施表格、一份评估尿失禁护理过程中面临障碍的包含12项内容的表格、一份包含24项内容的尿失禁知识问卷（得分越高表明知识越丰富；正确率达70%被认为足够）以及尿失禁态度量表。后者由15个李克特式问题组成，用于测量对尿失禁症状、治疗和预防的态度（最高分为60分；得分越高表明态度越积极）。收集数据并录入软件程序进行统计分析，包括曼-惠特尼U检验、卡方检验和相关性检验。不完整的表格被排除。
在475名潜在参与者中，254名护士完成了所有表格；228名（89.8%）为女性，177名（69.7%）拥有学士学位，146名（57.5%）在国立医院工作，105名（41.3%）工作2至3年。尿失禁知识的平均得分为15.22±3.43（范围0 - 24），态度平均得分为46.40±5.50（范围15 - 60）。提供尿失禁护理过程中主要的与护士或医院相关的障碍是缺乏患者随访系统（67.7%）和缺乏患者教育材料（60.2%）。尿失禁知识水平与态度之间存在微弱的正相关（r = 0.263；P = 0.000）。
尽管护士对尿失禁持积极态度，但尿失禁知识得分较低。缺乏患者随访系统和患者教育材料是护士提供尿失禁护理的重要障碍。除了解决这些障碍外，还需要为护士提供毕业后基于证据的尿失禁教育以优化护理。
