Baracho Valéria da Silva, Chaves Maria Emília de Abreu, Lucas Thabata Coaglio
Universidade Federal dos Vales do Jequitinhonha e Mucuri, Faculdade de Ciências Biológicas e da Saúde, Diamantina, MG, Brazil.
Universidade Federal de Minas Gerais, Laboratório de Bioengenharia, Belo Horizonte, MG, Brazil.
Rev Lat Am Enfermagem. 2020 Sep 7;28:e3357. doi: 10.1590/1518-8345.3946.3357.
to evaluate the use of realistic simulation as a strategy to promote teaching about pressure injuries.
This is a quasi-experimental study. A modified and translated version of the Pieper Pressure Ulcer knowledge test was applied. Kappa statistical analysis was used to assess the professionals' knowledge in the realistic simulation using the SPSS software. A p-value <0.05 was considered significant.
Seventy-seven nursing professionals participated in the realistic simulation, the majority (72.7%) being nursing technicians. Regarding the knowledge of primary and secondary coverage techniques, the Kappa index went from 0.56 (p=0.002) in the pre-test to 0.87 (p=0.001) in the post-test. As for the sterile dressing technique, there was a variation from 0.55 (p=0.002) in the pre-test to 0.91 (p=0.001) in the post-test. Regarding the cleaning of pressure injuries, there was a variation from 0.81 (CI: 0.62-0.84) in the pre-test to 0.91 (0.85-0.97) in the post-test. The knowledge about the use of a sterile spatula to distribute the dressing in the wound increased from an agreement index from regular to good.
The introduction of the realistic simulation in the clinical practice has created quality assessment indicators for the prevention and treatment of pressure injuries.
评估使用逼真模拟作为促进压疮教学的一种策略。
这是一项准实验研究。应用了经修改和翻译的皮珀压疮知识测试。使用SPSS软件通过Kappa统计分析来评估专业人员在逼真模拟中的知识水平。p值<0.05被认为具有统计学意义。
77名护理专业人员参与了逼真模拟，其中大多数（72.7%）是护理技术员。关于一级和二级覆盖技术的知识，Kappa指数从前测的0.56（p = 0.002）提高到后测的0.87（p = 0.001）。至于无菌敷料技术，从前测的0.55（p = 0.002）变化到后测的0.91（p = 0.001）。关于压疮的清洁，从前测的0.81（CI：0.62 - 0.84）变化到后测的0.91（0.85 - 0.97）。关于使用无菌刮铲在伤口中涂抹敷料的知识，一致性指数从一般提高到良好。
在临床实践中引入逼真模拟为压疮的预防和治疗创建了质量评估指标。
