Bondi Melvin Ebin, Rahim Syed Sharizman Syed Abdul, Avoi Richard, Hayati Firdaus, Ahmedy Fatimah, Omar Azizan, Jeffree Mohammad Saffree, Musleh Awang Setia
Putatan Health Clinic, Department of Primary Health Care, Putatan, Sabah, Malaysia.
Universiti Malaysia Sabah, Department of Community and Family Medicine, Kota Kinabalu, Sabah, Malaysia.
Medeni Med J. 2020;35(3):188-194. doi: 10.5222/MMJ.2020.02929. Epub 2020 Sep 30.
Healthcare professionals with an advanced level of knowledge and skills on diabetic wound care management are needed to effectively manage complex wounds. This study aimed to determine the effects of an educational intervention to enhance the management of wound care among healthcare professionals.
This study was part of a quasi-experimental pre-post research design where 82 healthcare professionals were recruited and assigned to intervention and control groups. The participants in the intervention group attended two days of educational intervention training on diabetic wound care management, while there was no intervention in the control group. A questionnaire on knowledge, attitude, and practice was applied before and one-month post-intervention to both groups.
Pre-test resulted in a low level of knowledge 72.1% and 74.4%, negative level of attitude 67.4% and 66.7%, and a moderate level of practice 79.1% and 76.9% in both intervention and control groups respectively. Post-test resulted in increasing levels of knowledge (76.7%), positive attitude (100%), and practice (76.7%) in the intervention group. At the same time, there was no significant change in the control group. Repeated Measure ANOVA for within-subject and between-subject effects resulted in a statistically significant p-value of 0.001 for knowledge, attitude, and practice after the educational intervention.
Health professionals have only a moderate level of knowledge on diabetic wound care management. It is important to improve this level by specific trainings and by using a good training module.
需要具备糖尿病伤口护理管理方面高级知识和技能水平的医疗保健专业人员来有效管理复杂伤口。本研究旨在确定一项教育干预措施对提高医疗保健专业人员伤口护理管理能力的效果。
本研究是准实验前后研究设计的一部分，招募了82名医疗保健专业人员并将其分为干预组和对照组。干预组的参与者参加了为期两天的糖尿病伤口护理管理教育干预培训，而对照组未进行干预。在干预前和干预后一个月，对两组人员均应用了一份关于知识、态度和实践的问卷。
预测试显示，干预组和对照组的知识水平较低，分别为72.1%和74.4%；态度水平为负面，分别为67.4%和66.7%；实践水平为中等，分别为79.1%和76.9%。后测试显示，干预组的知识水平（76.7%）、积极态度（100%）和实践水平（76.7%）有所提高。同时，对照组没有显著变化。对受试者内和受试者间效应进行重复测量方差分析，结果显示教育干预后知识、态度和实践的p值具有统计学意义，为0.001。
卫生专业人员在糖尿病伤口护理管理方面的知识水平仅为中等。通过特定培训和使用良好的培训模块来提高这一水平很重要。
