School of Nursing, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia.
School of Nursing, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.
PLoS One. 2020 Dec 15;15(12):e0243875. doi: 10.1371/journal.pone.0243875. eCollection 2020.
Pressure ulcer is one of the major challenges in hospitals; which endanger patient safety, prolonging hospital stay and contributed to disability and death. Data regarding to pressure ulcer prevention practice are very important to take action. However in Ethiopia, there are limited researches that have been conducted and there is clearly paucity of information on this regard. Hence, this study aimed to assess pressure ulcer prevention practice and associated factors among nurses in public hospitals of Eastern Ethiopia.
A cross-sectional study was conducted among randomly selected 422 nurses who were working in the public hospitals of Eastern Ethiopia. Data were collected from the 1st February to the 1st March 2018 using pretested structured self-administered questionnaire and observational checklist. The collected data were entered into EpiData version 3.1 and exported to SPSS version 22.0 for analysis. Bivariable and multivariable logistic regression with crude and adjusted odds ratios along with the 95% confidence interval was computed and interpreted accordingly. Pressure ulcer prevention was determined based on mean calculation; a result above the mean value was categorized as good pressure ulcer prevention practice, and a P-value of <0.05 was considered to declare a result as statistically significant.
In this study 51.9% (95% CI: 47.1%, 56.4%) of nurses were reported that they have good pressure ulcer prevention practice. On observation 45.2% of nurses were practicing proper pressure ulcer prevention activities. Pressure ulcer prevention practice were statistically associated with nurses with bachelor degree and above qualification level (AOR = 1.7, 95% CI: 1.02, 2.83), availability of pressure-relieving devices (AOR = 2.2, 95% CI: 1.34, 3.63), being satisfied with their job (AOR = 1.65, 95% CI: 1.09, 2.52) and good knowledge (AOR = 2.3, 95% CI: 1.48, 3.55).
In this study the self-reported practice and results from observation was substantially low. Continuing education and training should be considered for nurses to enhance their practice regarding pressure ulcer prevention practice.
压疮是医院面临的主要挑战之一；这会危及患者安全，延长住院时间，并导致残疾和死亡。关于压疮预防措施的数据对于采取行动非常重要。然而，在埃塞俄比亚，进行的研究有限，关于这方面的信息明显匮乏。因此，本研究旨在评估东埃塞俄比亚公立医院护士的压疮预防措施及相关因素。
本研究为横断面研究，对象为东埃塞俄比亚公立医院中随机抽取的 422 名护士。于 2018 年 2 月 1 日至 3 月 1 日采用经过预测试的结构自填式问卷和观察检查表收集数据。收集的数据输入 EpiData 版本 3.1 并导出到 SPSS 版本 22.0 进行分析。采用单变量和多变量逻辑回归，计算并解释粗比和调整比值以及 95%置信区间。根据平均值确定压疮预防情况；平均值以上的结果被归类为良好的压疮预防实践，P 值 <0.05 被认为结果具有统计学意义。
在这项研究中，51.9%（95%CI：47.1%，56.4%）的护士报告他们有良好的压疮预防实践。观察发现，45.2%的护士正在进行适当的压疮预防活动。压疮预防实践与具有本科及以上学历的护士（AOR = 1.7，95%CI：1.02，2.83）、有减压设备（AOR = 2.2，95%CI：1.34，3.63）、对工作满意（AOR = 1.65，95%CI：1.09，2.52）和良好知识（AOR = 2.3，95%CI：1.48，3.55）有关。
在这项研究中，自我报告的实践和观察结果都很低。应该考虑对护士进行继续教育和培训，以提高他们在压疮预防实践方面的水平。
