School of Nursing, Lanzhou University, Lanzhou, Gansu, People's Republic of China.
Department of Emergency, Lanzhou University Second Hospital, Lanzhou, Gansu, People's Republic of China.
Int Wound J. 2021 Dec;18(6):777-786. doi: 10.1111/iwj.13581. Epub 2021 May 7.
The knowledge, attitude, and practice of nurses in intensive care units (ICUs) are determinants for the efficacy of preventing the medical device-related pressure injury (MDRPI). The aim of this study was to determine the level and factors of knowledge, attitude, and practice of nurses' ICUs on preventing medical MDRPI in western China. An annual cross-sectional study was conducted in hospitals of western China from May 2020 to September 2020. Nurses' knowledge and attitudes were assessed using Clinical Nurses Prevention MDRPI of Critically Ill Patients for the Knowledge, Attitude, Practice Assessment Scale. SPSS software version 25.0 and independent t-test, Chi-square, Fisher exact, one-way analysis of variance, and multiple linear regression tests were used for data analysis. A total of 1002 nurses in ICUs from 37 hospitals in Gansu Province, China, participated in this study. The scores of overall KAP, knowledge, attitudes, and practice were 149.17 ± 24.62, 53.83 ± 12.23, 37.24 ± 6.35 and 58.10 ± 9.83, respectively. There was a positive and significant relationship between three variables. Findings revealed that nurses' knowledge score in the Tertiary hospital was higher than scores of other hospitals as 3.840 units. Moreover, the knowledge score and practice score of nurses with bachelor's degree or above were higher than other nurses and are 0.978 and 1.106 units, respectively. Based on the findings, practice of nurses increased by 0.992 units, with a 1-year increase in work experience of nurses in the ICU. The levels of knowledge, attitude, and practice of nurse in ICUs on preventing MDRPI were acceptable. The findings of the study highlight that a comprehensive approach should be conducted for raising the level of knowledge, attitude, and practice of nurses' ICUs on preventing medical MDRPI, as well as improving the quality of care for critically ill patients.
重症监护病房（ICU）护士的知识、态度和实践是预防医疗器械相关性压疮（MDRPI）的效果的决定因素。本研究旨在确定中国西部 ICU 护士预防医疗 MDRPI 的知识、态度和实践水平及其影响因素。2020 年 5 月至 9 月，在中国西部的医院进行了一项年度横断面研究。使用临床护士预防危重症患者 MDRPI 的知识、态度、实践评估量表评估护士的知识和态度。使用 SPSS 软件版本 25.0 以及独立 t 检验、卡方检验、Fisher 确切检验、单因素方差分析和多元线性回归检验进行数据分析。本研究共纳入来自中国甘肃省 37 家医院的 1002 名 ICU 护士。总体 KAP、知识、态度和实践得分分别为 149.17±24.62、53.83±12.23、37.24±6.35 和 58.10±9.83。三个变量之间呈正相关关系。结果显示，三级医院护士的知识得分高于其他医院的得分，高出 3.840 个单位。此外，本科及以上学历护士的知识得分和实践得分均高于其他护士，分别高出 0.978 个单位和 1.106 个单位。基于这些发现，护士的实践得分增加了 0.992 个单位，ICU 工作经验每增加 1 年，护士的实践得分增加 0.992 个单位。ICU 护士预防 MDRPI 的知识、态度和实践水平尚可。本研究结果表明，应采取综合措施提高 ICU 护士预防医疗 MDRPI 的知识、态度和实践水平，提高危重症患者的护理质量。
