Yazıcı Gülay, Aktaş Dilek, Bulut Hülya, Muslubaş Nilüfer, Güler Demir Sevil, Göçmen Baykara Zehra, Demircan Ahmet
Ankara Yıldırım Beyazıt University Health Sciences, Faculity Nursing Department, Ankara, Turkey.
Ankara Yıldırım Beyazıt University Health Sciences, Faculity Nursing Department, Ankara, Turkey.
Int Emerg Nurs. 2022 Jan;60:101111. doi: 10.1016/j.ienj.2021.101111. Epub 2021 Dec 21.
Emergency room conditions and the characteristics of the patients followed up pose a risk for pressure injury.
This study was conducted as a pilot study to assess the effectiveness of a training program in increasing the awareness of healthcare professionals working in an emergency department about how to manage pressure injuries.
The study was a prospective, pre-test post-test intervention study without a control group. The study included 595 patients who were hospitalized in the emergency room for more than two hours and voluntarily agreed to participate, as well as 11 physicians and 17 nurses working in the emergency department between 15 April and 19 June 2019 2019. It was carried out in three stages. In the first stage, the 30-day pressure injury incidence rate in the emergency department was evaluated using the "Emergency Department Patients Information and Pressure Injury Assessment Form" and "The Braden Scale for Predicting Pressure Injury Risk". In the second stage, the healthcare professionals were given training about pressure injuries. The knowledge levels of healthcare professionals before and after the training were evaluated using "The Descriptive Characteristics Form for Emergency Department Personnel (doctors and nurses)" and "The Questionnaire for Identifying and Preventing Pressure Injury". In the third stage, the 30-day pressure injury incidence rate in the was re-evaluated after the training using the same two scales as before. The SPSS 25 package program was used to evaluate the data in terms of frequency, percentage, mean and standard deviation, and the Mann-Whitney U Test for independent groups, the t-test, the correlated sample t-test, the Wilcoxon Signed Rank test, Pearson Chi-square test, Yates Chi-square test and Fisher's Exact Chi-square test were also used.
The mean knowledge test score of the healthcare professionals working in the emergency department was determined as X¯±SD = 53.71 ± 14.70 before the training and X¯±SD = 58.57 ± 11.83 after the training. The average score on the prevention dimension of the Questionnaire for Identifying and Preventing Pressure Injury was found to be statistically significantly higher than before the training (p < 0.05). The pressure injury incidence in the emergency department was 12.5% before the training and 8.8% afterwards.
It was observed that the knowledge of healthcare professionals about pressure injury was insufficient and that training given on this topic both increased their knowledge and decreased the incidence of pressure injury. However, the difference was not statistically significant. Training about pressure injuries is important for preventing pressure injury, identifying the injury early, treating the injury appropriately and increasing the awareness of healthcare professionals.
急诊室环境以及后续跟进患者的特征会带来压疮风险。
本研究作为一项试点研究开展，旨在评估一项培训计划在提高急诊科医护人员对压疮管理认知方面的有效性。
该研究是一项无前测后测干预研究，无对照组。研究纳入了595名在急诊室住院超过两小时且自愿同意参与的患者，以及2019年4月15日至6月19日期间在急诊科工作的11名医生和17名护士。研究分三个阶段进行。第一阶段，使用“急诊科患者信息与压疮评估表”和“压疮风险预测布拉德恩量表”评估急诊科30天内的压疮发生率。第二阶段，对医护人员进行压疮相关培训。使用“急诊科人员（医生和护士）描述性特征表”和“压疮识别与预防问卷”评估培训前后医护人员的知识水平。第三阶段，培训后使用与之前相同的两个量表重新评估急诊科30天内的压疮发生率。使用SPSS 25软件包程序对数据进行频率、百分比、均值和标准差方面的评估，还使用了独立样本的曼 - 惠特尼U检验、t检验、相关样本t检验、威尔科克森符号秩检验、皮尔逊卡方检验、耶茨卡方检验和费舍尔精确卡方检验。
急诊科医护人员培训前知识测试平均得分为X¯±SD = 53.71 ± 14.70，培训后为X¯±SD = 58.57 ± 11.83。发现“压疮识别与预防问卷”预防维度的平均得分在统计学上显著高于培训前（p < 0.05）。培训前急诊科压疮发生率为12.5%，培训后为8.8%。
观察到医护人员对压疮的知识不足，关于该主题的培训既增加了他们的知识，又降低了压疮发生率。然而，差异无统计学意义。压疮培训对于预防压疮、早期识别损伤、适当治疗损伤以及提高医护人员的认知很重要。
