Gizaw Melkamu A, Negawo Mulu K, Bala Elias T, Daba Derese B
Nursing Department Jeldu Hospital Oromia Ethiopia.
Nursing Departement, College of Medicine and Health Science Ambo University Oromia Ethiopia.
Health Sci Rep. 2022 Jun 3;5(4):e677. doi: 10.1002/hsr2.677. eCollection 2022 Jul.
Postoperative wound care is irrigating the surgical wound with normal saline solution and applying sterile gauze or bandage. Even though challenges related to postoperative wound care and its complications are high, information related to the knowledge and practice of nurses on postoperative wound care are minimal. Therefore, this study aimed to find levels of knowledge and practices of nurses on postoperative wound care management and contributing factors among nurses working at public hospitals of West Showa, Oromia region, Ethiopia, 2020.
A facility-based cross-sectional study was conducted among 465 Nurses working in public hospitals in West Showa Zone, Oromia, Ethiopia, from June 15 to July 10, 2020. Data were collected using a self-administered structured questionnaire that was adapted from previous studies. Descriptive statistics were performed and results were presented using tables and graphs. Bivariate and multivariable logistic regression analysis was undertaken, and variables with < 0.05 at a 95% confidence interval (CI) were considered statistically significant.
Only 44.3% (95% CI = 39.5%, 48.9%) and 48.0% (95% CI = 43.4%, 52.4%) of nurses have good knowledge and practice in postoperative wound care, respectively. Male nurses (adjusted odds ratio [AOR] = 1.90 (1.25-2.89), working in gynecology ward (AOR = 0.42 [0.18-0.95]), experience of ≥2 years in surgical units (AOR = 2.97 [1.10-8.02]), working in secondary hospital (AOR = 1.94 [1.16-3.26]), and working in tertiary hospital (AOR = 3.31 [1.81-6.08]) were significantly associated with the knowledge of nurses. An adequate supply of personal protective equipment (AOR = 3.38 [1.29-8.84]), using infection prevention guidelines (AOR = 5.03 [2.16-11.7]) and the presence of an adequate wound care materials (AOR = 3.67 [1.71-7.88]) were significantly associated with the practice of nurses.
Less than half of nurses had good knowledge and practice in postoperative wound care and several factors contribute to its improvement. Upgrading the nurse's knowledge and practice towards postoperative wound care is essential in preventing postoperative wound infection.
术后伤口护理是用生理盐水冲洗手术伤口并敷上无菌纱布或绷带。尽管术后伤口护理及其并发症相关的挑战很大，但关于护士在术后伤口护理方面的知识和实践的信息却很少。因此，本研究旨在了解埃塞俄比亚奥罗米亚州西绍阿公立医院的护士在术后伤口护理管理方面的知识水平和实践情况以及相关影响因素，研究时间为2020年。
2020年6月15日至7月10日，在埃塞俄比亚奥罗米亚州西绍阿区公立医院工作的465名护士中进行了一项基于机构的横断面研究。数据通过一份根据以往研究改编的自填式结构化问卷收集。进行描述性统计，并使用表格和图表展示结果。进行了双变量和多变量逻辑回归分析，在95%置信区间（CI）内P<0.05的变量被认为具有统计学意义。
分别只有44.3%（95%CI=39.5%，48.9%）和48.0%（95%CI=43.4%，52.4%）的护士在术后伤口护理方面有良好的知识和实践。男护士（调整比值比[AOR]=1.90[1.25 - 2.89]）、在妇科病房工作（AOR=0.42[0.18 - 0.95]）、在外科病房工作≥2年（AOR=2.97[1.10 - 8.02]）、在二级医院工作（AOR=1.94[1.16 - 3.26]）以及在三级医院工作（AOR=3.31[1.81 - 6.08]）与护士的知识水平显著相关。个人防护装备供应充足（AOR=3.38[1.29 - 8.84]）、遵循感染预防指南（AOR=5.03[2.16 - 11.7]）以及有充足的伤口护理材料（AOR=3.67[1.71 - 7.88]）与护士的实践显著相关。
不到一半的护士在术后伤口护理方面有良好的知识和实践，有几个因素有助于改善这种情况。提高护士在术后伤口护理方面的知识和实践对于预防术后伤口感染至关重要。
