重症监护护士识别压力性损伤和失禁相关性皮炎的能力：一项多中心横断面调查。
The ability of critical care nurses to identify pressure injury and incontinence-associated dermatitis: A multicentre cross-sectional survey.
机构信息
Department of Critical Care Medicine, West China Hospital of Sichuan University, Chengdu, China.
Department of Critical Care Medicine, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
出版信息
Nurs Open. 2023 Mar;10(3):1556-1564. doi: 10.1002/nop2.1406. Epub 2022 Oct 20.
AIM
To investigate the ability of critical care nurses to identify pressure injury and incontinence-associated dermatitis and analyse the possible influencing factors.
DESIGN
Cross-sectional survey.
METHODS
This study was conducted at 24 hospitals across 12 provinces in China. A self-made electronic questionnaire was used. Nurses identified and judged injuries according to the information provided.
RESULTS
The average identification score for pressure injury and incontinence-associated dermatitis was 9.00 ± 3.51 points, and only 2.16% of nurses scored ≥16 points. The average correct identification rate for pressure injury and incontinence-associated dermatitis was 45%. The correct identification rate for stage 1 pressure injury was the highest, while those for stage 3, stage 4, deep tissue pressure injury and unstageable pressure injury were all lower than 50%; incontinence-associated dermatitis was also easily misjudged. Nurses' educational backgrounds, professional titles, job positions, hospital levels and learning frequency were the factors that affected their ability to identify pressure injury and incontinence-associated dermatitis.
目的
调查重症监护护士识别压力性损伤和失禁相关性皮炎的能力，并分析可能的影响因素。
设计
横断面调查。
方法
本研究在中国 12 个省的 24 家医院进行。使用自制的电子问卷，护士根据提供的信息识别和判断损伤。
结果
压力性损伤和失禁相关性皮炎的平均识别评分分别为 9.00±3.51 分，仅有 2.16%的护士得分≥16 分。压力性损伤和失禁相关性皮炎的正确识别率分别为 45%。对 1 期压力性损伤的正确识别率最高，而对 3 期、4 期、深部组织压力性损伤和无法分期的压力性损伤的正确识别率均低于 50%；失禁相关性皮炎也容易被误判。护士的教育背景、职称、工作岗位、医院级别和学习频率是影响其识别压力性损伤和失禁相关性皮炎能力的因素。
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