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重症监护室护士对医疗器械相关压力性损伤的认知及影响因素分析。

Knowledge of intensive care unit nurses about medical device-related pressure injury and analysis of influencing factors.

机构信息

School of Nursing, Huizhou Health Sciences Polytechnic, Huizhou, China.

Department of Neurology, Wuhan Fourth Hospital, Wuhan, China.

出版信息

Int Wound J. 2023 Apr;20(4):1219-1228. doi: 10.1111/iwj.13981. Epub 2022 Dec 9.

DOI:10.1111/iwj.13981
PMID:36495034
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10031207/
Abstract

To investigate ICU nurses' knowledge level with regard to device-related pressure injuries in northern, central, and southern China and analyse its influencing factors. A total of 261 ICU nurses participated in this cross-sectional survey A convenience sampling method was used to select ICU nurses as respondents from one hospital in each of the six cities of Taiyuan, Wuhan, Xianning, Guangzhou, Foshan, and Huizhou. Data were collected using the MDRPI Knowledge Questionnaire. The questionnaire was developed by the investigators based on a summary of evidence of MDRPI, which has been reviewed and validated by experts. The obtained data were analysed using SPSS software. The average rate of the correct response about MDRPI was 60.54% (15.74 ± 2.90). The lowest percentage of correct responses was on the "concept and staging" dimension rated 28% (0.56 ± 0.67). The "skin assessment" dimension rated 39.2% (1.57 ± 0.84). Multiple linear regression analysis showed that the factors influencing the MDRPI knowledge of ICU nurses included hospital grade, the highest educational attainment, whether or not they had wound care certification, when they last attended MDRPI training or lectures, and whether or not they had attended MDRPI training or lectures. The level of knowledge of nurses about MDRPI was insufficient. Training of ICU nurses on MDRPI should be emphasised at the institutional level. MDRPI training contents should be based on clinical evidence and updated timely. There is a need to focus on the training of wound care certification and education.

摘要

目的

调查中国北方、中部和南方地区 ICU 护士对器械相关性压力性损伤的认知水平,并分析其影响因素。

方法

采用便利抽样方法,选取中国 6 个城市(太原市、武汉市、咸宁市、广州市、佛山市、惠州市)的 1 家医院的 ICU 护士作为调查对象,共 261 名护士参与了此次横断面调查。采用自行设计的 MDRPI 知识问卷进行调查,问卷基于 MDRPI 证据总结,并经专家审核和验证。采用 SPSS 23.0 软件对数据进行统计分析。

结果

MDRPI 知识的正确回答率平均为 60.54%(15.74±2.90)。正确回答率最低的维度是“概念和分期”(28%,0.56±0.67),其次是“皮肤评估”(39.2%,1.57±0.84)。多因素线性回归分析显示,影响 ICU 护士 MDRPI 知识的因素包括医院级别、最高学历、是否具有伤口护理认证、最近一次参加 MDRPI 培训或讲座的时间以及是否参加过 MDRPI 培训或讲座。

结论

护士对 MDRPI 的认知水平不足。应在机构层面加强对 ICU 护士的 MDRPI 培训。MDRPI 培训内容应基于临床证据并及时更新。应重点关注伤口护理认证和教育的培训。

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本文引用的文献

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J Tissue Viability. 2022 May;31(2):231-238. doi: 10.1016/j.jtv.2022.01.006. Epub 2022 Jan 31.
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J Clin Nurs. 2022 Jun;31(11-12):1612-1619. doi: 10.1111/jocn.16014. Epub 2021 Aug 22.
3
Knowledge, attitude, and practice of nurses in intensive care unit on preventing medical device-related pressure injury: A cross-sectional study in western China.重症监护病房护士预防医疗器械相关性压力性损伤的知识、态度和实践:中国西部的一项横断面研究。
Int Wound J. 2021 Dec;18(6):777-786. doi: 10.1111/iwj.13581. Epub 2021 May 7.
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Preventing medical device-related skin damage.预防与医疗器械相关的皮肤损伤。
Nurs Stand. 2019 Sep 27;34(10):72-76. doi: 10.7748/ns.2019.e11375. Epub 2019 Apr 27.
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Medical device-related pressure ulcers: A systematic review and meta-analysis.医疗器械相关性压疮:系统评价和荟萃分析。
Int J Nurs Stud. 2019 Apr;92:109-120. doi: 10.1016/j.ijnurstu.2019.02.006. Epub 2019 Feb 10.
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The national cost of hospital-acquired pressure injuries in the United States.美国医院获得性压力性损伤的国家成本。
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