Altaweli Roa, Alzamanan Mahdi, Ashour Yasir, Aldawsari Zainab
General Department of Nursing and Midwifery Affairs, Ministry of Health, Saudi Arabia.
Maternity and Children Hospital, Ministry of Health, Najran, Saudi Arabia.
J Wound Care. 2023 Jan 2;32(Sup1):S9-S18. doi: 10.12968/jowc.2023.32.Sup1.S9.
Nursing staff play a crucial role in postoperative wound care and management; it is therefore imperative that their knowledge is kept up to date to avoid complications. The overarching objective of this study was to assess the knowledge and practice of nursing staff regarding various aspects of the management of acute surgical wounds.
We conducted a cross-sectional study to assess nurses' clinical knowledge and practices in the management of acute wounds in four large hospitals in Saudi Arabia. The eligible participants included nurses who were working in the medical or surgical departments and those who were employed by the Ministry of Health. We administered a study questionnaire and conducted descriptive analysis to report frequencies and proportions of knowledge and practice aspects.
A total of 360 nurses responded to the survey, giving a response rate of 70%. A total of 221 nurses completed all survey questions. Of the participants, 56.56% were ≥30 years old, 95.48% were female, and 50.02% had >6 years' working experience. With regards to nurses' knowledge: 71.9% of the participants had updated their knowledge about wound care in the past two years; 54.3% perceived their knowledge of the availability of wound products as good; 74.66% correctly reported the classic signs of inflammation; 66.97% correctly identified general signs of wound infection; 84.62% of the sample considered surgical site infection as one complication of surgical wound infection. Only 61.09% of the nurses reported following wound care guidelines, 48.42% considered wound appearance as a highly important factor that influences nurses' choice of surgical dressing products, and 41.63% considered hospital policies and practices as important in making evidence-based decisions in wound management.
This study found that nurses' knowledge about the management of wounds was generally good; however, there were gaps in the practical component which need to be filled to avoid wound complications.
护理人员在术后伤口护理与管理中发挥着关键作用；因此，必须使其知识与时俱进以避免并发症。本研究的总体目标是评估护理人员在急性外科伤口管理各方面的知识与实践情况。
我们开展了一项横断面研究，以评估沙特阿拉伯四家大型医院护士在急性伤口管理方面的临床知识与实践。符合条件的参与者包括在医疗或外科科室工作的护士以及受雇于卫生部的护士。我们发放了一份研究问卷并进行描述性分析，以报告知识与实践方面的频率和比例。
共有360名护士回复了调查，回复率为70%。共有221名护士完成了所有调查问题。在参与者中，56.56%年龄≥30岁，95.48%为女性，50.02%有超过6年的工作经验。关于护士的知识：71.9%的参与者在过去两年更新了伤口护理知识；54.3%认为自己对伤口产品可用性的了解良好；74.66%正确报告了炎症的典型体征；66.97%正确识别了伤口感染的一般体征；84.62%的样本认为手术部位感染是手术伤口感染的一种并发症。只有61.09%的护士报告遵循伤口护理指南，48.42%认为伤口外观是影响护士选择手术敷料产品的一个非常重要的因素，41.63%认为医院政策和实践在伤口管理中做出循证决策方面很重要。
本研究发现护士对伤口管理的知识总体良好；然而，实践部分存在差距，需要加以填补以避免伤口并发症。
