Institute of Health Sciences, College of Medical Sciences, University of Rzeszów, 35-959 Rzeszów, Poland.
Postgraduate Nursing and Midwifery Education Centre, 35-083 Rzeszów, Poland.
Int J Environ Res Public Health. 2023 Feb 15;20(4):3388. doi: 10.3390/ijerph20043388.
Local wound treatment with negative pressure wound therapy (NPWT) shortens the healing process but requires the supervision of trained medical personnel for administering the therapeutic procedures. Professional supervision and control of the effectiveness of NPWT, as well as education conducted by nurses, are of particular importance for therapeutic and caring processes, both in hospital and at home. The aim of the study was the assessment of the perception of NPWT by certified nurses in the topical treatment of chronic wounds. The study was conducted using the method of estimation and a diagnostic survey with the proprietary NPWT perception questionnaire: 495 subjects were enrolled in the study and 401 respondents aged 25-67 years qualified for statistical analysis. Despite their experience and competence, the respondents critically assessed their knowledge, pointing to an average subjective level of knowledge related to wound treatment and a low level of knowledge related to NPWT. Most of the respondents had no experience of independent treatment using this method. The data obtained from the questionnaire clearly indicate theoretical preparation and high motivation to undertake activities related to the implementation of NPWT in their own practice. Low readiness values suggested that the subjects did not have the resources or the ability to implement the method. The perception of NPWT in the surveyed group of nurses was determined by numerous factors, including self-assessment of their own knowledge, motivation and readiness to use NPWT. A high level of NPWT perception was noted, despite low motivation related to the availability and knowledge of the method. Theoretical knowledge is insufficient to implement innovative methods in local wound treatment. Practical skills and motivation are indispensable elements that should be met during the training and education of nurses in the field of wound care.
局部伤口负压治疗（NPWT）可缩短愈合过程，但需要经过培训的医务人员来管理治疗程序。专业人员对 NPWT 的效果进行监督和控制，以及护士进行教育，对于治疗和护理过程都非常重要，无论是在医院还是在家中。本研究的目的是评估认证护士对慢性伤口局部治疗中 NPWT 的认知。本研究采用评估方法和使用专有 NPWT 认知问卷进行诊断性调查：共纳入 495 名受试者，其中 401 名年龄在 25-67 岁的应答者符合统计分析要求。尽管有经验和能力，但应答者批判性地评估了他们的知识，指出与伤口处理相关的知识平均处于主观水平，而与 NPWT 相关的知识水平较低。大多数应答者没有使用该方法进行独立治疗的经验。问卷调查得出的数据清楚地表明，他们具有理论准备和高度的动机，愿意在自己的实践中开展与 NPWT 实施相关的活动。低准备值表明，这些受试者没有实施该方法的资源或能力。调查护士组对 NPWT 的认知受到许多因素的影响，包括对自己知识的自我评估、使用 NPWT 的动机和准备情况。尽管与该方法的可用性和知识相关的动机较低，但仍注意到 NPWT 感知度较高。理论知识不足以在局部伤口治疗中实施创新方法。实践技能和动机是在伤口护理领域培训和教育护士时必须满足的不可或缺的要素。
