失禁相关性皮炎：重症监护病房中的患病率以及护士的知识、态度和实践
Incontinence-Associated Dermatitis: Prevalence in Intensive Care Units and Knowledge, Attitudes, and Practices of Nurses.
作者信息
Yüceler Kaçmaz Hatice, Kaplan Özlem, Kaplan Ali, Şahin Merve Gül, Cetinkaya Ali, Avci Atıl
机构信息
Department of Nursing, Health Science Faculty, Erciyes University, Kayseri, Turkey (Drs Yüceler Kaçmaz and Özlem Kaplan); First and Emergency Aid Program, İncesu Ayşe and Saffet Arslan Health Services Vocational School, University of Kayseri, Kayseri, Turkey (Dr Ali Kaplan); Department of Women's Health Nursing, Erciyes University, Kayseri, Turkey (Ms Şahin); Ministry of Health, Kayseri City Hospital, Kayseri, Turkey (Ms Şahin); and Departments of Internal Medicine (Mr Cetinkaya) and Dermatology (Mr Avci), Health Science University Kayseri City Hospital, Kayseri, Turkey.
出版信息
J Nurs Care Qual. 2023;38(4):354-360. doi: 10.1097/NCQ.0000000000000707. Epub 2023 Mar 22.
BACKGROUND
Incontinence-associated dermatitis (IAD) is a major concern among hospitals, especially in intensive care units (ICUs).
PURPOSE
To describe ICU nurses' knowledge, attitudes, and practices of IAD and to examine the relationships with IAD prevalence in the ICU setting.
METHODS
A descriptive correlational design was used including the Knowledge, Attitudes and Practices of Incontinence-Associated Dermatitis Questionnaire and 1-month IAD prevalence data.
RESULTS
The prevalence of IAD in ICUs was 6.89%. A positive correlation was found between IAD prevalence and nurses' IAD knowledge and attitudes. Nurses working in the ICU for more than 7 years, caring for patients at high risk for or having IAD, and thinking IAD-related nursing practices were sufficient had significantly higher IAD knowledge, attitudes, and practices.
CONCLUSIONS
Findings indicate that ICU nurses learned about IAD through clinical experience and have inadequate training on IAD. A standardized evidence-based care protocol for IAD should be developed.
背景
失禁相关性皮炎（IAD）是医院尤其是重症监护病房（ICU）关注的主要问题。
目的
描述ICU护士对IAD的知识、态度和实践，并探讨其与ICU环境中IAD患病率的关系。
方法
采用描述性相关性设计，包括失禁相关性皮炎知识、态度和实践问卷以及1个月的IAD患病率数据。
结果
ICU中IAD的患病率为6.89%。发现IAD患病率与护士的IAD知识和态度之间存在正相关。在ICU工作超过7年、护理IAD高危或患有IAD的患者以及认为IAD相关护理实践足够的护士，其IAD知识、态度和实践显著更高。
结论
研究结果表明，ICU护士通过临床经验了解IAD，但对IAD的培训不足。应制定基于证据的IAD标准化护理方案。
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