Hu Rong, Zhong Xiaoying, Li Xiaoya, Ma Yanfei, He Huilin, Wang Chunyan, He Fang
Mianyang Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Mianyang, 621000, China.
J Tissue Viability. 2024 Nov;33(4):1012-1016. doi: 10.1016/j.jtv.2024.07.015. Epub 2024 Jul 25.
To determine the level of knowledge about skin tears among geriatric ward nurses and identify associated factors.
In this cross-sectional study in Southwest China, 1172 geriatric ward nurses from 10 hospitals participated. Data were collected using Sojump, a Chinese web-based platform, and the Skin Tear Knowledge Assessment Instrument was used to assess their knowledge. The analysis involved descriptive statistics, correlation analysis, and multiple linear regression.
The study involved participants with an average age of 36.73 (SD = 6.54) years. More than half of the participants had less than 10 years of experience in geriatric wards. 27 % specialized in wound care, and 68.1 % lacked specific training in skin tear (ST) knowledge. Additionally, 82.7 % of geriatric nurses had never been exposed to guidelines on ST prevention and management. In the geriatric ward, 36.6 % of nurses received training in ST prevention. The average knowledge score about Skin Tears (STs) was 9.52 (SD = 2.39) out of 18. 'Treatment' had the lowest mean score, while 'Specific patient groups' had the highest. The multiple linear regression analysis found that nurses' knowledge of STs was influenced by sex(β = 0.096, P < 0.001), educational level(β = 0.062, P < 0.001), participation in ST (β = -0.193, P < 0.001 and wound care training(β = -0.120, P = 0.004), and specialization as a wound care nurse(β = -0.350, P = 0.001). These factors explained 61.3 % of the variance in knowledge about STs among the participants.
The geriatric ward had limited knowledge of STs. To improve their skills in dealing with STs, managers should provide tailored training to nurses and establish a standardized, evidence-based nursing process.
确定老年病房护士对皮肤撕裂伤的知识水平，并识别相关因素。
在这项中国西南部的横断面研究中，来自10家医院的1172名老年病房护士参与其中。数据通过基于网络的中文平台问卷星收集，并使用皮肤撕裂伤知识评估工具来评估她们的知识水平。分析包括描述性统计、相关性分析和多元线性回归。
该研究的参与者平均年龄为36.73（标准差=6.54）岁。超过一半的参与者在老年病房的工作经验少于10年。27%的人专门从事伤口护理，68.1%的人缺乏皮肤撕裂伤（ST）知识的专项培训。此外，82.7%的老年护士从未接触过ST预防和管理指南。在老年病房，36.6%的护士接受过ST预防培训。皮肤撕裂伤（STs）的平均知识得分为9.52（标准差=2.39）（满分18分）。“治疗”的平均得分最低，而“特定患者群体”的平均得分最高。多元线性回归分析发现，护士对STs的知识受性别（β=0.096，P<0.001）、教育水平（β=0.062，P<0.001）、参与ST（β=-0.193，P<0.001）和伤口护理培训（β=-0.120，P=0.004）以及作为伤口护理护士的专业化程度（β=-0.350，P=0.001）的影响。这些因素解释了参与者中STs知识差异的61.3%。
老年病房对STs的知识有限。为提高护士处理STs的技能，管理者应为护士提供针对性培训，并建立标准化的、基于证据的护理流程。
