Fang Pingping, Deng Wanfan, Zhu Xi, Cao Ying
Department of Endocrinology and Metabolism, The First Affiliated Hospital of Nanchang University, NanChang, China.
Department of Nursing, The First Affiliated Hospital of Nanchang University, NanChang, China.
J Tissue Viability. 2024 Nov;33(4):738-744. doi: 10.1016/j.jtv.2024.08.001. Epub 2024 Aug 13.
The purpose of this study was to explore the knowledge, attitude, and practice about preventing medical device-related pressure injuries among Chinese nurses.
A cross-sectional survey was used to gather self-reported data from 2236 nursing staff, from 164 nursing units in a tertiary hospital of China by using MDRPI knowledge, attitude, and practice questionnaire.
The median total score for nursing staff in preventing MDRPI is 151 (with a quartile range of 138-165) points, and the score rate is 79.40 %，the median total score for the knowledge dimension is 54 (with a quartile range of 45-60), with a score rate of 70.67 %, the median total score for the attitude dimension is 37 (with a quartile range of 36-44), with a score rate of 85.06 %，the median total score for the practice dimension is 59 (with a quartile range of 55-68), with a score rate of 85.48 %. Multiple linear regression analysis indicated that position and whether training or not are key factors influencing the total score of nursing staff in MDRPI prevention.
The study found that while nurses' attitude and practice score in preventing MDRPI are high, there is room for improvement in their knowledge score. Factors such as nurse position and training were identified as promoting MDRPI prevention. To enhance patient safety and quality of care, it is recommended that medical institutions focus on training programs to improve nurses' knowledge and attitude towards preventing MDRPI.
本研究旨在探讨中国护士对预防与医疗器械相关压力性损伤的知识、态度和实践情况。
采用横断面调查方法，通过使用医疗器械相关压力性损伤知识、态度和实践问卷，收集来自中国一家三级医院164个护理单元的2236名护理人员的自我报告数据。
护理人员预防医疗器械相关压力性损伤的总得分中位数为151分（四分位间距为138 - 165分），得分率为79.40%；知识维度得分中位数为54分（四分位间距为45 - 60分），得分率为70.67%；态度维度得分中位数为37分（四分位间距为36 - 44分），得分率为85.06%；实践维度得分中位数为59分（四分位间距为55 - 68分），得分率为85.48%。多元线性回归分析表明，职位以及是否接受培训是影响护理人员预防医疗器械相关压力性损伤总得分的关键因素。
研究发现，虽然护士在预防医疗器械相关压力性损伤方面的态度和实践得分较高，但知识得分仍有提升空间。护士职位和培训等因素被确定为促进预防医疗器械相关压力性损伤的因素。为提高患者安全和护理质量，建议医疗机构关注培训项目，以提高护士对预防医疗器械相关压力性损伤的知识和态度。
