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重症监护护士医疗器械相关性压力性损伤知识和实践的描述性横断面研究。

Intensive care nurses' knowledge and practices regarding medical device-related pressure injuries: A descriptive cross-sectional study.

机构信息

Sabuncuoglu Serefeddin Health Services Vocational School, Amasya University, Amasya, Türkiye.

Faculty of Health Science, Düzce University, Düzce, Türkiye.

出版信息

Int Wound J. 2024 Oct;21(10):e70088. doi: 10.1111/iwj.70088.

Abstract

This study aims to determine the levels of knowledge and practices of intensive care nurses regarding medical device-related pressure injuries (MDRPIs). This descriptive cross-sectional study was carried out between September 2023 and February 2024, involving 143 nurses working in intensive care units across three hospitals in Türkiye. The data were collected using the demographic form and the Medical Device-related Pressure Injuries Knowledge and Practice Assessment Tool (MDPI-ASSET). Of the nurses, 74.1% have encountered MDRPIs in their unit, 63.6% feel that their knowledge about MDRPIs is insufficient and 90.2% express a desire to receive training about MDRPIs. The participants' total mean MDPI-ASSET score was 11.12 (out of 21). The nurses achieved the highest mean score on the Aetiology/risk factors sub-scale and the lowest mean score on the Staging sub-scale. The analysis revealed significant differences in the mean MDPI-ASSET total scores among nurses based on the status of previous encounters with MDRPIs (t = 2.342; p = 0.021) and their feelings of responsibility for the development of MDRPIs (t = -2.746; p = 0.007). In this study, the knowledge and practices of intensive care nurses regarding medical device-induced pressure injuries were found to be inadequate. Given the frequent occurrence of MDRPIs in intensive care units, it is necessary to support nurses with continuous organizational-level training to improve the quality of care for critically ill patients.

摘要

本研究旨在确定重症监护护士在医疗器械相关性压力性损伤(MDRPI)方面的知识和实践水平。这是一项描述性的横断面研究,于 2023 年 9 月至 2024 年 2 月在土耳其三家医院的重症监护病房进行,共纳入 143 名护士。使用人口统计学表格和医疗器械相关性压力性损伤知识和实践评估工具(MDPI-ASSET)收集数据。护士中,74.1%在其科室遇到过 MDRPI,63.6%认为自己对 MDRPI 的知识不足,90.2%表示希望接受 MDRPI 培训。参与者的 MDPI-ASSET 总分平均为 11.12(满分 21 分)。护士在病因/风险因素子量表上的平均得分最高,在分期子量表上的平均得分最低。分析发现,根据护士是否有过 MDRPI 接触史(t=2.342;p=0.021)和对 MDRPI 发展的责任感(t=-2.746;p=0.007),其 MDPI-ASSET 总分存在显著差异。本研究发现,重症监护护士在医疗器械引起的压力性损伤方面的知识和实践不足。鉴于重症监护病房中 MDRPI 的频繁发生,有必要为护士提供持续的组织层面培训,以提高危重症患者的护理质量。

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