Turhan Damar Hale, Erkin Özüm
Elderly Care Program, Health Services Vocational School, Izmir Democracy University, Izmir, Türkiye.
Nursing Department, Faculty of Health Science, Izmir Democracy University, Izmir, Türkiye.
J Tissue Viability. 2025 Feb;34(1):100848. doi: 10.1016/j.jtv.2024.12.012. Epub 2024 Dec 9.
This study aimed to evaluate the impact of case-based concept map education on nursing students' knowledge of and attitudes toward pressure injury prevention.
This is a single-group, pre-and post-test,quasi-experimental study. It was conducted in a school of nursing in Türkiye with seventy-seven students. Students received case-supported concept map education to prevent pressure injury. Data were collected using the Pressure Ulcer Prevention Knowledge Assessment Instrument (PUPKAI) and the Pressure Ulcer Prevention Attitude Instrument (APuP) before, immediately after, and four weeks after education. The data were analyzed using one-way analysis of variance for repeated measures.
There were significant differences between the three time points in terms of the PUPKAI total (F = 33.925, p < 0.001) and subscales scores (etiology and development (F = 7.362, p = 0.001), classification and observation (F = 48.386, p < 0.001), nutrition (F = 4.766, p = 0.011), preventive measures to reduce the amount of pressure/shear (F = 42.762, p < 0.001), and preventive measures to reduce the duration of pressure/shear (F = 5.248, p = 0.025), except for risk assessment (p < 0.05). There were also significant differences between the three time points in terms of the APuP total score (F = 33.925, p = 0.018). The Bonferroni test revealed a statistically significant difference between the pre-test and post-test APuP total scores (p = 0.022).
The study demonstrated that case-supported concept map education significantly improved nursing students' knowledge of and attitudes toward pressure injury prevention. These findings suggest that incorporating case-supported concept map education into nursing curricula can effectively enhance students' competence in pressure injury prevention.
本研究旨在评估基于案例的概念图教育对护理专业学生预防压疮知识和态度的影响。
这是一项单组、前后测的准实验研究。研究在土耳其的一所护理学校对77名学生进行。学生接受了基于案例的概念图教育以预防压疮。在教育前、教育后即刻以及教育四周后，使用压疮预防知识评估工具（PUPKAI）和压疮预防态度工具（APuP）收集数据。数据采用重复测量的单因素方差分析进行分析。
在PUPKAI总分（F = 33.925，p < 0.001）和各子量表得分方面，三个时间点之间存在显著差异（病因与发展（F = 7.362，p = 0.001）、分类与观察（F = 48.386，p < 0.001）、营养（F = 4.766，p = 0.011）、减少压力/剪切力的预防措施（F = 42.762，p < 0.001）以及减少压力/剪切力持续时间的预防措施（F = 5.248，p = 0.025），风险评估除外（p < 0.05）。在APuP总分方面，三个时间点之间也存在显著差异（F = 33.925，p = 0.018）。Bonferroni检验显示，教育前和教育后APuP总分之间存在统计学显著差异（p = 0.022）。
该研究表明，基于案例的概念图教育显著提高了护理专业学生预防压疮的知识和态度。这些发现表明，将基于案例的概念图教育纳入护理课程可以有效提高学生预防压疮的能力。
