Sönmez Münevver, Gürlek Kısacık Öznur, Korkmaz Serap
Faculty of Health Science, Nursing Department, Atılım University, 06830, Ankara, Türkiye.
Faculty of Health Science, Fundamentals of Nursing Department, Afyonkarahisar Health Sciences University, 03030, Afyonkarahisar, Türkiye.
J Tissue Viability. 2025 Feb;34(1):100841. doi: 10.1016/j.jtv.2024.12.005. Epub 2024 Dec 6.
This study aimed to determine nurses' current knowledge, attitudes, and practices in adult intensive care units and palliative care clinics regarding incontinence-associated dermatitis (IAD).
This descriptive cross-sectional study was conducted with 355 nurses in adult intensive care and palliative services at two hospitals. Data were collected between 5.03.2022 and 15.06.2022 using the" Nurse Demographic Form" and the "Knowledge, Attitude and Practice of Nurses in Managing Incontinence-Associated Dermatitis Questionnaire".
The nurses' mean scores for "Knowledge of IAD Etiology and Diagnosis" were 19.11 (SD 3.29), mean scores for "Knowledge of IAD Risk Factors" were 23.82 (SD 4.27), mean scores for "Attitude Toward IAD Prevention" were 10.1 (SD 2.49), and mean scores for "Practices for IAD Prevention" were 23.71 (SD 3.97). It was found that nurses who used a risk assessment tool to diagnose IAD (p = 0.001), had a procedure or protocol (p = 0.001), and received training on IAD (p < 0.001) had significantly higher "Attitude Towards Prevention of IAD" scores. There was a positive correlation between the number of patients with IAD cared for by the nurses participating in the study and the scores of ''Practices to Prevent IAD'' and ''Knowledge of IAD Risk Factors'', ''Knowledge of IAD Etiology and Diagnosis'' and ''Attitude Towards Preventing IAD'' (p < 0.001).
This study found that intensive care and palliative care nurses' knowledge, attitudes, and practices regarding IAD were insufficient. Considering that IAD is encountered more frequently in these units, it is essential to provide continuous and practical training to nurses about IAD, use risk assessment tools to prevent and treat IAD, determine protocols, establish clinical guidelines, and implement and standardize them.
本研究旨在确定成人重症监护病房和姑息治疗诊所护士对失禁相关性皮炎（IAD）的当前知识、态度和实践情况。
本描述性横断面研究对两家医院成人重症监护和姑息治疗服务部门的355名护士进行。2022年3月5日至2022年6月15日期间，使用“护士人口统计学表格”和“护士在管理失禁相关性皮炎方面的知识、态度和实践调查问卷”收集数据。
护士在“IAD病因和诊断知识”方面的平均得分是19.11（标准差3.29），在“IAD危险因素知识”方面的平均得分是23.82（标准差4.27），在“IAD预防态度”方面的平均得分是10.1（标准差2.49），在“IAD预防实践”方面的平均得分是23.71（标准差3.97）。结果发现，使用风险评估工具诊断IAD的护士（p = 0.001）、有程序或方案的护士（p = 0.00）以及接受过IAD培训的护士（p < 0.001）在“IAD预防态度”方面的得分显著更高。参与研究的护士护理的IAD患者数量与“预防IAD的实践”得分以及“IAD危险因素知识”“IAD病因和诊断知识”和“IAD预防态度”得分之间存在正相关（p < 0.001）。
本研究发现，重症监护和姑息治疗护士对IAD的知识、态度和实践不足。鉴于这些科室中IAD更为常见，必须为护士提供关于IAD的持续实用培训，使用风险评估工具预防和治疗IAD，确定方案，制定临床指南并加以实施和规范。
