中国重症监护病房护士对急性皮肤衰竭的认知、态度和实践：一项多中心横断面调查。
Acute skin failure knowledge, attitudes and practices amongst intensive care unit nurses in China: A multicentre cross-sectional survey.
作者信息
Yang Xiuru, Yan Fenglin, Xie Sha, Shang Yinju, Wang Mei, Wen Dan, He Haiyan
机构信息
Intensive Care Unit, Mianyang Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Mianyang, China.
出版信息
Int Wound J. 2025 Jan;22(1):e70099. doi: 10.1111/iwj.70099.
PURPOSE
To investigate the knowledge, attitudes and practices of intensive care unit (ICU) nurses regarding acute skin failure (ASF) and analyse the influencing factors thereof.
METHODS
From 22 December 2023 to 24 January 2024, a cross-sectional study was conducted amongst ICU nurses from 21 hospitals in eight provinces in China. The ASF knowledge, attitude and practice scores were determined using questionnaires, and multiple linear regression was used for further analysis.
RESULTS
Overall, 304 ICU nurses completed the survey. The knowledge, attitude and practice scores were 24.89 ± 10.93, 40.67 ± 5.93 and 43.47 ± 9.19, with scoring rates of 45.25%, 81.34% and 72.45%, respectively. Multiple linear regression analysis showed that being a wound ostomy specialist nurse was positively correlated with the knowledge dimension score (p < 0.05). Nurses' professional titles significantly affected attitude scores (p < 0.05); the higher the professional title, the more positive the attitude towards ASF.
CONCLUSION
The attitudes and practices of ICU nurses in China towards ASF were found to be positive; however, their knowledge levels need improvement. Nursing managers should conduct targeted training, especially for entry-level nurses.
目的
调查重症监护病房（ICU）护士对急性皮肤衰竭（ASF）的知识、态度和实践情况，并分析其影响因素。
方法
2023年12月22日至2024年1月24日，对中国8个省份21家医院的ICU护士进行了一项横断面研究。通过问卷调查确定ASF知识、态度和实践得分，并采用多元线性回归进行进一步分析。
结果
共有304名ICU护士完成调查。知识、态度和实践得分分别为24.89±10.93、40.67±5.93和43.47±9.19，得分率分别为45.25%、81.34%和72.45%。多元线性回归分析显示，作为伤口造口专科护士与知识维度得分呈正相关（p<0.05）。护士的职称显著影响态度得分（p<0.05）；职称越高，对ASF的态度越积极。
结论
发现中国ICU护士对ASF的态度和实践较为积极；然而，他们的知识水平有待提高。护理管理者应进行有针对性的培训，尤其是对初级护士。
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