一项关于护士对预防压疮的知识和态度及其与压疮患病率关系的全国性横断面研究。

A national cross-sectional study on the knowledge and attitude of nurses towards prevention of pressure injury and their relationship with its prevalence.

作者信息

ALFadhalah Talal, Lari Marjan, Al Salem Gheed, Ali Shaimaa, Al Kharji Hamad, Elamir Hossam

机构信息

Quality and Accreditation Directorate, Ministry of Health, Kuwait City, Kuwait.

出版信息

BMC Nurs. 2025 May 12;24(1):516. doi: 10.1186/s12912-025-02947-8.

DOI:10.1186/s12912-025-02947-8

PMID:40355899

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12070613/

Abstract

BACKGROUND

Pressure injuries can greatly affect a patient's health, safety, and quality of life. The knowledge and attitudes of nurses towards preventing pressure injuries are vital for providing safe, high-quality healthcare. Nursing in Kuwait suffers from a research gap on this topic.

METHODS

This was a cross-sectional study conducted in the public general hospitals of Kuwait to assess nurses' knowledge and attitudes and to measure the point prevalence of pressure injuries and prevention measures. An online form, a Modified Pieper's Pressure Ulcer Knowledge Test and the Moore and Price scale were used to gather data, covering variables related to hospitals, nurses, patients, pressure injuries, and prevention practices. We processed and analysed data using Microsoft Excel and SPSS 23.

RESULTS

The median score of nurses' knowledge on preventing pressure injuries was 73.2% (IQR: 68.3-78.0), and only 31.7% of the knowledge test items were answered correctly by 90% of participants or more. The median attitude score was 41.0 (IQR: 37.0-44.0). There were statistically significant strong positive correlations between nurses' age, years of work experience, attitude score, and the percentage of trained staff complying with measures against pressure injury. Attitude score had a statistically significant and strongly negative correlation with the rate of hospital-acquired pressure injury. The predictors of knowledge score were age, sex, and years since the most recent training was undertaken. Knowledge and a nurse's highest level of education were predictors of attitude scores.

CONCLUSIONS

This study offers inestimable insights into the field. The study's results reveal that nurses' knowledge is unsatisfactory to borderline satisfactory, whereas attitudes are positive. Despite this, the positive attitude is neither reflected in staff compliance with practices aimed at preventing pressure injury nor the rate of hospital-acquired pressure injury. We recommend implementing effective training programmes to bridge these gaps.

CLINICAL TRIAL NUMBER

Not applicable.

摘要

背景

压力性损伤会极大地影响患者的健康、安全和生活质量。护士对预防压力性损伤的知识和态度对于提供安全、高质量的医疗保健至关重要。科威特的护理工作在这一主题上存在研究空白。

方法

这是一项在科威特公立综合医院进行的横断面研究，旨在评估护士的知识和态度，并测量压力性损伤的现患率及预防措施。通过在线表格、改良的皮珀压力性溃疡知识测试和摩尔与普赖斯量表收集数据，涵盖与医院、护士、患者、压力性损伤及预防措施相关的变量。我们使用微软Excel和SPSS 23对数据进行处理和分析。

结果

护士预防压力性损伤知识的中位数得分是73.2%（四分位间距：68.3 - 78.0），只有31.7%的知识测试项目有90%及以上的参与者回答正确。态度得分的中位数是41.0（四分位间距：37.0 - 44.0）。护士的年龄、工作年限、态度得分以及接受培训的工作人员遵守压力性损伤预防措施的比例之间存在统计学上显著的强正相关。态度得分与医院获得性压力性损伤发生率之间存在统计学上显著的强负相关。知识得分的预测因素是年龄、性别以及距离最近一次培训的年限。知识和护士的最高学历是态度得分的预测因素。