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综合护理单元护士预防医疗器械相关压力性损伤的基于协议的视频教育项目的开发与评估

The Development and Evaluation of a Protocol-Based Video Education Program on Medical Device-Related Pressure Injury Prevention for Nurses in Comprehensive Nursing Care Unit.

作者信息

Yoo Mihyun, Lee Hanna, Han Jeongwon

机构信息

College of Nursing Science, Kyung Hee University, Seoul, Korea.

Department of Nursing, Gangneung-Wonju National University, Gangwon-do, Korea.

出版信息

Int Wound J. 2025 Jun;22(6):e70692. doi: 10.1111/iwj.70692.

DOI:10.1111/iwj.70692
PMID:40442573
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12122258/
Abstract

This study aims to assess the impact of a protocol-based video education program on nurses' knowledge of medical device-related pressure injuries prevention, self-efficacy in pressure injury care, and satisfaction with the educational program. This study employed a non-equivalent control group pre-test-post-test design. This study was conducted from September 6, 2024, to September 19, 2024. A total of 62 nurses from the integrated nursing care service wards of a general hospital were recruited and divided into 31 experimental and 31 control groups. The experimental group received a one-week protocol-based video education program, whereas the control group received booklet-based education. Both the experimental and control groups demonstrated statistically significant improvements in medical device-related pressure injuries prevention knowledge after the intervention. The interaction effect between group and time was also significant. Self-efficacy scores increased significantly in both the experimental and control groups, although the interaction effect was not statistically significant. Educational satisfaction showed no significant difference between the two groups. The protocol-based video education program effectively improved nurses' knowledge of medical device-related pressure injuries prevention and demonstrated its potential as a repeatable and accessible learning tool. Future research should focus on longer intervention periods, diverse hospital settings, and the inclusion of clinical outcome data such as actual pressure injury incidence to further validate the program's effectiveness. TRIAL REGISTRATION: ClinicalTrials.gov identifier: KCT0010218.

摘要

本研究旨在评估基于方案的视频教育项目对护士预防医疗设备相关压力性损伤知识、压力性损伤护理自我效能感以及对教育项目满意度的影响。本研究采用非等效对照组前后测设计。本研究于2024年9月6日至2024年9月19日进行。从一家综合医院的综合护理服务病房招募了62名护士,分为31名实验组和31名对照组。实验组接受了为期一周的基于方案的视频教育项目,而对照组接受了基于手册的教育。干预后,实验组和对照组在预防医疗设备相关压力性损伤知识方面均有统计学上的显著改善。组间与时间的交互作用也很显著。尽管交互作用无统计学意义,但实验组和对照组的自我效能感得分均显著提高。两组在教育满意度方面无显著差异。基于方案的视频教育项目有效提高了护士预防医疗设备相关压力性损伤的知识,并证明了其作为一种可重复且易于获取的学习工具的潜力。未来的研究应关注更长的干预期、不同的医院环境以及纳入实际压力性损伤发生率等临床结局数据,以进一步验证该项目的有效性。试验注册:ClinicalTrials.gov标识符:KCT0010218。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7850/12122258/f280ced6478a/IWJ-22-e70692-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7850/12122258/764530815b9f/IWJ-22-e70692-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7850/12122258/788d9d39acf7/IWJ-22-e70692-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7850/12122258/f280ced6478a/IWJ-22-e70692-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7850/12122258/764530815b9f/IWJ-22-e70692-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7850/12122258/788d9d39acf7/IWJ-22-e70692-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7850/12122258/f280ced6478a/IWJ-22-e70692-g003.jpg

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本文引用的文献

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Intensive care nurses' knowledge of pressure injury prevention.重症监护护士对压疮预防的知识
BMC Nurs. 2024 Dec 2;23(1):876. doi: 10.1186/s12912-024-02533-4.
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Effect of an online training intervention on evidence-based practice in clinical nurses. #Evidencer Project.在线培训干预对临床护士循证实践的影响。#循证者项目
BMC Nurs. 2024 Nov 15;23(1):838. doi: 10.1186/s12912-024-02489-5.
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Protocol for the Development of the Fourth Edition of the Prevention and Treatment of Pressure Ulcers/Injuries: Clinical Practice Guideline Using GRADE Methods.
预防和治疗压力性溃疡/损伤:第四版临床实践指南制定议定书,使用 GRADE 方法。
Adv Skin Wound Care. 2024 Mar 1;37(3):136-146. doi: 10.1097/ASW.0000000000000079. Epub 2023 Nov 13.
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Implementation of a Pressure Injury Prevention Protocol for Intensive Care Unit Patients Undergoing Prone Positioning.实施俯卧位重症监护病房患者压疮预防方案。
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Knowledge, attitude, perceived barriers of hard-to-healed wound care and the association with confidence: A cross-sectional study among community nurses.难愈合伤口护理的知识、态度、感知障碍及其与信心的关联:一项针对社区护士的横断面研究。
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Medical device-related pressure injury knowledge assessment for nurses: development and psychometric validation of a multiple choice test.护士医疗器械相关性压力性损伤知识评估:多项选择测试的编制与心理测量学验证。
J Wound Care. 2023 Jun 1;32(Sup6a):lxxv-lxxxvi. doi: 10.12968/jowc.2023.32.Sup6a.lxxv.
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