Asiri Mousa Yahya, Baker Omar Ghazi, Alanazi Homoud Ibrahim, Alenazy Badr Ayed, Alghareeb Sahar Abdulkareem, Alghamdi Hani Mohammed, Alamri Saeed Bushran, Almutairi Turki, Alshumrani Hussien Mohammed, Alnassar Muhanna
College of Nursing, King Saud University, Riyadh 12372, Saudi Arabia.
Nursing Department, King Saud University Medical City, Riyadh 12372, Saudi Arabia.
Healthcare (Basel). 2025 May 22;13(11):1220. doi: 10.3390/healthcare13111220.
Various methods for preventing pressure injury have been developed across the globe, particularly in Saudi Arabia. Current available research has investigated the knowledge, attitudes, and practices regarding pressure injury prevention. However, no systematic review and meta-analysis have yet examined the associations among knowledge, attitudes, and practices regarding pressure injury prevention based on the perspectives of registered nurses. This study examines and summarizes the reported relationships among knowledge, attitudes, and practices regarding pressure injury prevention on the basis of the perceptions of registered nurses. The CINAHL, ProQuest, PubMed, ScienceDirect, and Web of Science databases were searched for quantitative evidence published in English between 2019 and 2025. The systematic review and meta-analysis adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (2021) guidelines. Out of the 1986 records that were initially examined, a total of 10 quantitative, cross-sectional, and correlational studies were included in the final systematic review and meta-analysis. In the context of the meta-analysis, 10 studies were included for the association between knowledge and attitudes, whereas only 3 studies were available for the association between knowledge and practice, and similarly, only 3 studies addressed the association between attitudes and practice of pressure injury prevention. Collectively, 2457 registered nurses were involved in these studies, mostly working in intensive care units. The studies were conducted in various countries across Asia and the Middle East, mostly in Turkiye, within the last five years. The registered nurses in the 10 studies reported associations among knowledge, attitudes, and practices toward pressure injury prevention that ranged from insignificant to weak, indirect, and strong direct. Relationships among knowledge, attitudes, and practices toward pressure injury prevention are both positive and negative from the global perspective and are shaped by various confounding and mediating factors, including socio-demographic, nursing-related, and hospital-related factors. Improving the knowledge base of registered nurses and promoting a favorable attitude toward pressure ulcer prevention would provide healthcare organizations with the potential to enhance the already commendable levels of practice and prevention noted in this review.
全球已开发出各种预防压疮的方法，尤其是在沙特阿拉伯。目前现有的研究调查了有关压疮预防的知识、态度和实践。然而，尚无系统评价和荟萃分析从注册护士的角度审视压疮预防的知识、态度和实践之间的关联。本研究基于注册护士的认知，审视并总结了所报告的压疮预防知识、态度和实践之间的关系。检索了CINAHL、ProQuest、PubMed、ScienceDirect和Web of Science数据库，以查找2019年至2025年期间以英文发表的定量证据。该系统评价和荟萃分析遵循系统评价和荟萃分析的首选报告项目（2021年）指南。在最初审查的1986条记录中，最终的系统评价和荟萃分析共纳入了10项定量、横断面和相关性研究。在荟萃分析中，纳入了10项研究用于知识与态度之间的关联，而仅有3项研究用于知识与实践之间的关联，同样，仅有3项研究探讨了压疮预防态度与实践之间的关联。这些研究总共涉及2457名注册护士，他们大多在重症监护病房工作。这些研究在过去五年内在亚洲和中东的多个国家进行，主要在土耳其。这10项研究中的注册护士报告了压疮预防知识、态度和实践之间的关联，范围从不显著到微弱、间接和强烈直接。从全球角度来看，压疮预防知识、态度和实践之间的关系既有积极的也有消极的，并且受到各种混杂和中介因素的影响，包括社会人口统计学、护理相关和医院相关因素。提高注册护士的知识基础并促进对压疮预防的积极态度，将使医疗保健组织有潜力提高本综述中已经值得称赞的实践和预防水平。
