Ehighibe Amaka P, Okeke Ugochukwu T, Hassan Bashar A, Pusic Andrea L, Mshelbwala Philip M
From the Division of Plastic and Reconstructive Surgery, Department of Surgery, Federal Medical Centre, Abuja, Nigeria.
Department of Surgery, University of Loiusville Medical School, Loiusville, KY.
Plast Reconstr Surg Glob Open. 2025 Aug 5;13(8):e7002. doi: 10.1097/GOX.0000000000007002. eCollection 2025 Aug.
Pressure injuries, often indicative of poor healthcare quality, cost the United States $3-$11 billion annually. After witnessing an increased incidence of pressure injuries at the Federal Medical Centre, Abuja, Nigeria, we sought to assess the knowledge, attitudes, and practices of healthcare workers regarding the prevention and management of pressure injuries.
The study was a cross-sectional survey of doctors and nurses at the hospital. The survey was pretested before being distributed via WhatsApp. Our primary outcomes were sufficient/good knowledge, a positive attitude, and proper practice of pressure injury prevention and management. Our secondary outcomes were predictors of these primary outcomes.
Of 555 healthcare workers who received the survey, 172 (30.9%) responded, most of whom were nurses (85 [49.4%]). Sufficient knowledge was observed in 77.3% of respondents, with 31.4% demonstrating good knowledge. Despite a positive attitude in 48.8% of respondents, only 15.1% practiced proper pressure injury prevention. Respondents with sufficient knowledge were less likely to be residents, and those with good knowledge were more likely to be men. Proper practice was more common among women and nurses but less frequent among doctors. Lack of training and staff shortage were identified as barriers to a positive attitude toward pressure injury prevention.
Sufficient knowledge and positive attitudes regarding pressure injury prevention and management did not necessarily translate into proper management practices. Our study suggested a need for improved training programs that effectively translate knowledge into practice and address barriers to pressure injury prevention and management in resource-limited settings.
压疮往往表明医疗质量不佳，在美国每年造成30亿至110亿美元的损失。在尼日利亚阿布贾联邦医疗中心目睹压疮发病率上升后，我们试图评估医护人员在压疮预防和管理方面的知识、态度和实践。
该研究是对该医院医生和护士的横断面调查。该调查在通过WhatsApp分发之前进行了预测试。我们的主要结果是对压疮预防和管理有足够/良好的知识、积极的态度和正确的实践。我们的次要结果是这些主要结果的预测因素。
在555名接受调查的医护人员中，172人（30.9%）做出了回应，其中大多数是护士（85人[49.4%]）。77.3%的受访者具备足够的知识，31.4%的受访者具备良好的知识。尽管48.8%的受访者态度积极，但只有15.1%的人采取了正确的压疮预防措施。具备足够知识的受访者不太可能是住院医生，具备良好知识的受访者更有可能是男性。正确的做法在女性和护士中更常见，但在医生中不太常见。缺乏培训和人员短缺被认为是对压疮预防持积极态度的障碍。
对压疮预防和管理有足够的知识和积极的态度并不一定能转化为正确的管理实践。我们的研究表明，需要改进培训计划，以有效地将知识转化为实践，并解决资源有限环境中压疮预防和管理的障碍。
