Lu Xiuhong, Lu Yanlan, Qin Shuangwen, Li Ling, Huang Debin
Department of Critical Care Medicine, The First Affiliated Hospital of Guangxi Medical University, Nanning, China.
Department of Critical Care Medicine, Guangxi Hospital Division of the First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Medicine (Baltimore). 2025 Sep 5;104(36):e42237. doi: 10.1097/MD.0000000000042237.
This study aims to investigate the cognition, attitude, and practice of acute skin failure (ASF) among nurses in the intensive care unit (ICU) and analyze its influencing factors. In July 2023, an ASF Cognition Status Questionnaire was used to survey 370 ICU nurses via a convenience sampling method from 12 hospitals in Guangxi Province, China. The total score for the ASF Cognitive Status Questionnaire was (100.95 ± 20.63), with scores of (23.15 ± 10.96), (37.72 ± 4.75), and (40.08 ± 10.82) for the cognition dimension, attitude dimension, and practice dimension, respectively. Multiple linear regression analysis revealed that years of work experience, membership on a skincare team, have received hospice care training, and hospital grade were significant factors affecting ICU nurse's level of ASF knowledge and practice proficiency. ICU nurses' overall cognitive status level of ASF is low, and their attitude dimension and practice dimension are much better than their cognition dimension. Nurses with shorter working years, belong to skincare team, having completed hospice training, and working at higher grade hospital exhibit greater nursing cognitive status about ASF. Nursing managers should focus on the training of ICU nurses' ASF-relevant knowledge, and take corresponding training measures for different groups of nurses to improve ICU nurses' cognitive status of ASF.
本研究旨在调查重症监护病房(ICU)护士对急性皮肤衰竭(ASF)的认知、态度和实践情况,并分析其影响因素。2023年7月,采用急性皮肤衰竭认知状况问卷,通过便利抽样法对中国广西壮族自治区12家医院的370名ICU护士进行了调查。急性皮肤衰竭认知状况问卷的总分为(100.95±20.63),其中认知维度、态度维度和实践维度的得分分别为(23.15±10.96)、(37.72±4.75)和(40.08±10.82)。多元线性回归分析显示,工作年限、是否为皮肤护理团队成员、是否接受过临终关怀培训以及医院等级是影响ICU护士急性皮肤衰竭知识水平和实践能力的重要因素。ICU护士对急性皮肤衰竭的总体认知状况水平较低,其态度维度和实践维度明显优于认知维度。工作年限较短、属于皮肤护理团队、完成临终关怀培训以及在等级较高医院工作的护士对急性皮肤衰竭的护理认知状况更好。护理管理者应重视ICU护士急性皮肤衰竭相关知识的培训,并针对不同群体的护士采取相应的培训措施,以提高ICU护士对急性皮肤衰竭的认知状况。