上海市2级医院护士压疮护理知识掌握现状调查

Knowledge level of pressure ulcers in nurses from secondary hospitals

目的了解上海市部分2级医院护士压疮护理专业知识水平,探索提高护士压疮知识培训效果的措施。方法于2012年11月,采用自行设计的临床压疮知识调查表,对3所2级综合医院的272名护士进行调查,内容包括压疮基本概念、压疮风险评估、预防及护理方法等,共48题。结果 272名护士压疮专业知识每题平均得分(0.65±0.08)分;其中正确率超过80%的条目14项,正确率低于50%的条目11项。不同年龄段、职称、职务、工作年限、科室的护士群体,其压疮专业知识掌握程度不同,差异有统计学意义(P均<0.05)。临床经验积累、医院培训和在校学习为护士获得压疮知识的主要渠道。结论 2级医院护士压疮护理知识掌握较薄弱,理论与实践操作均有待提升。管理者应积极探索有效的培训途径、方式和培训内容,及时更新护士压疮知识,提高护士压疮护理知信行水平。

Objective To investigate the knowledge level of pressure ulcers in nurses from secondary hospitals in Shanghai,and to explore the measures to improve the training effects. Methods The self-designed clinical questionnaire about knowledge of pressure ulcers was used in November 2012 to investigate 272 nurses from three secondary hospitals in Shanghai. The survey included basic conception,risk evaluation,prevention and nursing of pressure ulcers. Results The average score was（ 0. 65 ± 0. 08） for each item. The correct rates of14 items exceeded 80%,and 11 items below 50%. There were significant differences in the professional knowledge level of pressure ulcers among the nurses with different ages,professional titles,duties,working years and departments（ all P 0. 05）. The ways for nurses to get knowledge of pressure ulcers were limited.Accumulation of clinical experiences,hospital training and school learning were the main ways. Conclusion The nurses from secondary hospitals have poor knowledge level of pressure ulcers. Their theory and pratical skills are yet to be improved. The supervisors should strengthen the nursing training of pressure ulcers,and explore effective training ways to improve nurses＇ level of knowledge,attitude and practice.