三级甲等医院护士皮肤撕裂伤知识现状及影响因素分析

Status quo and influencing factors of nurses'knowledge on Skin Tears in the tertiary grade A hospitals:a multicenter survey

目的:调查我国三级甲等医院护士皮肤撕裂伤知识现状并分析其影响因素。方法:采用一般资料调查表和中文版皮肤撕裂伤知识评估工具,使用便利抽样法对来自22个省份133所三级甲等医院的4274名护士进行电子问卷调查。结果:护士的皮肤撕裂伤知识得分为(10.42±3.21)分,其中39.8%的护士知识总得分率合格。多重线性回归分析结果显示,性别、学历、职称、科室、是否伤口造口专科护士、护士自评皮肤撕裂伤护理能力级别、有无参加过伤口护理课程培训和是否需要参加皮肤撕裂伤课程培训是护士皮肤撕裂伤知识水平的影响因素(P<0.05)。结论:护士皮肤撕裂伤知识现状处于中下水平。管理者应构建专业化和多维度的课程体系,并基于循证构建标准化护理流程,依据不同护士特征及其个性化需求开展规范化培训,以提升护士皮肤撕裂伤的知识与技能。

Objective:To investigate the status quo of nurses'knowledge of Skin Tears in tertiary grade A hospitals and analyze the influencing factors.Methods:Totally 4274 nurses from 133 tertiary grade A hospitals in 22 provinces were recruited using convenient sampling,using general data questionnaire and the Chinese version of Skin Tear Knowledge Assessment Instrument.Results:The average score of nurses'knowledge of Skin Tears was 10.42±3.21,and the percentage of the correct responses above 60%cut point was 39.8%.The multiple linear regression analysis showed that gender,education background,professional title,department,certified wound,ostomy,and continence nurses,care competence of Skin Tears,wound training experience and the need for a specialized training in Skin Tears were the influencing factors of nurses'knowledge of Skin Tears(P<0.05).Conclusion:The nurses'knowledge of Skin Tears is in the middle and low level.To improve their knowledge and skill of Skin Tears,a professional and multi-dimensional curriculum and the evidence-based nursing procedures should be developed,and the nurses should be standardized trained based on their characteristics and individual learning needs.