Study on the status quo and influencing factors of knowledge-attitude-performance of surgical nurses for preventing intra-operatively acquired pressure injury in Tianjin

doi:10.3969/j.issn.1006-9143.2021.02.007

Abstract

Abstract: Objective: To investigate the level of knowledge-attitude-performance of surgical nurses for preventing pressure injury and its influence factors in Tianjin. Methods: In October 2019, 595 surgical nurses from Grade II and above hospitals in Tianjin were conveniently selected as the research objects, and a self-designed questionnaire on knowledge-attitude-performance for prevention of pressure injury was used to investigate. Results: The scores of nursing knowledge of pressure injury in this study were 61.80±14.00, in moderate level, with a total accuracy of 59.91% for knowledge dimension. The score of attitude dimension was 47.30±5.87, which was at a high level.The score of performance dimension was 24.50±3.59, in moderate level. Professional title was the influencing factor of knowledge; nursing experience with or without pressure injury was the influencing factor of attitude; and working years was the influencing factors of performance(P<0.005). Conclusion: The nurses exhibited a positive attitude towards pressure injury, but the level of knowledge and performance need to be improved. An effective improving measure is to carry out various forms of hierarchical training of pressure injury based on the theory of knowledge, attitude and performance.

Key words: Operating room, Nurses, Intra-operatively acquired pressure injury, Knowledge-attitude-performance

摘要： 目的: 探究天津市手术室护士压力性损伤知信行现状及影响因素。方法: 于2019年10月便利选取595名天津市二级及以上医院的手术室护士作为研究对象,采用自行设计的手术室护士压力性损伤知信行问卷进行调查。结果: 天津市手术室护士压力性损伤护理知识得分（61.80±14.00）分,处于中等水平,总正确率为59.91%;态度维度得分（47.30±5.87）分,处于较高水平;行为维度得分（24.50±3.59）分,处于中等水平。职称是知识的影响因素,护理过的患者是否发生过压力性损伤是态度的影响因素,工作年限是行为的影响因素（均P<0.05）。结论: 天津市手术室护士压力性损伤护理态度较积极,但知识和行为水平亟待提高,基于知信行理论开展多种形式的压力性损伤分层培训是提高手术室护士压力性损伤知信行水平的有效措施。

关键词: 手术室, 护士, 压力性损伤, 知信行

CLC Number:

R471

ZHAO Zipeng, SONG Hui, WANG Yue, ZHENG Chen. Study on the status quo and influencing factors of knowledge-attitude-performance of surgical nurses for preventing intra-operatively acquired pressure injury in Tianjin[J]. Tianjin Journal of Nursing, 2021, 29(2): 151-155.

赵子鹏, 宋辉, 王悦, 郑晨. 天津市手术室护士预防术中压力性损伤护理知信行现状及影响因素研究[J]. 天津护理, 2021, 29(2): 151-155.

References

[1] O’Brien DD, Shanks AM, Talsma A,et al. Intraoperative risk factors associated with postoperative pressure ulcers in critically ill patients: a retrospective observational study[J]. Crit Care Med, 2014, 42(1):40-47.
[2] Aronovitch SA.Intraoperatively acquired pressure ulcers: are there common risk factors?[J]. Ostomy Wound Manage, 2007, 53(2):57-69.
[3] Gao L, Yang L, Li X, et al.The use of a logistic regression model to develop a risk assessment of intraoperatively acquired pressure ulcer[J]. J Clin Nurs, 2018, 27(15/16):2984-2992.
[4] 林荣秋,叶琳,邱玉绚.根本原因分析法对长时间侧卧位手术患者术中急性压力性损伤的影响[J].齐鲁护理杂志,2019,25(22):56-59.
[5] 陈嘉萍,黄惠根,常后婵,等.手术病人术中压力性损伤预测性因素的Logistic回归分析[J].全科护理,2019,17(31):3869-3873.
[6] Joseph J, McLaughlin D, Darian V, et al. Alternating Pressure Overlay for Prevention of Intraoperative Pressure Injury[J]. J Wound Ostomy Continence Nurs, 2019, 46(1):13-17.
[7] 宋辉,王悦,刘春英,等. 护理人员对术中压力性损伤风险评估现状及临床需求的研究[J]. 天津护理,2020,28(3):253-257.
[8] 王悦,刘春英,宋辉,等. 手术患者术中压力性损伤评估框架的构建研究[J]. 天津护理,2020,28(2):134-138.
[9] Kim JY, Lee YJ.A study on the nursing knowledge, attitude, and performance towards pressure ulcer prevention among nurses in Korea long-term care facilities[J].Int Wound J, 2019,16(1):29-35.
[10] 雷琴. 我院临床低年资护理人员压疮护理知信行及其影响因素[J].大家健康(中旬版),2018,12(2):1-2.
[11] 刘亚婷,武礼琴,魏晓侠.临床低年资护士压疮护理知信行及其影响因素[J].全科护理,2016,14(10):986-988.
[12] Peixoto CA, Ferreira MBG, Felix MMDS, et al.Risk assessment for perioperative pressure injuries[J]. Rev Lat Am Enfermagem, 2019,27:e3117.
[13] Chianca TC, Rezende JF, Borges EL, et al.Pressure ulcer knowledge among nurses in a Brazilian university hospital[J]. Ostomy Wound Manage,2010,56(10):58-64.
[14] Ünver S, Fındınk ÜY, Özkan ZK,et al.Attitudes of surgical nurses towards pressure ulcer prevention[J]. J Tissue Viability, 2017,26(4):277-281.
[15] Strand T, Lindgren M.Knowledge, attitudes and barriers towards prevention of pressure ulcers in intensive care units: a descriptive cross-sectional study[J]. Intensive Crit Care Nurs, 2010, 26(6):335-342.
[16] Aydogan S, Caliskan N.A Descriptive Study of Turkish Intensive Care Nurses’ Pressure Ulcer Prevention Knowledge, Attitudes, and Perceived Barriers to Care[J].Wound Manag Prev, 2019,65(2):39-47.
[17] Lotfi M, Aghazadeh AM, Asgarpour H, et al.Iranian nurses' knowledge, attitude and behaviour on skin care, prevention and management of pressure injury: A descriptive cross-sectional study[J]. Nurs Open, 2019, 6(4):1600-1605.
[18] Tallier PC, Reineke PR, Asadoorian K, et al.Perioperative registered nurses knowledge, attitudes, behaviors, and barriers regarding pressure ulcer prevention in perioperative patients[J]. Appl Nurs Res, 2017,36:106-110.
[19] 李静,师文,强惠婷,等.知信行理论模式在手术室压疮风险管理工作中的应用[J].护理实践与研究,2017,14(11):95-97.
[20] 汤新辉,卿利敏,朱小妹,等.E-learning教学结合知信行理论应用于护理人员压疮防护培训[J].护理学杂志,2019,34(7):63-64.
[21] 蒋秀娟. 短期培训对手术室护理人员术中压疮护理管理的影响[J].四川医学,2018,39(6):710-712.