护士压疮预防知识、态度与行为的相关性研究  

Correlation of nurses＇ knowledge, attitude and behavior on pressure ulcer prevention

作　　者：冯尘尘[1] 赵淑珍[1] 胡爱玲[2] 

机构地区：[1]四川大学华西医院门诊部,成都610041 [2]中山大学附属第三医院护理部,广州510630

出　　处：《中华现代护理杂志》2017年第28期3623-3628,共6页Chinese Journal of Modern Nursing

摘　　要：目的 探讨护士压疮预防知识、态度与行为的相关性.方法 采用方便抽样方法选取2015年12月1日—2016年1月31日广州中山大学附属第三医院岭南医院的322名护士,利用压疮预防知识评估表、压疮预防态度调查表、压疮预防行为自评表调查护士的压疮预防知识、态度与行为,采用SPSS 20.0统计软件进行分析.结果 护士压疮预防知识得分为（13.15±3.05）分,仅21.7％的护士得分达到满意,标准得分由高到低的维度为营养、病因与发展、风险评估、减小压力/剪切力的措施、分期与观察、减少压力/剪切力持续时间的措施;预防态度得分为（41.38±3.65）分,77.0％的护士得分达到满意,标准得分由高到低的维度为压疮预防责任感、压疮对患者的影响、压疮预防的重要性、压疮预防效果信心、个人压疮预防能力;预防行为得分为（43.97±8.95）分,标准得分由高到低的维度为压疮风险评估、失禁护理、健康教育、体位与体位变换、减压装置使用.护士压疮预防知识与态度总分呈正相关（r=0.191,P〈0.01）,知识与行为呈正相关（r=0.135,P〈0.05）,态度与行为呈正相关（r=0.248,P〈0.01）.结论 护士压疮预防知识不足,有较强的预防态度,但是对自身预防信心不足,护士的预防行为有待提高.管理者应采取措施提高预防知识,增强预防态度,从而提高护士的预防行为.Objective To explore the correlation of nurses＇ knowledge, attitude and behavior on pressure ulcer prevention.Methods By convenience sampling method, a total of 322 nurses of the Third Affiliated Hospital of Sun Yat-sen University from December 1st 2015 to January 31st 2016 were selected as the research objects, and they were investigated by the pressure ulcer knowledge assessment tool, attitude towards pressure ulcer prevention instrument and self-assessment questionnaire of nurse＇s pressure ulcer prevention behavior. SPSS 20.0 software was used to analyze the collected data.Results The score of nurses＇ prevention knowledge was （13.15±3.05）, and only 21.7％ of nurses＇ score was satisfactory. Standard scores from high to low were nutrition, etiology and development, risk assessment, reduction of pressure/shear, classification and observation, reduction in duration of pressure/shear. The score of prevention attitude was （41.38±3.65）, and 77.0％ of the nurses＇ score was satisfactory. Standard scores from high to low were responsibility in pressure ulcer prevention, impact of pressure ulcers, priority of pressure ulcer prevention, confidence in the effectiveness of prevention, personal competency to prevent pressure ulcers. The score of behavior was （43.97±8.95）, and standard scores from high to low were risk assessment, incontinence care, health education, position and reposition, supporting surface. There was a positive correlation between knowledge and attitude （r=0.191, P〈0.01）, knowledge and behavior （r=0.135,P〈0.05）, as well as attitude and behavior （r=0.248,P〈0.01）. Conclusions Nurses＇ knowledge on pressure ulcer prevention is insufficient, and their prevention attitude is positive, but they are not confident enough in their abilities. Nurses＇ prevention behavior is to be improved. Managers should take measures to improve the knowledge, attitude of nurses on pressure ulcer prevention, so as to improve their prevention practice.

关 键 词：护士 压力性溃疡 知-信-行模式 

分 类 号：R47[医药卫生—护理学]