基于混合模式同质化培训背景下的全国52所医院护士老年人皮肤损伤知识掌握程度的现况调查  

A survey of current situation of nurses in 52 hospitals in China on mastery of knowledge about skin injury in the elderly based on the background of mixed-mode homogenization training

作　　者：蒋琪霞 朱冬梅 魏巍 白育瑄 李莹 展颖颖 王静 翁亚娟[8] 李育梅 王光扬 王祖晶 郭海华 陈德凤[13] 俞萍[14] 窦薇[15] 史素玲[16] 庞建喜 陈锐[18] 韩秋英[19] 周月娥 王莲群 徐芳芳[22] 杨海燕 马芳[24] 索惠娟 刘相云 于秀娟[27] 骆云霞[28] 王敏 赵会莲 孙颖[31] 汪凯文 Jiang Qixia;Zhu Dongmei;Wei Wei;Bai Yuxuan;Li Ying;Zhan Yingying;Wang Jing;Weng Yajuan;Li Yumei;Wang Guangyang;Wang Zujing;Guo Haihua;Chen Defeng;Yu Ping;Dou Wei;Shi Suling;Pang Jianxi;Chen Rui;Han Qiuying;Zhou Yue'e;Wang Lianqun;Xu Fangfang;Yang Haiyan;Ma Fang;Suo Huijuan;Liu Xiangyun;Yu Xiujuan;Luo Yunxia;Wang Min;Zhao Huilian;Sun Ying;Wang Kaiwen(Department of Burns and Plastic Surgery,General Hospital of Eastern Theater Command,Nanjing 210002,China;Department of Nursing,General Hospital of Eastern Theater Command,Nanjing 210002,China;Medical School of Nanjing University,Nanjing 210009,China;Clinical Academic Department,Zhejiang Top-medical Medical Dressing Co.,Ltd.,Wenzhou 325027,China;Department of Rehabilitation Medicine,General Hospital of Eastern Theater Command,Nanjing 210002,China;Outpatient Department,Qinhuai Medical Area,General Hospital of Eastern Theater Command,Nanjing 210002,China;Department of Nursing,Yangpu Hospital,Tongji University,Shanghai 200090,China;Department of Nursing,the First People's Hospital of Changzhou,Changzhou 213000,China;Department of Nursing,the Second Affiliated Hospital of Wenzhou Medical University,Wenzhou 325000,China;Wound and Stoma Treatment Center,Southern Central Hospital of Yunnan Province,Mengzi 661199,China;Department of Gastrointestinal Surgery,Suzhou Municipal Hospital(East District),Suzhou 215000,China;Wound and Stoma Clinic,Wuan First People's Hospital,Handan 056300,China;Department of Gastrointestinal Hernia and Intestinal Fistula Surgery,the People's Hospital of Guangxi Zhuang Autonomous Region,Nanning 530021,China;Department of Emergency,the Second People's Hospital of Wuxi,Wuxi 214001,China;Department of Geriatrics,the First People's Hospital of Yunnan Province,Kunming 650032,China;Department of Nursing,the First Affiliated Hospital of Henan University of Science and Technology,Luoyang 471000,China;Department of Neurology,Yixing Second People's Hospital,Yixing 214221,China;Hospital Management Office,Jiujiang First People's Hospital,Jiujiang 332001,China;Dep

机构地区：[1]东部战区总医院烧伤整形科,南京210002 [2]东部战区总医院护理部,南京210002 [3]南京大学医学院,南京210009 [4]浙江医鼎医用敷料有限公司临床学术部,温州325027 [5]东部战区总医院康复医学科,南京210002 [6]东部战区总医院秦淮医疗区门诊部,南京210002 [7]同济大学附属杨浦医院护理部,上海200090 [8]常州市第一人民医院护理部,常州213000 [9]温州医科大学附属二院护理部,温州325000 [10]云南省滇南中心医院伤口造口治疗中心,蒙自661199 [11]苏州市立医院(东区)胃肠外科,苏州215000 [12]武安市第一人民医院伤口造口门诊,邯郸056300 [13]广西壮族自治区人民医院胃肠疝肠瘘外科,南宁530021 [14]无锡市第二人民医院急诊科,无锡214001 [15]云南省第一人民医院老年科,昆明650032 [16]河南科技大学第一附属医院护理部,洛阳471000 [17]宜兴市第二人民医院神经内科,宜兴214221 [18]九江市第一人民医院医院管理办公室,九江332001 [19]厦门大学附属中山医院护理部,厦门361005 [20]东莞市红梅医院护理部,东莞523159 [21]温州怡宁老年医院护理部,温州325000 [22]合肥市第一人民医院伤口造口门诊,合肥230061 [23]三明市第一医院胸心血管外科,三明365000 [24]中国医科大学附属第四医院造口伤口护理门诊,沈阳110032 [25]邳州市人民医院普外科,徐州221300 [26]高密市市立医院伤口诊疗中心,潍坊265100 [27]连云港市第二人民医院伤口造口门诊,连云港222000 [28]句容市人民医院普外科,镇江212400 [29]西安工会医院普外科,西安710000 [30]曲靖市老年病专科医院外科,曲靖655000 [31]淮安市第一人民医院伤口造口门诊,淮安223300 [32]齐齐哈尔市第一医院骨一科,齐齐哈尔161005

出　　处：《中华现代护理杂志》2022年第10期1337-1341,共5页Chinese Journal of Modern Nursing

基　　金：上海王正国创伤医学发展基金会课题(WZGF20200101)。

摘　　要：目的了解基于混合模式同质化培训背景下的全国52所医院护士对老年人皮肤损伤知识掌握程度的现状。方法采用便利抽样法,于2021年1月选取全国52所医院的1067名护士为研究对象。采用自行设计的老年人皮肤损伤知识调查问卷通过问卷星对护士进行调查,采用单因素分析探讨其影响因素。共发放问卷1067份,回收有效问卷1067份,有效回收率为100%。结果1067名护士压力性损伤、失禁相关性皮炎、皮肤撕裂伤、皮肤干燥症知识得分分别为(95.66±7.37)、(95.65±9.15)、(91.37±15.45)、(87.67±15.91)分。单因素分析结果显示,医院等级是护士压力性损伤、皮肤撕裂伤、失禁相关性皮炎知识得分的影响因素(P<0.05);学历是护士皮肤撕裂伤知识得分的影响因素(P<0.05);职称是护士压力性损伤、失禁相关性皮炎、皮肤干燥症知识得分的影响因素(P<0.05)。结论各级医院需要加强对护士进行老年人皮肤干燥症和皮肤撕裂伤的理论和实践知识培训,尤其需要注重加强对基层医院、初级职称和学历较低护士的相关知识培训。Objective To understand the current situation of nurses in 52 hospitals in China on mastery of knowledge about skin injury in the elderly based on the background of mixed-mode homogenization training.Methods Using the convenient sampling method,a total of 1067 nurses from 52 hospitals in China were selected as the research objects in January 2021.A self-designed questionnaire on knowledge of skin injury in the elderly was used to investigate the nurses through the questionnaire star and univariate analysis was used to analyze the influencing factors.A total of 1067 questionnaires were distributed and 1067 valid questionnaires were recovered,and the effective recovery rate was 100%.Results The knowledge scores of pressure injury,incontinence-associated dermatitis,skin tear and xerosis cutis among 1067 nurses were(95.66±7.37),(95.65±9.15),(91.37±15.45)and(87.67±15.91),respectively.The results of univariate analysis showed that hospital grade was the influencing factor of nurses'knowledge score of pressure injury,skin tear and incontinence-associated dermatitis(P<0.05),educational background was the influencing factor of nurses'knowledge score of skin tear(P<0.05),professional title was the influencing factor of nurses'knowledge scores of pressure injury,incontinence-associated dermatitis and xerosis cutis(P<0.05).Conclusions Hospitals at all levels need to strengthen the theoretical and practical knowledge training for nurses on skin xerosis and skin tear in the elderly,especially for nurses with primary titles and lower education in grassroots hospitals.

关 键 词：老年人 皮肤损伤 护士 现况调查 

分 类 号：R47[医药卫生—护理学]