老年科护士对皮肤撕裂伤的认知现状及影响因素研究  

Knowledge of skin tear and its influencing factors among geriatric nurses

作　　者：张茵[1] 梁霄 王玫[1] 范柏林[1] 乐霄[1] Zhang Yin;Liang Xiao;Wang Mei;Fan Bolin;Le Xiao(Integrative Medical Department/Department of Geriatric Medicine,Tongji Hospital Affiliated to Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China)

机构地区：[1]华中科技大学同济医学院附属同济医院综合医疗科/老年医学科,湖北武汉430030

出　　处：《护理学杂志》2024年第2期69-71,共3页Journal of Nursing Science

摘　　要：目的了解老年科护士对皮肤撕裂伤的认知现状,分析其影响因素,为开展相关培训提供参考。方法采用便利抽样法,使用一般资料调查表、皮肤撕裂伤知识评估工具对武汉市3所三级甲等综合医院的286名老年科护士进行横断面调查。结果老年科护士的皮肤撕裂伤认知得分为(9.53±2.02)分。老年科护士对皮肤撕裂伤认知正确率排名前5个条目分属于特殊群体、病因学、分类和观察维度;排名最低的5个条目分属于预防、治疗和风险评估维度。影响老年科护士对皮肤撕裂伤认知水平的主要因素为学历、工作年限、是否为专科护士、皮肤撕裂伤相关培训(均P<0.05),共解释总变异的31.7%。结论老年科护士对皮肤撕裂伤认知水平处于中等偏低水平,对与临床实践相关的预防、治疗和风险评估认知相对不足,应加强相关培训,提高老年科护士对皮肤撕裂伤的关注度,从而提高皮肤撕裂伤整体预防及护理水平。Objective To investigate the knowledge of skin tear among geriatric nurses,and to analyze its influencing factors,so as to provide a reference for conducting relevant training.Methods A total of 286 geriatric nurses from three tertiary general hospitals in Wuhan were selected by convenience sampling,then they were investigated by using a general information questionnaire and the Skin Tear Knowledge Assessment Instrument.Results The knowledge score of geriatric nurses was(9.53±2.02),and the 5 items with the highest accuracy belonged to the subscales of special population,etiology,classification,and observation,while the other 5 items with the lowest accuracy belonged to the dimensions of prevention,treatment,and risk assessment.The main factors affecting the cognitive level of skin tear among geriatric nurses were educational background,working years,specialist nurses or not,and skin tear-related training(all P<0.05),which explained 31.7%of the total variance.Conclusion The knowledge of skin tear among geriatric nurses is at a medium or low level,and their cognition of clinical practice related prevention,treatment,and risk assessment is deficient relatively.It is necessary to strengthen relevant training to improve geriatric nurses′attention to skin tear,then enhance the overall prevention and nursing level of skin tear.

关 键 词：老年人 皮肤撕裂伤 护士 风险评估 预防治疗 认知 培训 影响因素 

分 类 号：R47[医药卫生—护理学] R197.323[医药卫生—临床医学]