某院262名ICU护士湿性愈合理论认知现状分析

目的了解ICU护士对伤口湿性愈合理论的认知程度及目前临床湿性愈合理论的运用现状,为开展伤口湿性愈合理论教学及提高临床伤口护理水平提供参考依据。方法自行设计调查问卷,采用横断面调查选取四川省某大型三级甲等医院262名ICU护士作为研究对象,从其对伤口湿性愈合概念、湿润环境、湿性愈合的优点、适应证及常用的湿性愈合敷料这5个方面的认知进行问卷调查,数据用SPSS 17.0进行统计学处理,采用中位数、四分位数间距、构成比等进行统计描述,用Wilcoxon法和Kruskal-Wallis H法等进行统计推断。结果 ICU护士湿性愈合知识得分中位数为26.00分,四分位数间距为10.25分,1.9%的护士完全不了解湿性愈合理论相关知识,8.4%护士对相关知识了解较多,一半以上护士的湿性愈合护理实践认知较差。48.5%的护士最近一次获取相关知识是在1个月时间内,获取知识来源最主要来源于同事之间的交流。结论 ICU护士对伤口湿性愈合理论的认知情况并不理想,临床伤口护理实践中需要不断增强伤口愈合知识的培训教育,更新观念,以提高临床伤口治疗水平。

Cognition on Moist Healing Theory of 262 ICU Nurses

Objective To explore ICU nurses’ cognition on moist healing theory and the clinic practice of wound moist healing, to provide basic information for future teaching and improve wound care quality. Methods A self-designed questionnaire was used to survey 262 ICU nurse in a general hospital in Sichuan province. The questionnaire included five parts： the concept of wound moist healing, moist environment, its advantage, its indication and dressings. Results The score of median knowledge was 26.00, and that of interquartile range 10.25. Totally 1.9%of the nurses was completely unaware of the theory, and only 8.4%of nurses knew a lot about moist healing theory. More than 50% of the nurses had poor nursing practice cognition and 48.5% of them recently had access to relevant knowledge within one month. The most important way of acquiring knowledge was to exchange between colleagues. Conclusion Since ICU nurses’ knowledge is limited, the education on moist healing theory should be strengthen to improve its practice.