護理人員壓瘡預防行為之探討

Prevention of pressure ulcer by nurses

張素惠(Su-Hui Chang) ； 張彩秀(Tsai-Hsiu Chang) ； 陳妮婉(Ni-Wan Chen)

《弘光學報》 69期 (2013/03) Pp. 136-153

https://doi.org/10.6615/HAR.201303.69.11

摘要

本研究目的旨在了解護理人員壓瘡預防行為，並探討其相關影響因素。採橫斷相關調查法，以中部某區域與地區教學醫院護理人員為母群體，共收得有效樣本341份。研究工具採結構式問卷進行社會人口學特性、自覺工作環境對壓瘡發生之可能因素、壓瘡預防知識、態度與行為之資料收集。結果顯示：（1）護理人員整體壓瘡預防知識得分為0.57±0.08，壓瘡預防態度得分為4.05±0.45（滿分5分），預防行為平均總得分為3.92 ±0.72（滿分5分）。2不同年齡、工作單位、工作年資及是否曾接受過壓瘡在職教育與是否閱讀過壓瘡相關文獻，在護理人員壓瘡預防行為上有顯著差異，年齡方面20-30歲，於一般內外科加護病房及呼吸照護中心工作，工作年資1-5年，有接受過壓瘡在職教育與閱讀過壓瘡相關文獻者其壓瘡預防行為明顯較好。3、護理人員之壓瘡預防態度與行為呈現顯著正相關（r＝.158＊＊， p＜.01），但知識與行為未呈現顯著關係。建議未來在提供護理人員在職教育訓練時能將壓瘡議題列入，針對壓瘡發生率高的病房也應於早上交班時特別強調預防行為之重要性。

關鍵字

護理人員 ； 壓瘡 ； 預防行為

並列摘要

The purpose of this study was to understand what condition of prevention of pressure ulcer by nurses, and to analyze the related factors with behavior. A cross-sectional correlation study design was conducted, and there were 341 subjects recruited in regional and area hospital in central Taiwan. A structure questionnaire was used to collect demographic characteristics, attitude of work environment to pressure ulcer occure, pressure ulcer prevention knowledge, attitude and behavior. The results showed: (1). The average score of pressure ulcer prevention knowledge was 0.57 ± 0.08, attitude was 4.05 ± 0.45 (range 1-5), and behavior was 3.92 ± 0.72 (range 1-5). (2). There were significant differences in age, work units, working years and had received pressure sores service education and whether reading the literature of pressure sores with prevention behavior. That was, age in 20-30 years old, work in ICU and RCW units, had received pressure ulcer service education and had reading the literature of pressure ulcer had more prevention behavior. (3).Pressure ulcer prevention attitude was significant positive correlation with behavior (r=158**, p＜.01), but not correlation with knowledge. Researcher recommend that when providing in-service education will have pressure ulcer issue in consideration, and encourage staffs who work in special units need read articles of pressure ulcer in morning meeting and emphasizes the importance of pressure ulcer prevention behavior.

並列關鍵字

nurses ； pressure ulcer ； prevention behavior

參考文獻

National Pressure Ulcer Advisory Panel (NPUAP). Pressure ulcer stages revised by NPUAP updated. Retrieved September 20, 2008, from http://www.npuap.org/pr2.htm.

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