Cerrahi Hemşirelerinin Basınç Yarası, Risk Faktörleri ve Önlemeye İlişkin Bilgilerinin İncelenmesi
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2020-02-13
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info:eu-repo/semantics/openAccess
Özet
Bu çalışma cerrahi hemşirelerinin basınç yarası, risk faktörleri ve önlemeye ilişkin bilgilerinin değerlendirilmesi amacıyla tanımlayıcı olarak yapıldı. Çalışmanın evrenini Karabük ilinde yer alan üniversite, devlet ile özel hastanenin yoğun bakım, ameliyathane ve cerrahi kliniklerinde çalışan 400 hemşire oluşturdu. Tam sayım örnekleme yöntemi ile çalışmanın yapıldığı tarih aralığında izinli veya raporlu olmayan, çalışmaya katılmaya istekli ve onam veren 245 cerrahi hemşiresi çalışma kapsamına alındı. Veriler ‘Hemşirelerin Tanıtıcı Özellikleri Formu’ ve ‘Modifiye Pieper Basınç Yarası Bilgi Testi’ ile toplandı. Verilerin değerlendirilmesinde frekans ve yüzde değerleri, ortalama, standart sapma Mann Whitney U testi, Kruskal Wallis Varyans analizinden yararlanıldı. Çalışmada hemşirelerin %82’sinin mesleğini, %55,9’ununçalıştığı servisi kendisinin seçtiği, %71’inin bakıma yönelik meslek seçmiş olmaktan memnun olduğu belirlendi. Hemşirelerin %84,9’u basınç yarasının önlenmesi ve tedavisinin hemşirenin sorumluluğunda olduğunu, hemşirelerin %22,4’ünün çalıştıkları birimde basınç yarası ile sık karşılaştığını, %85,7’si basınç yarasının hemşirelik bakımı ile önlenebildiğini ifade etti. Hemşirelerin %70,2’sinin basınç yarasına yönelik hizmet içi eğitime katıldığı,%97,1’inin aldıkları eğitim bilgilerini bakıma yansıttıkları bulundu. Cerrahi hemşirelerin en yüksek oranda doğru yanıt verdikleri konular sırasıyla yara tanımı, evrelendirilmesi, önleme ve risk değerlendirilmesiydi. Yoğun bakımda çalışan hemşirelerin önleme ve risk, yara tanımına yönelik aldıkları puanların cerrahi kliniklerde çalışan hemşirelere göre anlamlı düzeyde yüksek (p=0.007), basınç yarası ile sık karşılaşan, ölçek kullanan, hizmetiçi eğitim alan hemşirelerin önleme ve risk puanlarının anlamlı düzeyde yüksek olduğu görüldü (p<0.001). Bu sonuçlar doğrultusunda; cerrahi klinikler ile ameliyathanelerde çalışan hemşirelere basınç yarası, önleme ve risk değerlendirmeye yönelik hizmet içi eğitim planlama, eğitimlerinin etkinliğini kontrol etme, bilimsel toplantıya katılma ve araştırma yapmaya teşvik etme önerilebilir. ?
This descriptive study was conductedin order to evaluate the knowledge of surgical nurses about pressure ulcer, risk factors and prevention. The universe of the study comprises 400 nurses working in intensive care, operating room and surgical clinics ofa university, stateand private hospital in Karabük province.245 surgical nurses who were not on leave or reported, willing to participate in the study and who gave consent were included in the study during the period of the study by the complete counting sampling method. The data were collected with the ‘Identification Characteristics of Nurses Form’ and ‘Modified Pieper Pressure Ulcer Knowledge Test’. Frequency and percentage values, mean, standard deviation Mann-Whitney U test, Kruskal–Wallis one-way analysis of variance were used to evaluate the data. It was determined in the present study that 82% of the nurses chose their profession, 55.9% chose the service they work for, and 71% were satisfied with choosing a care-oriented profession.84.9% of the nurses stated that the prevention and treatment of pressure ulcer is under the responsibility of the nurse, 22.4% of the nurses frequently encounter pressure ulcers in the unit where they work, and 85.7% of the ulcer can be prevented by nursing care. It was found that 70.2% of the nurses participated in the in-service training for pressure ulcer care, and 97.1% reflected the training knowledge they received. The topics for which surgical nurses responded most accurately were ulcer description, staging, prevention and risk assessment, respectively. The prevention and risk, ulcer definitionscores of the nurses working in intensive care unit were significantly higher than the nurses working in surgical clinics (p=0.007), and the prevention and risk scores of the nurses who frequently encountered pressure ulcers, used scales and received in-service training were significantly high (p<0.001).In line with these results, nurses working in surgical clinics and operating rooms may be advised to plan in-service training for pressure ulcer, prevention and risk assessment, to control the effectiveness of their training, to participate in scientific meetings and to encourage them to conduct research."
This descriptive study was conductedin order to evaluate the knowledge of surgical nurses about pressure ulcer, risk factors and prevention. The universe of the study comprises 400 nurses working in intensive care, operating room and surgical clinics ofa university, stateand private hospital in Karabük province.245 surgical nurses who were not on leave or reported, willing to participate in the study and who gave consent were included in the study during the period of the study by the complete counting sampling method. The data were collected with the ‘Identification Characteristics of Nurses Form’ and ‘Modified Pieper Pressure Ulcer Knowledge Test’. Frequency and percentage values, mean, standard deviation Mann-Whitney U test, Kruskal–Wallis one-way analysis of variance were used to evaluate the data. It was determined in the present study that 82% of the nurses chose their profession, 55.9% chose the service they work for, and 71% were satisfied with choosing a care-oriented profession.84.9% of the nurses stated that the prevention and treatment of pressure ulcer is under the responsibility of the nurse, 22.4% of the nurses frequently encounter pressure ulcers in the unit where they work, and 85.7% of the ulcer can be prevented by nursing care. It was found that 70.2% of the nurses participated in the in-service training for pressure ulcer care, and 97.1% reflected the training knowledge they received. The topics for which surgical nurses responded most accurately were ulcer description, staging, prevention and risk assessment, respectively. The prevention and risk, ulcer definitionscores of the nurses working in intensive care unit were significantly higher than the nurses working in surgical clinics (p=0.007), and the prevention and risk scores of the nurses who frequently encountered pressure ulcers, used scales and received in-service training were significantly high (p<0.001).In line with these results, nurses working in surgical clinics and operating rooms may be advised to plan in-service training for pressure ulcer, prevention and risk assessment, to control the effectiveness of their training, to participate in scientific meetings and to encourage them to conduct research."
Açıklama
Anahtar Kelimeler
Surgical Nurse, Pressure Ulcer, Knowledge, Cerrahi Hemşiresi, Basınç Yarası, Bilgi
