Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Yoğun Bakım Hemşirelerinin Basınç Yaralarının Önlenmesine Yönelik Bilgi ve Tutumları
Intensive Care Nurses' Knowledge and Attitudes Regarding the Prevention of Pressure Ulcers
Faruk YILDIZERa, Zülfünaz ÖZERb
aİstanbul Sabahattin Zaim Üniversitesi Lisansüstü Eğitim Enstitüsü, Hemşirelik ABD, İstanbul, TÜRKİYE
bİstanbul Sabahattin Zaim Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, İstanbul, TÜRKİYE
Turkiye Klinikleri J Nurs Sci. 2021;13(4):897-905
doi: 10.5336/nurses.2021-81718
Article Language: TR
Full Text
ÖZET
 Amaç: Bu araştırma, 3. basamak yoğun bakım ünitesinde çalışan hemşirelerin, basınç yaralarının önlenmesine yönelik bilgi ve tutumlarını değerlendirmek için yapılmıştır. Gereç ve Yöntemler: Araştırma, İstanbul'da Mehmet Akif Ersoy Göğüs Kalp ve Damar Cerrahisi Eğitim ve Araştırma Hastanesi'nde Aralık 2018 ve Şubat 2019 tarihleri arasında 3. basamak yoğun bakım ünitelerinde çalışan 130 hemşire ile gerçekleştirilmiştir. Verilerin toplanmasında, 'kişisel bilgi formu', 'Modifiye Pieper Basınç Yarası Bilgi Testi' ve 'Basınç Ülserlerini Önlemeye Yönelik Tutum Ölçeği' kullanılmıştır. Bulgular: Çalışmaya katılan hemşirelerin yaş ortalaması 26,67±4,33 olup, %70,8'i kadındır. Hemşireler, basınç yaralarının değerlendirilmesinde (%65,4), yaraların önlenmesinde (%67,7) ve yaraları iyileştirmede (%67,7) kendilerini kısmen yeterli hissetmektedir. Hemşirelerin Modifiye Pieper Basınç Yarası Bilgi Testi puan ortalaması 34,81±4,41; yara tanımlama alt boyut puan ortalaması 4,86±1,27; evreleme alt boyut puan ortalaması 5,99±1,42; önleme/risk değerlendirme alt boyut puan ortalaması 23,89±3,13 olarak belirlenmiştir. Basınç Ülserlerini Önlemeye Yönelik Tutum Ölçeği puan ortalaması 39,05±5,89; yeterlilik alt boyut puan ortalaması 7,98±1,81; öncelik alt boyut puan ortalaması 8,28±2,00; etki alt boyut puan ortalaması 10,72±1,79; sorumluluk alt boyut puan ortalaması 5,93±1,61; önlemenin etkisi alt boyut puan ortalaması 6,15±1,33 olarak bulunmuştur. Modifiye Pieper Basınç Yarası Bilgi Testi ile Basınç Ülserlerini Önlemeye Yönelik Tutum Ölçeği arasında anlamlı düzeyde bir ilişki bulunmamıştır (p>0,05). Sonuç: Yoğun bakım hemşirelerinin, basınç yarası bilgi düzeyleri yeterli ve basınç yarasını önlemeye ilişkin tutumları olumlu bulunmuştur.

Anahtar Kelimeler: Yoğun bakım; bilgi düzeyi; basınç yarasını önleme; tutum; hemşirelik
ABSTRACT
 Objective: This study was done to evaluate the knowledge and attitude of level 3 intensive care unit nurses towards prevention of pressure wounds. Material and Methods: The study was done with 130 nurses working in level 3 intensive care units Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital in İstanbul between December 2018 to February 2019. 'Personal information form', 'Modified Pieper Pressure Ulcer Knowledge Test' and 'Attitude Towards Pressure Ulcer Prevention Scale' were used to collect data. Results: Mean age of the nurses participated in the study was 26.67±4.33 and 70.8% were female. Among the nurses, 65.4% thought themselves partially qualified in evaluation of pressure wounds, 67.7% in prevention of wounds and 67.7% in healing the wounds. Mean score of nurses in Modified Pieper Pressure Ulcer Knowledge Test was determined as 34.81±4.41; wound description subscale mean score as 4.86±1.27; staging subscale mean score as 5.99±1.42; prevention/risk evaluation subscale mean score as 23.89±3.13. Mean score for Attitude Towards Pressure Ulcer Prevention Scale was found as 39.05±5.89; qualification subscale mean score as 7.98±1.81; priority subscale mean score as 8.28±2.00; impact subscale mean score as 10.72±1.79; responsibility subscale mean score as 5.93±1.61 and effectiveness of preventions subscale mean score was found as 6.15±1.33. A significant relation between Modified Pieper Pressure Ulcer Knowledge Test and Attitude Towards Pressure Ulcer Prevention Scale was not found (p>0.05). Conclusion: Intensive care unit nurses were found to have adequate level of knowledge on pressure ulcer and positive attitude towards prevention of pressure ulcers.

Keywords: Intensive care; knowledge level; pressure sore prevention; attitude; nursing
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