PDF(Pubmed)
Abstract：
In most health care centres, pressure ulcers (PUs) are a common concern. This systematic review aimed to summarise nurses\' practice and related factors toward PU prevention. An extensive search was conducted on electronic databases such as Scopus, PubMed, Web of Science, Iranmedex, and Scientific Information Database via keywords extracted from Medical Subject Headings such as \"Pressure ulcer\", \"Pressure sore\", \"Bedsore\", \"Practice\", and \"Nurses\" from the earliest to 9 March 2022. The quality of the included studies was assessed using the appraisal tool for cross-sectional studies (AXIS tool). Data extraction and quality assessment of included studies were performed by two researchers independently. A total of 6501 nurses were enrolled in twenty-nine studies. Of the participants, 75.15% were female and 55.64% were single, and 94.57% had a bachelor of science in nursing degree. Mean age and work experience of nurses was 30.69 (SD = 4.73) and 8.61 (SD = 5.44) years, respectively. The mean score of nurses\' practices toward the prevention of PUs was 57.58 (SD = 14.62) out of 100. Also, 48.95% of nurses had a desirable practice toward the prevention of PUs. Factors such as knowledge (n = 6), attitude (n = 4), level of education (n = 4), a history of participating in workshops related to the prevention of PUs (n = 3), work experience (n = 2), area of practice (n = 2), self-adequacy (n = 1), follow the literature (n = 1), age (n = 1), and involvement in research (n = 1) had a significant positive relationship with nurses\' practice toward PUs prevention. However, the nurses practice of PUs prevention had a significant negative relationship with lack of job satisfaction (n = 1), disproportionate nurse-to-patient ratio (n = 1), and lack of policies and guidelines (n = 1). The level of nurses\' practice toward the prevention of PUs was relatively desirable. The result of this study can help improve the practice of nurses toward PUs prevention. Increasing nurses\' knowledge and attitude toward PUs prevention can improve their practice. Therefore, it is suggested that policymakers and nursing managers implement PUs prevention education for nurses based on the factors associated with nurses\' practice.
摘要：
在大多数医疗保健中心，压疮（PU）是一个常见的问题。本系统评价旨在总结护士预防PU的做法和相关因素。对Scopus等电子数据库进行了广泛的搜索，PubMed,WebofScience,Iranmedex,和科学信息数据库，通过从医学主题词中提取的关键词，如“压疮”，“压疮”，“褥疮”，\"练习\",和“护士”最早至2022年3月9日。使用横断面研究评估工具（AXIS工具）评估纳入研究的质量。纳入研究的数据提取和质量评估由两名研究人员独立进行。共有6501名护士参加了29项研究。在参与者中，75.15%为女性,55.64%为单身,94.57%拥有护理学学士学位。护士的平均年龄和工作经验分别为30.69（SD=4.73）和8.61（SD=5.44）岁，分别。护士预防PU的平均得分为100分中的57.58分（SD=14.62）。此外，48.95%的护士对预防PU有理想的做法。知识等因素(n=6)，态度（n=4），教育水平(n=4)，参加与预防PU相关的研讨会的历史（n=3），工作经验（n=2），实践领域(n=2)，自我充分性(n=1)，遵循文献(n=1)，年龄（n=1），和参与研究（n=1）与护士预防PU的实践有显着的正相关。然而,护士预防PU的实践与缺乏工作满意度有显著的负相关(n=1)，不成比例的护士与病人的比例（n=1），缺乏政策和指导方针(n=1)。护士对预防PU的实践水平相对理想。这项研究的结果可以帮助改善护士对PU预防的做法。增加护士对PUS预防的知识和态度可以改善他们的实践。因此,建议决策者和护理管理者根据与护士实践相关的因素，对护士实施PUS预防教育。
