澳门护士慢性伤口护理知识调查研究

摘要

[目的]了解澳门特别行政区就读护理学位后深造文凭课程护士(PGDNs)及新毕业护士(NGNs)对慢性伤口护理知识认知情况,以便为今后同类课程的内容设计提供参考.[方法]采用横断面描述性研究设计,采用方便抽样法选择PGDNs 69人、NGNs 38人,应用Ayello等研制的慢性伤口护理知识问卷进行测量.[结果]除问题14,19,20,21(“是”或“否”题)外,其他17个问题正确回答率分别为PGDNs 62.3％～95.7％、NGNs 23.7％～94.7％.[结论]PGDNs的慢性伤口护理知识平均水平明显高于NGNs,提示应加强护理学士学位学生有关慢性伤口护理方面的教学内容；此外,两组护士在确定伤口的严重程度及现行慢性伤口护理指引方面均略显欠缺,因此,在本科教育及持续教育中,应加强这方面的内容.%Objective:To assess the nursing knowledge of chronic wound care among postgraduate diploma nurses and new graduate nurses in Macao in order to obtain the reference information for future curriculum design.Methods:A cross-sectional descriptive study with convenient sampling method was used to recruit 69 postgraduate diploma nurses (PGDNs) and 38 newly graduated nurses (NGNs).Questionnaire on chronic wound care by Ayello and Meaney in 2005 was used.Chi-square analysis was performed to exam the discrepancy of nursing knowledge on chronic wound care between groups.Results:Excluding questions number 14,19,20 and 21 (not true or false answer questions),the percentage of correct answer for the other17 questions is from 62.3％ to 95.7％ and from 23.7％ to 94.7％ for PGDNs and NGNs participants,respectively.Chisquare analysis demonstrates the difference of most questions between the two groups is statistically significant.Conclusions:The survey highlights a higher standard of wound care knowledge among PGDNs than NGNs,which propose the need of strengthening wound care content in the current basic nursing education programs.The findings also emphasize the importance of continuing education program on wound care for nursing clinicians as both PDN and NGN have difficulties in identifying wound severity and implementation of current guidelines.