Araştırma Makalesi
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Examination of Surgical Nurses’ Pressure Ulcer, Risk Factors and Knowledge Related to Prevention

Yıl 2021, , 168 - 174, 30.06.2021
https://doi.org/10.15321/GenelTipDer.2021.307

Öz

Objective: This descriptive study was conducted in order to evaluate the knowledge of surgical nurses about pressure ulcer, risk factors and prevention.

Material and Methods: The universe of the study comprises 400 nurses working in intensive care, operating room and surgical clinics of a university, state and 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. As the data collection for personal information form, Modified Pieper Pressure Ulcer Knowledge Test was used. Frequency and percentage, mean, Mann-Whitney U test, Kruskal–Wallis were used to evaluate the data.

Results: In this study, the topics for which surgical nurses responded most accurately were pressure ulcer description, staging, prevention and risk assessment, respectively. The prevention and risk, ulcer definition scores of the nurses working in intensive care unit were significantly higher than the nurses working in surgical clinics (p=0.007), and there was a statistically significant relationship between the frequent exposure with pressure injury, using scales, participating in-service training, reading articles on pressure ulcers and doing research on the internet, and nurses' correct response scores (p<0.001).

Conclusion: 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 participate in scientific meetings and to encourage them to conduct research.

Kaynakça

  • Esen O, Öncül S, Yılmaz M, Esen HK. Retrospective evaluation of pressure sores of patients in intensive care. Kartal Eğitim ve Araştırma Hastanesi Tıp Dergisi 2016; 27:111-15.
  • Shahin ESM, Dassen T, Halfens RJG. Incidence, prevention and treatment of pressure ulcers in intensive care patients: A longitudinal study. International Journal of Nursing Studies 2019; 46:413-21.
  • Tanrikulu F, Di̇kmen Y. Yoğun bakım hastalarında basınç yaraları: Risk faktörleri ve önlemler. Journal of Human Rhythm 2017; 3:177-82.
  • Korkmaz F, Uçar H. Topikal negatif basınç terapisinin III. ve IV. evre basınç yaralarının iyileşmesine etkisi. Hemşirelikte Araştırma Geliştirme Dergisi 2014;16:28-37.
  • Alsharari FA, Khadam QA, Albagawi BS, Alotaibi JS, Alqahtani ME. Nurses’ knowledge, attitudes and beliefs toward pressure ulcers prevention. Aljouf University Medical Journal 2017; 4 :21-8.
  • Cremasco MF, Wenzel F, Zanei, SS, Whitaker, IY. Pressure ulcers in the intensive care unit: The relationship between nursing workload, illness severity and pressure ulcer risk. Journal of Clinical Nursing 2013; 22:2183-91.
  • Gül Ş. Cerrahi Girişim Uygulanan Hastalarda Basınç Ülseri Gelişiminin Önlenmesi. Hacettepe Üniversitesi Hemşire Fakültesi Dergisi 2015; 1:54-61.
  • National Pressure Ulcer Advisory Panel. (2017). Available from:http://www.npuap.org/resources/educational-and-clinical-resources/2017-world-wide-pressure-injury-prevention-day/
  • Agengy for Healthcare Research and Quality. (2014). PreventingPressure Ulcers in Hospitals USA: U.S. Department of Health & Human Services. Available from:https://www.ahrq.gov/professionals/systems/hospital/pressureulcertoolkit/putool1.html.
  • Becker D, Tozo, TC, Batista, SS, Mattos, AL, Silva MCB, Rigon, S, Duarte PA. Pressure ulcers in ICU patients: Incidence and clinical and epidemiological features: A multicenter study in southern Brazil. Intensive and Critical Care Nursing 2017; 42:55-61.
  • Rashvand F, Shamekhi L, Rafiei H, Nosrataghaei M. Incidence and risk factors for medical device-related pressure ulcers: The first report in this regard in Iran. International Wound Journal 2019; 12:11-17.
  • Gao, L, Yang L, Li X, Chen J, Du J, Yang H. Risk factors for intraoperative pressure ulcers in surgical patients, Int J Clin Exp Med 2018; 11(7):7429-35.
  • El-Marsi J, Zein-El-Dine S, Zein B, Doumit R, Kurdahi Badr L. Predictors of pressure injuries in a critical care unit in Lebanon: Prevalence, characteristics, and associated factors. Journal of Wound, Ostomy and Continence Nursing 2018; 45:131-36.
  • Kaşıkçı M, Aksoy M, Ay E. Investigation of the prevalence of pressure ulcers and patient-related risk factors in hospitals in the province of Erzurum: A cross-sectional study. Journal of Tissue Viability 2018; 27:135-40.
  • Karadag M, Gümüskaya N. The incidence of pressure ulcers in surgical patients: A sample hospital in Turkey. Journal of Clinical Nursing 2006; 15:413-21.
  • Katran HB. The research on the incidence of pressure sores in a surgical intensive care unit and the risk factors affecting the development of pressure sores. Journal of Academic Research In Nursing 2015; 1:8-14.
  • Walton-Geer PS. Prevention of Pressure Ulcers in the Surgical Patient, AORN J 2009;89(3):538-48;
  • Kıraner E, Terzi B, Ekinci, AU, Tunalı B. Yoğun bakım ünitemizdeki basınç yarası insidansı ve risk faktörlerinin belirlenmesi. Yoğun Bakım Hemşireliği Dergisi 2016; 20:78-83.
  • Edsberg LE, Siyah JM, Goldberg M., McNichol L., Moore L, Sieggreen M. Revised National Pressure Ulcer Advisory Panel pressure injury staging system: revised pressure injury staging system. Journal of Wound, Ostomy, and Continence Nursing 2016; 43:585-97.
  • Association of Perioperative Registered Nurses.Position statement on perioperative pressure ulcer prevention in the care of the surgical patient. AORN Journal 2016; 104(5):437-38.
  • Soyer Ö, Özbayir T. 3S Ameliyathane basınç yarası risk tanılama ölçeğinin türkçeye uyarlanması. Uluslararası Hakemli Hemşirelik Araştırmaları Dergisi 2018; 13:46-64.
  • Spruce L. Back to basics: Preventing perioperative pressure injuries. AORN Journal 2017; 105:92-99.
  • Giachetta-Ryan D. Perioperative pressure ulcers: How can they be prevented? OR Nurse 2015;9(4):22 – 28.
  • He W, Liu P, Chen, HL. The braden scale can't be used alone for assessing pressure ulcer risk in surgical patients: A meta-analysis. Ostomy-Wound Management 2012; 58(2):34-40.
  • Wang I, Walker R, Gillespie BM. Pressure injury prevention in the perioperative setting: An integrative review integrative review. Journal of Perioperative Nursing 2018, 31(4): 27-35.
  • Haesler E, Rayner R, Carville K. The pan pacific clinical practice guideline for the prevention and management of pressure injury. Wound Practice & Research: Journal of the Australian Wound Management Association 2012; 20:6-20.
  • EPUAP. European Pressure Ulcer Advisory Panel, National Pressure Ulcer Advisory Panel. Available from:http://www.epuap.org/wp-content/uploads/2016/10/qrg_prevention_in_turkish.pdf, 2009.
  • Osuala E. Innovation in prevention and treatment of pressure ulcer: Nursing implication. Trop Journal of Medical Resources 2014; 17:61.
  • Özel B. Bası yarası olan hastaların yönetimi. Arşiv Kaynak Tarama Dergisi 2014; 23:492-505.
  • Ayello EA, Braden B. How and why to do pressure ulcer risk assessment. Advances in Skin & Wound Care 2002; 15:125-31.
  • Tel H, Özden D, Çetin P. Yatağa bağımlı hastalarda basınç yarası gelişme riski ve hemşirelerin bu hastalara uyguladıkları önleyici bakım. Hemşirelikte Araştırma Geliştirme Dergisi 2006; 1:35-45.
  • Jankowski MI, Nadzam MD. Identifying gaps, barriers, and solutions in implementing pressure ulcer prevention programs, The joint Commission. Journal on Quality and Patient Safety 2011, 37:154-160.
  • Çelik S, Dirimeşe E, Taşdemir N, Aşık Ş, Demircan S, Eyican S. Hemşirelerin bası yarasını önleme ve yönetme bilgisi. Bakırköy Tıp Dergisi 2017; 13:133-39.
  • Pieper B, Mott M. Nurses' knowledge of pressure ulcer prevention, staging, and description. Advances in Wound Care: The Journal for Prevention and Healing 1995; 8:34-8.
  • Lawrence P, Fulbrook P, Miles S. A survey of Australian nurses’ knowledge of pressure injury/pressure ulcer management. J Wound Ostomy Continence Nurs. 2015; 42:450–60.
  • Gul A, Andsoy II, Ozkaya, B, Zeydan, A. A descriptive, cross-sectional survey of turkish nurses' knowledge of pressure ulcer risk, prevention, and staging. Ostomy Wound Manage 2017; 63:40-6.
  • Fulbrook P, Lawrence P, Miles S. Australian nursesʼ knowledge of pressure ınjury prevention and management: A cross-sectional survey. Journal of Wound Ostomy and Continence Nursing 2019; 46:106-12.
  • Nuru N, Zewdu F, Amsalu S, Mehretie Y. Knowledge and practice of nurses towards prevention of pressure ulcer and associated factors in Gondar University Hospital, BMC Nursing 2015;14:1-8.
  • Chen HL, Chen XY, Wu J. The Incidence of Pressure Ulcers in Surgical Patients of the Last 5 Years: A Systematic Review. Wounds 2012; 24(9):14-19.
  • Qaddumi J, Khawaldeh A. Pressure ulcer prevention knowledge among Jordanian nurses: a cross- sectional study. BMC Nurs 2014; 13:6.
  • Awali ZM, Nagshabandi EA, Elgmail A. The Effect of Implementing Pressure Ulcer Prevention Educational Protocol on Nurses’ Knowledge, Attitude and Practices. Nursing and Primary Care 2018; 2:1-7.
  • Rocha LES, Ruas E de FG, Santos JAD, Lima CA, Carneiro JA, Costa FM. Prevention of pressure ulcers: Evaluation of nursing professionals knowledge. Cogitare Enfermagem 2015; 20:596–604.
  • Etafa W, Argaw Z, Gemechu E, Melese B. Nurses’ attitude and perceived barriers to pressure ulcer prevention. BMC Nursing 2018; 17:14-22.
  • Taha, AS. Nurses knowledge and practices related to pressure ulcer at intensive care unit. Journal of International Academic Research for Multidisciplinary 2014;2:247-62.
  • Ebi WE, Menji ZA, Hunde BM. Nurses’ knowledge and Perceived Barriers About Pressure Ulcer Prevention for Admitted Patients in Public Hospitals in Addis Ababa, Ethiopia. American Journal of Internal Medicine 2017; 5:1-6.
  • Claudia G, Diane M, Daphney SG, Danièle D. Prevention and treatment of pressure ulcers in a university hospital centre: A correlational study examining nurses’ knowledge and best practice. International Journal of Nursing Practise 2010; 16:183-87.
  • Ilesanmi RE, Ofi BA, Adejumo PO. Nurses’ knowledge of pressure ulcer prevention in ogun state, Nigeria: results of a pilot survey. Ostomy Wound Manage 2012; 58:24-32.
  • Ünver S, Fındık ÜY, Özkan ZK, Sürücü Ç. Attitudes of surgical nurses towards pressure ulcer prevention. Journal of Tissue Viability 2017; 26:277-81.
  • Aydin AK, Karadag A. Assessment of nurses’ knowledge and practice in prevention and management of deep tissue ınjury and stage I pressure ulcer. Journal of Wound Ostomy Continence Nursing 2010; 37:487-94.
  • Aydın AK, Karadağ A, Gül Ş, Avşar P, Baykara ZG. Nursesʼ knowledge and practices related to pressure injury: A cross-sectional Study. Journal of Wound, Ostomy and Continence Nursing 2019; 46:117-23.
  • Iranmanesh S, Tafti AA, Rafiei H, Dehghan M, Razban F. Orthopaedic nurses' knowledge about pressure ulcers in Iran: a cross-sectional study. J Wound Care 2013; 22:138-40.
  • Chianca TCM, Rezende JFP, Borges EL, Nogueira VL, Caliri MHL. Pressure ulcer knowledge among nurses in a Brazilian university hospital. Ostomy Wound Manage 2010; 56:58-64.
  • Samuriwo R, Downding D. Nurses’ pressure ulcer related judgments and decisions in clinical practice: A systematic review. International Journal of Nursing Studies 2014; 51:1667:85.

Cerrahi Hemşirelerin Basınç Yaralanması, Risk Faktörleri ve Önlenmeye İlişkin Bilgilerin İncelenmesi

Yıl 2021, , 168 - 174, 30.06.2021
https://doi.org/10.15321/GenelTipDer.2021.307

Öz

Amaç: Çalışma cerrahi hemşirelerinin basınç yaralanmsı, risk faktörleri ve önlemeye ilişkin bilgilerinin değerlendirilmesi amacıyla tanımlayıcı olarak yapıldı.

Gereç ve Yöntem: Çalışmanın evrenini Karabük ilindeki üniversite, devlet ve özel hastanelerin ameliyathane, cerrahi klinikler ve cerrahi yoğun bakımında çalışan 400 hemşire oluşturdu. Tam sayım örnekleme yöntemi ile çalışmanın yapılacağı tarih aralığında izinli veya raporlu olmayan, katılıma istekli ve onam veren 245 cerrahi hemşiresi çalışma kapsamına alındı. Veriler, kişisel bilgi 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.

Bulgular: Çalışmada cerrahi hemşirelerin en yüksek oranda doğru yanıt verdikleri konuların sırasıyla yara tanımı, evrelendirilmesi, önleme ve risk olduğu belirlendi. Yoğun bakımda çalışan hemşirelerin önleme ve risk, yara tanımına yönelik aldıkları puanların cerrahi kliniklerde çalışan hemşirelere göre anlamlı düzeyde yüksek (p=0.007), basınç yaralanması ile sık karşılaşma, ölçek kullanma, hizmetiçi eğitim alma, basınç yaralanmasına yönelik makale okuma ve internetten araştırma yapma ile hemşirelerin doğru yanıt puan ortalamaları arasında istatistiksel olaak anlamlı ilişki olduğu görüldü (p<0.001).

Sonuç: Bu sonuçlar doğrultusunda; cerrahi klinikler ile ameliyathanelerde çalışan hemşirelere basınç yarası, önleme ve risk değerlendirmeye yönelik hizmet içi eğitim planlama, bilimsel toplantıya katılma ve araştırma yapmaya teşvik etme önerilebilir.

Kaynakça

  • Esen O, Öncül S, Yılmaz M, Esen HK. Retrospective evaluation of pressure sores of patients in intensive care. Kartal Eğitim ve Araştırma Hastanesi Tıp Dergisi 2016; 27:111-15.
  • Shahin ESM, Dassen T, Halfens RJG. Incidence, prevention and treatment of pressure ulcers in intensive care patients: A longitudinal study. International Journal of Nursing Studies 2019; 46:413-21.
  • Tanrikulu F, Di̇kmen Y. Yoğun bakım hastalarında basınç yaraları: Risk faktörleri ve önlemler. Journal of Human Rhythm 2017; 3:177-82.
  • Korkmaz F, Uçar H. Topikal negatif basınç terapisinin III. ve IV. evre basınç yaralarının iyileşmesine etkisi. Hemşirelikte Araştırma Geliştirme Dergisi 2014;16:28-37.
  • Alsharari FA, Khadam QA, Albagawi BS, Alotaibi JS, Alqahtani ME. Nurses’ knowledge, attitudes and beliefs toward pressure ulcers prevention. Aljouf University Medical Journal 2017; 4 :21-8.
  • Cremasco MF, Wenzel F, Zanei, SS, Whitaker, IY. Pressure ulcers in the intensive care unit: The relationship between nursing workload, illness severity and pressure ulcer risk. Journal of Clinical Nursing 2013; 22:2183-91.
  • Gül Ş. Cerrahi Girişim Uygulanan Hastalarda Basınç Ülseri Gelişiminin Önlenmesi. Hacettepe Üniversitesi Hemşire Fakültesi Dergisi 2015; 1:54-61.
  • National Pressure Ulcer Advisory Panel. (2017). Available from:http://www.npuap.org/resources/educational-and-clinical-resources/2017-world-wide-pressure-injury-prevention-day/
  • Agengy for Healthcare Research and Quality. (2014). PreventingPressure Ulcers in Hospitals USA: U.S. Department of Health & Human Services. Available from:https://www.ahrq.gov/professionals/systems/hospital/pressureulcertoolkit/putool1.html.
  • Becker D, Tozo, TC, Batista, SS, Mattos, AL, Silva MCB, Rigon, S, Duarte PA. Pressure ulcers in ICU patients: Incidence and clinical and epidemiological features: A multicenter study in southern Brazil. Intensive and Critical Care Nursing 2017; 42:55-61.
  • Rashvand F, Shamekhi L, Rafiei H, Nosrataghaei M. Incidence and risk factors for medical device-related pressure ulcers: The first report in this regard in Iran. International Wound Journal 2019; 12:11-17.
  • Gao, L, Yang L, Li X, Chen J, Du J, Yang H. Risk factors for intraoperative pressure ulcers in surgical patients, Int J Clin Exp Med 2018; 11(7):7429-35.
  • El-Marsi J, Zein-El-Dine S, Zein B, Doumit R, Kurdahi Badr L. Predictors of pressure injuries in a critical care unit in Lebanon: Prevalence, characteristics, and associated factors. Journal of Wound, Ostomy and Continence Nursing 2018; 45:131-36.
  • Kaşıkçı M, Aksoy M, Ay E. Investigation of the prevalence of pressure ulcers and patient-related risk factors in hospitals in the province of Erzurum: A cross-sectional study. Journal of Tissue Viability 2018; 27:135-40.
  • Karadag M, Gümüskaya N. The incidence of pressure ulcers in surgical patients: A sample hospital in Turkey. Journal of Clinical Nursing 2006; 15:413-21.
  • Katran HB. The research on the incidence of pressure sores in a surgical intensive care unit and the risk factors affecting the development of pressure sores. Journal of Academic Research In Nursing 2015; 1:8-14.
  • Walton-Geer PS. Prevention of Pressure Ulcers in the Surgical Patient, AORN J 2009;89(3):538-48;
  • Kıraner E, Terzi B, Ekinci, AU, Tunalı B. Yoğun bakım ünitemizdeki basınç yarası insidansı ve risk faktörlerinin belirlenmesi. Yoğun Bakım Hemşireliği Dergisi 2016; 20:78-83.
  • Edsberg LE, Siyah JM, Goldberg M., McNichol L., Moore L, Sieggreen M. Revised National Pressure Ulcer Advisory Panel pressure injury staging system: revised pressure injury staging system. Journal of Wound, Ostomy, and Continence Nursing 2016; 43:585-97.
  • Association of Perioperative Registered Nurses.Position statement on perioperative pressure ulcer prevention in the care of the surgical patient. AORN Journal 2016; 104(5):437-38.
  • Soyer Ö, Özbayir T. 3S Ameliyathane basınç yarası risk tanılama ölçeğinin türkçeye uyarlanması. Uluslararası Hakemli Hemşirelik Araştırmaları Dergisi 2018; 13:46-64.
  • Spruce L. Back to basics: Preventing perioperative pressure injuries. AORN Journal 2017; 105:92-99.
  • Giachetta-Ryan D. Perioperative pressure ulcers: How can they be prevented? OR Nurse 2015;9(4):22 – 28.
  • He W, Liu P, Chen, HL. The braden scale can't be used alone for assessing pressure ulcer risk in surgical patients: A meta-analysis. Ostomy-Wound Management 2012; 58(2):34-40.
  • Wang I, Walker R, Gillespie BM. Pressure injury prevention in the perioperative setting: An integrative review integrative review. Journal of Perioperative Nursing 2018, 31(4): 27-35.
  • Haesler E, Rayner R, Carville K. The pan pacific clinical practice guideline for the prevention and management of pressure injury. Wound Practice & Research: Journal of the Australian Wound Management Association 2012; 20:6-20.
  • EPUAP. European Pressure Ulcer Advisory Panel, National Pressure Ulcer Advisory Panel. Available from:http://www.epuap.org/wp-content/uploads/2016/10/qrg_prevention_in_turkish.pdf, 2009.
  • Osuala E. Innovation in prevention and treatment of pressure ulcer: Nursing implication. Trop Journal of Medical Resources 2014; 17:61.
  • Özel B. Bası yarası olan hastaların yönetimi. Arşiv Kaynak Tarama Dergisi 2014; 23:492-505.
  • Ayello EA, Braden B. How and why to do pressure ulcer risk assessment. Advances in Skin & Wound Care 2002; 15:125-31.
  • Tel H, Özden D, Çetin P. Yatağa bağımlı hastalarda basınç yarası gelişme riski ve hemşirelerin bu hastalara uyguladıkları önleyici bakım. Hemşirelikte Araştırma Geliştirme Dergisi 2006; 1:35-45.
  • Jankowski MI, Nadzam MD. Identifying gaps, barriers, and solutions in implementing pressure ulcer prevention programs, The joint Commission. Journal on Quality and Patient Safety 2011, 37:154-160.
  • Çelik S, Dirimeşe E, Taşdemir N, Aşık Ş, Demircan S, Eyican S. Hemşirelerin bası yarasını önleme ve yönetme bilgisi. Bakırköy Tıp Dergisi 2017; 13:133-39.
  • Pieper B, Mott M. Nurses' knowledge of pressure ulcer prevention, staging, and description. Advances in Wound Care: The Journal for Prevention and Healing 1995; 8:34-8.
  • Lawrence P, Fulbrook P, Miles S. A survey of Australian nurses’ knowledge of pressure injury/pressure ulcer management. J Wound Ostomy Continence Nurs. 2015; 42:450–60.
  • Gul A, Andsoy II, Ozkaya, B, Zeydan, A. A descriptive, cross-sectional survey of turkish nurses' knowledge of pressure ulcer risk, prevention, and staging. Ostomy Wound Manage 2017; 63:40-6.
  • Fulbrook P, Lawrence P, Miles S. Australian nursesʼ knowledge of pressure ınjury prevention and management: A cross-sectional survey. Journal of Wound Ostomy and Continence Nursing 2019; 46:106-12.
  • Nuru N, Zewdu F, Amsalu S, Mehretie Y. Knowledge and practice of nurses towards prevention of pressure ulcer and associated factors in Gondar University Hospital, BMC Nursing 2015;14:1-8.
  • Chen HL, Chen XY, Wu J. The Incidence of Pressure Ulcers in Surgical Patients of the Last 5 Years: A Systematic Review. Wounds 2012; 24(9):14-19.
  • Qaddumi J, Khawaldeh A. Pressure ulcer prevention knowledge among Jordanian nurses: a cross- sectional study. BMC Nurs 2014; 13:6.
  • Awali ZM, Nagshabandi EA, Elgmail A. The Effect of Implementing Pressure Ulcer Prevention Educational Protocol on Nurses’ Knowledge, Attitude and Practices. Nursing and Primary Care 2018; 2:1-7.
  • Rocha LES, Ruas E de FG, Santos JAD, Lima CA, Carneiro JA, Costa FM. Prevention of pressure ulcers: Evaluation of nursing professionals knowledge. Cogitare Enfermagem 2015; 20:596–604.
  • Etafa W, Argaw Z, Gemechu E, Melese B. Nurses’ attitude and perceived barriers to pressure ulcer prevention. BMC Nursing 2018; 17:14-22.
  • Taha, AS. Nurses knowledge and practices related to pressure ulcer at intensive care unit. Journal of International Academic Research for Multidisciplinary 2014;2:247-62.
  • Ebi WE, Menji ZA, Hunde BM. Nurses’ knowledge and Perceived Barriers About Pressure Ulcer Prevention for Admitted Patients in Public Hospitals in Addis Ababa, Ethiopia. American Journal of Internal Medicine 2017; 5:1-6.
  • Claudia G, Diane M, Daphney SG, Danièle D. Prevention and treatment of pressure ulcers in a university hospital centre: A correlational study examining nurses’ knowledge and best practice. International Journal of Nursing Practise 2010; 16:183-87.
  • Ilesanmi RE, Ofi BA, Adejumo PO. Nurses’ knowledge of pressure ulcer prevention in ogun state, Nigeria: results of a pilot survey. Ostomy Wound Manage 2012; 58:24-32.
  • Ünver S, Fındık ÜY, Özkan ZK, Sürücü Ç. Attitudes of surgical nurses towards pressure ulcer prevention. Journal of Tissue Viability 2017; 26:277-81.
  • Aydin AK, Karadag A. Assessment of nurses’ knowledge and practice in prevention and management of deep tissue ınjury and stage I pressure ulcer. Journal of Wound Ostomy Continence Nursing 2010; 37:487-94.
  • Aydın AK, Karadağ A, Gül Ş, Avşar P, Baykara ZG. Nursesʼ knowledge and practices related to pressure injury: A cross-sectional Study. Journal of Wound, Ostomy and Continence Nursing 2019; 46:117-23.
  • Iranmanesh S, Tafti AA, Rafiei H, Dehghan M, Razban F. Orthopaedic nurses' knowledge about pressure ulcers in Iran: a cross-sectional study. J Wound Care 2013; 22:138-40.
  • Chianca TCM, Rezende JFP, Borges EL, Nogueira VL, Caliri MHL. Pressure ulcer knowledge among nurses in a Brazilian university hospital. Ostomy Wound Manage 2010; 56:58-64.
  • Samuriwo R, Downding D. Nurses’ pressure ulcer related judgments and decisions in clinical practice: A systematic review. International Journal of Nursing Studies 2014; 51:1667:85.
Toplam 53 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Klinik Tıp Bilimleri
Bölüm Original Article
Yazarlar

Akile Aydoğmuş Ünlü Bu kişi benim

Işıl Işık Andsoy

Yayımlanma Tarihi 30 Haziran 2021
Gönderilme Tarihi 13 Şubat 2020
Yayımlandığı Sayı Yıl 2021

Kaynak Göster

Vancouver Aydoğmuş Ünlü A, Işık Andsoy I. Cerrahi Hemşirelerin Basınç Yaralanması, Risk Faktörleri ve Önlenmeye İlişkin Bilgilerin İncelenmesi. Genel Tıp Derg. 2021;31(2):168-74.