评估外科病房和初级卫生保健护士对慢性伤口患者适当营养重要性的认识-初步研究

Ewa Pisarek, M. Lesińska-Sawicka, Adrianna Ciesielska
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摘要

患者的营养状况直接影响到治疗的过程和结果。营养不良患者的早期识别允许快速营养干预,这可能会改善他们的整体状况,并有助于优化计划治疗。护士在这方面的知识和经验在诊断和治疗过程中起着至关重要的作用。本研究的目的是评估护士在营养咨询方面的知识和能力,并了解他们对营养在慢性伤口处理中的重要性的看法。材料和方法:研究对象为来自外科病房和初级卫生保健部门的70名护士。采用问卷调查法。调查对象的营养教育能力评估采用5级李克特量表。结果:护士的知识水平令人满意。统计分析显示,在研究生阶段接受过伤口护理培训的护士对慢性伤口患者的营养教育能力评价较高(c 2 = 5.927845, p = 0.0149)。结果还表明,初级保健护士更关注患者摄入食物的数量和质量(c 2 = 5.876543, p = 0.0153)。68.57%的受访者认为慢性伤口患者的饮食对治疗过程有一定的影响。结论:慢性创伤患者的营养问题应成为护士在预科和研究生教育各阶段教育中不可缺少的内容。
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Assessment of the knowledge of nurses from surgical wards and primary health care about the importance of proper nutrition in a patient with a chronic wound – preliminary study
Introduction: The nutritional status of a patient has a direct impact on the course and outcome of treatment. Early identification of malnourished patients allows for rapid nutritional intervention, which may improve their overall condition and help to optimise planned therapy. Nurses, whose knowledge and experience in this area can be crucial in the diagnostic and therapeutic process, play a special role here. The aim of the study was to assess nurses’ knowledge and competence in nutritional counselling and to find out their opinions on the importance of nutrition in chronic wound management. Material and methods: The study included 70 nurses from surgical wards and primary health care. A questionnaire survey was used. Assessment of the respondents’ competence in nutrition education was measured using a 5-level Likert scale. Results: The nurses’ level of knowledge was satisfactory. The statistical analysis showed that nurses who received training in wound care during their postgraduate education rated their competence in the area of nutritional education of a patient with a chronic wound better ( c 2 = 5.927845, p = 0.0149). It was also shown that primary care nurses were more likely to pay attention to the quantity and quality of the patient’s food intake ( c 2 = 5.876543, p = 0.0153). 68.57% of respondents stated that the diet of a patient with a chronic wound has a definite influence on the course of treatment. Conclusions: Issues concerning the nutrition of patients with chronic wounds should be an indispensable part of the education of nurses at all stages of pre- and postgraduate education.
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