護理人員在皮膚撕除傷照護知識、照護行為及相關因素之探討

Knowledge, Management Behavior and Related Factors Among Nurses Toward Skin Tears

本研究旨在探討臨床護理人員對皮膚撕除傷照護知識、照護行為及相關因素之探討。採橫斷式調查研究法，以立意取樣方式，選取東部某醫學中心之成人內、外科病房護理人員為研究對象。以自擬結構式問卷包括基本資料表、皮膚撕除傷照護知識量表以及皮膚撕除傷照護行為量表收集資料，共得151份有效問卷，回收率為75.5%。所得資料以描述性統計、單因子變異數分析、薛費氏事後比較、皮爾森積差相關及逐步複迴歸等進行統計分析。研究結果顯示臨床護理人員知識答對率為66.94%；撕除傷照護行為平均得分為65.90（SD±9.30）；此外研究對象撕除傷照護知識、年齡、護理年資及照護行為彼此間達顯著正相關。從逐步回歸分析對護理人員撕除傷照護行為最具預測力的變項為皮膚撕除傷照護知識、護理人員年齡及工作年資，可解釋全部變異量的40%。本研究結果有助於了解臨床護理人員皮膚撕除傷照護知識與照護行為及其相關性，提供臨床在職教育設計之參考。

The purpose of this study was to explore the knowledge of and management behavior of clinical nurses toward skin tears. A cross-sectional purpose sampling method was used. A total of 151 participants were chosen from a medical center in eastern Taiwan. A skin tear knowledge scale and a skin tear management behavior scale were used to collect the data. The results were analyzed using descriptive statistics, one-way ANOVA, Scheff's test, Pearson's correlation and stepwise regression analysis. The rate of correct responses with respect to skin tear knowledge was 66.94%. Skin tear management behavior showed an average score was 65.90% (SD=9.30). The correlations between skin tear knowledge, age, work experience and skin tear management behavior were all positive. Skin tear knowledge, age and work experience were significant predictors of skin tear management behavior and these three predictors explained 40% of the total variance. This study will help nurses to take care of skin tear patients by improving the nurses' knowledge and management behavior. It can be used as a reference for the design of a continuous education program for clinical nurses.