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研究生: 艾瑞夫
Sulistyanto, Benny Arief
論文名稱: 印尼籍護理人員傷口照護知識之探討
KNOWLEDGE ABOUT WOUND MANAGEMENT AMONG HOSPITAL NURSES IN INDONESIA
指導教授: 方素瓔
Fang, Su-Ying
學位類別: 碩士
Master
系所名稱: 醫學院 - 護理學系
Department of Nursing
論文出版年: 2016
畢業學年度: 104
語文別: 中文
論文頁數: 84
外文關鍵詞: wound management, knowledge, nurses, TIME framework
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  • Background: The wound care knowledge is updated. Nurse need to have new evidenced knowledge to improve quality of care. Compared to community nurses, nurses in hospital had poor wound care knowledge. Limitted studies examined the level of knowledge among hospital nures in the context of wound management.
    Aims and objectives: The purpose of this study is to describe the self-reported knowledge about wound management among hospital nurses in Indonesia. Two aims in this study included (1) to understand the level of knowledge about wound management among hospital nurses (2) to identify factors that may influence nurses’ knowledge about wound management.
    Design: Descriptive cross-sectional survey design.
    Methods: A convenience sample of 181 nurses working in Pekalongan regency, Central Java, Indonesia. Nurses who work in ICU, ED, Pediatric, Surgical, and Medical ward invited to complete a 28-item questionnaire developed by Ayello & Baranoki (2014) which contained 20 questions of knowledge of wound management and 8 questions contained nurses’ perception of wound care in the facility.
    Result: There were 181 nurses participated in this study. The level of knowledge among hospital nurses in this study was poor. By the average nurses in this study were able to answer 10.3 questions overall (51.5%). Gender and Education level were not influenced nurses’ knowledge in this study, while research experience and training were influenced nurses’ knowledge almost in all aspects. A multiple linear regression model has significantly explained the level of knowledge of overall wound management by 6%. The wound education training may be able to increase nurses’ knowledge of wound management (β = 0.21, p < 0.05) compared to nurses who never got any training. Meanwhile, the research experience may decrease nurses’ knowledge of wound management (β = -0.26, p < 0.01). In terms of TIME framework, surgical and Emergency nurses tend to have better knowledge related to tissue management and moisture balance but poor in the domain of epithelial advancement.
    Conclusion: This study revealed the current level of knowledge of wound management among hospital nurses in Indonesia is poor. Continuing providing wound care education is recommended in order to improve nurses’ knowledge and reflects the clinical practices in wound management.

    ABSTRACT II TABLE OF CONTENT III LIST OF TABLE VI LIST OF FIGURE VII LIST OF APPENDIX VIII CHAPTER ONE 1 1.1. Research Background. 1 1.2. Research Purpose 5 1.3. Research Framework 5 CHAPTER TWO 6 2.1. General concepts of wounds 6 2.2. General principles of wound management 8 2.2.1. Tissue Management 9 2.2.2. Inflammation and infection control 11 2.2.3. Moisture balance 13 2.2.4. Epithelial (edge) advancement 14 2.3. Factors influencing wound healing 15 2.4. Nurse’s knowledge about wound management 15 2.5. Factors that may influence nurses’ knowledge about wound management 19 2.6. Instrument to measure level of knowledge in wound management 22 CHAPTER THREE 24 3.1. Design and Sampling 24 3.1.1. Design 24 3.1.2. Sample 24 3.2. Research Instrument 25 3.3. The wound management questionnaire 26 3.4. The Role of Nurses in Wound Care in Indonesia 27 3.5. Ethical Consideration 28 3.6. Data Collection 28 3.7. Research data analysis 29 CHAPTER FOUR 30 4.1. Hospital Nurses Characteristic 30 4.2. Nurses’ Knowledge about Wound Management 33 4.3. Nurses’ Perception and the Condition of Wound Care 34 4.4. Factors which correlated to Nurses’ knowledge 36 4.4.1. Knowledge of tissue management and moisture balance 38 4.4.2. Knowledge of infection control 39 4.4.3. Knowledge of epithelial advancement 39 4.4.4. Knowledge of wound assessment 40 4.4.5. Knowledge of acute wound 41 4.4.6. Overall knowledge of wound management 42 CHAPTER FIVE 43 5.1. Discussion 43 5.1.1. Knowledge of wound management among hospital nurses 43 5.1.2. Factors related to wound care knowledge 45 5.1.3. Knowledge of wound management related to the TIME framework 48 5.1.4. Nurses’ Perception and the condition of wound care in the facility 51 5.2. Limitation 52 5.3. Implication in nursing field 53 5.4. Future research 55 5.5. Conclusions 55 REFERENCES 57

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