임상간호사의 욕창분류체계와 실금관련피부염에 대한 지식과 시각적 감별 능력

• Published in: Journal of Korean Academy of Nursing Vol. 43; no. 4; pp. 526 - 535
• Main Authors: 이윤진, 박승미, 김정윤, 김철규, 차선경, Lee, Yun Jin, Park, Seungmi, Kim, Jung Yoon, Kim, Chul-Gyu, Cha, Sun Kyung
• Format: Journal Article
• Language: Korean
• Published: 01.08.2013
• ISSN: 2005-3673; 2093-758X

Purpose: This study was done to compare clinical nurses' knowledge and visual differentiation diagnostic ability for the pressure ulcer classification system (PUCS) and incontinence-associated dermatitis (IAD). Methods: A convenience sample of 602 nurses took the pressure ulcer classification system and incontinence-associated dermatitis knowledge test (PUCS & IAD KT) and completed the visual differentiation tool (VDT), consisting of 21 photographs with clinical information. Results: The overall mean score for correct answers was 14.5 (${\pm}3.2$) in PUCS & IAD KT and 11.15 (${\pm}4.9$) in PUCS & IAD VDT. Incorrect responses were most common for statements related to stage III, IAD for PUCS & IAD KT, and suspected deep tissue injury (SDTI), unstageable, and stage III for PUCS & IAD VDT. Significant correlations were found between PUCS & IAD KT and VDT (r=.48, p<.001). Factors affecting scores for PUCS & IAD VDT were PUCS & IAD KT, frequency of pressure ulcer, IAD management and participation in wound care education programs. Conclusion: Results indicate that nurses have an overall understanding of PUCS & IAD, but low visual differentiation ability regarding stage III, SDTI, and unstageable ulcers. Continuing education is needed to further improve knowledge and visual differentiation ability for PUCS & IAD.