KNOWLEDGE AND ATTITUDE TOWARD PRESSURE ULCER PREVENTION AMONG NURSING STUDENTS AT DONG NAI MEDICAL COLLEGE, 2024

Thị Nhung Đào, Thị Chinh Trịnh , Thị Dung Nguyễn

Main Article Content

Abstract

Objective: To determine the level of knowledge and attitude regarding pressure ulcer prevention among third-year nursing students and to analyze factors associated with knowledge and attitude. Methods: A cross-sectional descriptive study was conducted among all third-year nursing students of Dong Nai Medical College who agreed to participate (n = 101) from May to July 2024. Data were collected using a self-administered questionnaire (Google Form) including general information; 15 knowledge questions (scored by Bloom’s cut-off 60–80%) and 10 attitude items (5-point scale, converted to 0–50 points; ≥70%: good attitude). Data were analyzed with SPSS 18.0; Chi-square test was used to examine associations (p < 0.05 considered significant). Results: Knowledge levels were: 72.3% “good,” 23.8% “average,” and 4.0% “poor.” Three weak areas included identifying stage 1 pressure ulcer (11.9% correct), the misconception that “skin should always be moist to prevent ulcers” (73.3% answered incorrectly by agreeing), and the belief that “wounds should always be kept covered” (15.8% correct – negative item). Attitude: 77.2% had good attitude. Significant associations were found between gender and attitude (female students had better attitudes; p < 0.05), academic performance and attitude (better in good–excellent group; p < 0.05), and between knowledge and attitude (good knowledge accompanied good attitude; p < 0.05). No significant association was found between demographic/training variables and knowledge (p > 0.05). Conclusion: Most students demonstrated good knowledge and positive attitudes toward pressure ulcer prevention; however, gaps remain in early-stage recognition and wound care practices. Strengthening theoretical and clinical training with early integration of risk assessment, staging, and wound management skills from the first–second year is recommended.

Article Details

References

. Bệnh viện Da liễu Trung ương. Phòng ngừa loét tì đè cho người bệnh nằm lâu.
http://viendalieu.com.vn/phong-ngua-loet-ty-de-cho-nguoi-nam-lau-358/
2. Trần Hồng Huệ, Nguyễn Thị Lan Minh (2017). Khảo sát loét tì đè ở bệnh nhân tại các phòng bệnh nặng trong Bệnh viện Nguyễn Tri Phương năm 2016. Tạp chí Nghiên cứu Y học TP. Hồ Chí Minh, 21(3).
3. Malinga S., Dlungwane T. (2020). Nurses' knowledge, attitudes and practices regarding pressure ulcer prevention in the Umgungundlovu District, South Africa. Africa Journal of Nursing & Midwifery, 22(2).
4. Lotfi M., Aghazadeh A.M., Asgarpour H., Nobakht A. (2019). Iranian nurses’ knowledge, attitude and behaviour on skin care, prevention and management of pressure injury: A descriptive cross-sectional study. Nursing Open, 6(4), 1600–1605. https://doi.org/10.1002/nop2.365
5. Uba M.N., Alih F.I., Kever R.T., Lola N. (2015). Knowledge, attitude and practice of nurses toward pressure ulcer prevention in University of Maiduguri Teaching Hospital, Borno State, Nigeria. International Journal of Nursing and Midwifery, 7(4), 54–60.
6. Ebi W.E., Hirko G.F., Mijena D.A. (2019). Nurses’ knowledge to pressure ulcer prevention in public hospitals in Wollega: a cross-sectional study design. BMC Nursing, 18(1), 1–12.
7. Nguyễn Thị Thu Hương, Phạm Minh Khuê, Nguyễn Thị Hải, Trần Ngọc Bích, Đào Thị Thảo, Nguyễn Thị Anh (2022). Kiến thức về loét tì đè của sinh viên Điều dưỡng ở các trường đào tạo Điều dưỡng tại Hải Phòng năm 2021. Tạp chí Y học Dự phòng, 32(1), 358–364.
8. Abrahams F.R., Daniels E.R., Niikondo H.N., Amakali K. (2023). Students’ knowledge, attitude and practices towards pressure ulcer prevention and management. Health SA Gesondheid, 28(1).
9. Bahar A., Özgürbüz N.E., Akın E. (2024). Student nurses' knowledge levels and attitudes regarding pressure injury prevention. Journal of Tissue Viability.
10. Isa R., Azman N.A.S.Z., Mat T.N.A.T. (2019). Knowledge and attitude on pressure ulcer prevention among nursing students in UiTM Selangor Puncak Alam Campus. Healthscope: The Official Research Book of Faculty of Health Sciences, UiTM, 1.