Investigation on the implementation of pressure sore nursing standards and training needs among nursing staff in geriatric care facilities
老年护理院护工压疮护理操作规范执行情况及培训需求调查

摘要

目的 研究老年护理院护工压疮护理操作规范执行情况及培训需求。方法 本研究选取2025年4月至5月在老年护理院中接受过上岗培训并取得上岗证的60名护工作为调查对象。采用自制《老年护理院护工压疮护理操作规范执行情况及培训需求调查问卷》对护理工进行调查，以探讨护工压疮护理操作规范执行情况及培训需求。结果 60名护工的压疮基础知识得分为（9.26±1.99）分，学历水平、从业年限、压疮基础知识掌握程度等对护工压疮护理操作规范执行效果存在显著影响（P＜0.05）。60名护工最希望得到的培训内容分别为压疮的预防操作（95%）、压疮的危险因素分析（88.33%）以及各分期压疮的识别与干预方法（85%）；希望得到的培训形式分别为现场实操指导（98.33%）和真实案例分析（91.67%）。结论 老年护理院的管理者应强化针对护工开展的压疮预防知识培训工作，需结合护工的实际需求与接受特点，选取其更易接纳、参与度更高的培训模式，以此提升培训的实际成效，切实增强护工在压疮护理操作方面的规范性。

Abstract

Objective To investigate the implementation of pressure ulcer care protocols among nursing staff in elderly care facilities and their training needs.
Methods This study selected 60 nursing staff members who had completed on-the-job training and obtained certification in elderly care facilities between April and May 2025 as the research subjects. A self-designed questionnaire titled "Implementation of Pressure Ulcer Care Protocols and Training Needs Among Nursing Staff in Elderly Care Facilities" was used to assess their knowledge, aiming to explore the adherence to pressure ulcer care protocols and training requirements.
Results The pressure ulcer knowledge scores of the 60 nursing staff averaged (9.26±1.99) points. Education level, years of experience, and mastery of pressure ulcer knowledge significantly influenced the implementation of care protocols (P<0.05). The most desired training topics were pressure ulcer prevention (95%), risk factor analysis (88.33%), and identification and intervention methods for different stages of pressure ulcers (85%). Preferred training formats included hands-on guidance (98.33%) and real-case analysis (91.67%).
Conclusion   Administrators in elderly care facilities should strengthen training on pressure ulcer prevention for nursing staff. Training programs should be tailored to staff needs and preferences, adopting more acceptable and engaging formats to enhance effectiveness and improve compliance with pressure ulcer care protocols.