Cemile ÇELEBİ, Ali BALKAN, Ercan SARUHAN

Cerrahi Hemşirelerinin Cerrahi Alan İnfeksiyonlarını Önlemeye Yönelik Bilgi Düzeyleri

Giriş: Hemşirelerin cerrahi alan infeksiyonunu (CAİ) önlemek için doğru ve hızlı karar vermeleri ve kanıta dayalı uygulamalarla ilgili önerileri bilmeleri kaliteli hemşirelik bakımı verebilmek için çok önemlidir. Amaç: Bu araştırmanın amacı cerrahi hemşirelerinin CAİ önlenmesi konusundaki bilgi düzeylerini belirlemektir. Gereç ve Yöntem: Tanımlayıcı tipte planlanan araştırma, Ege Bölgesinde bir Eğitim Araştırma Hastanesi cerrahi kliniklerinde çalışan 58 hemşire ile 20 Ocak 2020-15 Şubat 2020 tarihleri arasında yapıldı. Veriler “Bireysel Özellikler Formu” ve Hastalık Kontrol ve Önleme Merkezleri 2017 güncel rehberine göre hazırlanmış “Cerrahi Alan İnfeksiyonunu Önlemeye Yönelik Bilgi Formu” ile toplandı. Çalışmada verilerin değerlendirilmesinde Tanımlayıcı istatistiksel metotlar ile birlikte Mann-Whitney U Testi, Kruskal-Wallis Testi, Lojistik Regresyon analizinden yararlanıldı. Bulgular: Çalışmaya katılan hemşirelerin; yaş ortalaması 40.2±6.1, %93.1’i (n=54) kadın, %82.8’i (n=48) evli, %93.1’i (n=54) lisans mezunu, %67.2’si (n=39) 16 yıl ve daha fazla süredir hemşirelik yapmaktadır. Araştırmaya katılan hemşirelerin %37.9’unun (n=22) infeksiyon kontrolü konusunda eğitim aldığı saptandı. Çalışmadan elde edilen verilere göre hemşirelerin “Cerrahi Alan İnfeksiyonu Önleme Bilgi Düzeyi” puan ortalaması 13.1±2.2 (min:7, max: 18), bilgi formunda yer alan ifadeleri doğru yanıtlama oranı ise ortalama %62.2±10.4 olarak hesaplandı. Sonuç: Hemşirelerin cerrahi alan infeksiyonlarını önlemeye ilişkin bilgi puan ortalaması orta seviyenin üstünde saptandı. Hemşirelerin cerrahi alan infeksiyonunun önlenmesi konusundaki yetkinliğini artırmak ve bilgi eksikliğini gidermek için güncel rehberler eşliğinde hizmet içi eğitim programları düzenlenmelidir.

Anahtar Kelimeler:

cerrahi yara infeksiyonu, cerrahi alan infeksiyonu, bilgi düzeyi, hemşire

Knowledge Levels of Surgical Nurses on Preventing Surgical Site Infections

Introduction: It is very important for nurses to make correct and fast decisions to prevent SSI and to know the recommendations about evidence-based practices in order to provide quality nursing care. Aim: The aim of this study was to determine the knowledge level of surgical nurses about preventing SSI and relationship with sociodemographic characteristics. Materials and Method: This descriptive study was conducted with 58 nurses working in the surgical clinics of a Training and Research Hospital in the Aegean Region between January and February 2020. The data were collected with “Individual Characteristics Form” and “Information Form for Surgical Site Infection Prevention” prepared according to CDC 2017 guide.. Mann-Whitney U Test, Kruskal Wallis Test, Logistic Regression analysis were used for statistical analysis. Results: It was determined that the mean age of the nurses participating in the study was 40.2±6.1 and the majority of the nurses had a bachelor's degree. It was reported that the participants in our study were 93.1% women, 82.8% (n=48) married, and 67.2% (n=39) worked more than 16 years. The ratio of having course about surgical site infections was found 37.9%. The mean score of knowledge level in prevention surgical site infection was 13.1±2.2 (min:7;max:18) and the ratio of correct response was found 62.2±10.4%. Conclusion: The mean knowledge level of nurses for preventing surgical site infections was found above the middle level. More up-to-date training programs should be organized to increase nurses' competence in preventing surgical site infections and to overcome the lack of knowledge.

Keywords:

surgical wound infection, surgical site infection, knowledge level, nurse,

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