Hubungan Peran Dan Sikap Perawat Dengan Tindakan Pencegahan Luka Dekubitus Di Rsud Dr. Zubir Mahmud Idi Aceh Timur
DOI:
https://doi.org/10.62710/4678d952Keywords:
Peran Perawat, Sikap Perawat, Pencegahan Luka Dekubitus.Abstract
Pressure injury is a preventable complication. However, studies simultaneously assessing nurses’ roles and attitudes in relation to pressure injury prevention practices, particularly in neurology and intensive care units (ICUs), remain limited. Pressure injury prevention is an important concern for quality of care and patient safety. Nurses play an essential role in implementing prevention practices through risk assessment, skin care, repositioning, and patient education. This study aimed to analyze the association between nurses’ roles and attitudes and pressure injury prevention practices in the Neurology and ICU Wards of dr. Zubir Mahmud Idi Regional General Hospital, East Aceh Regency. This study employed an analytical design with a cross-sectional approach. The population and sample consisted of 31 nurses selected using total sampling. Data were collected using a questionnaire and analyzed using Fisher’s exact test because some cells had expected frequencies of less than 5. The results showed that 23 respondents (74.2%) had good pressure injury prevention practices, 21 respondents (67.7%) had good role performance, and 24 respondents (77.4%) had positive attitudes. Nurses’ roles were significantly associated with pressure injury prevention practices (Fisher’s exact test, p < 0.001), and nurses’ attitudes were significantly associated with pressure injury prevention practices (Fisher’s exact test, p = 0.006). These findings indicate that nurses’ roles and attitudes are associated with pressure injury prevention practices.
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Alshahrani, B., Middleton, R., Rolls, K., & Sim, J. (2023). Critical care nurses’ knowledge and attitudes toward pressure injury prevention: A pre and post intervention study. Intensive and Critical Care Nursing, 79, 103528. https://doi.org/10.1016/j.iccn.2023.103528
Alshahrani, B., Sim, J., & Middleton, R. (2021). Nursing interventions for pressure injury prevention among critically ill patients: A systematic review. Journal of Clinical Nursing, 30(15–16), 2151–2168. https://doi.org/10.1111/jocn.15709
Avsar, P., Renjith, V., Chima, C., Patton, D., O’Connor, T., & Moore, Z. (2023). Assessing nurses’ attitudes towards pressure ulcer prevention: An updated systematic review. Journal of Wound Care, 32(9), 544–554. https://doi.org/10.12968/jowc.2023.32.9.544
Chen, H.-L., Cai, J.-Y., Du, L., Shen, H.-W., Yu, H.-R., Song, Y.-P., & Zha, M.-L. (2020). Incidence of pressure injury in individuals with spinal cord injury: A systematic review and meta-analysis. Wound Management & Prevention, 47(3), 215–223. https://doi.org/10.1097/WON.0000000000000633
Dewi, E. U., Sari, E., & Wulandari, L. S. (2022). Hubungan pengetahuan perawat tentang kepatuhan penghitungan luka tekan dekubitus. Jurnal Keperawatan, 11(1), 32–36. https://doi.org/10.47560/kep.v11i1.329
Ding, Y., Qian, J., Zhou, Y., & Zhang, Y. (2024). Effect of e-learning program for improving nurse knowledge and practice towards managing pressure injuries: A systematic review and meta-analysis. Nursing Open, 11(1), e2039. https://doi.org/10.1002/nop2.2039
Gillespie, B. M., Walker, R. M., Latimer, S. L., Thalib, L., Whitty, J. A., McInnes, E., Lockwood, I., & Chaboyer, W. P. (2021). Repositioning for pressure injury prevention in adults: An abridged Cochrane systematic review and meta-analysis. International Journal of Nursing Studies, 120, 103976. https://doi.org/10.1016/j.ijnurstu.2021.103976
Green, L. W., & Kreuter, M. W. (2005). Health program planning: An educational and ecological approach (4th ed.). McGraw-Hill.
Huang, C., Ma, Y., Wang, C., Jiang, M., Foon, L. Y., Lv, L., & Han, L. (2021). Predictive validity of the Braden Scale for pressure injury risk assessment in adults: A systematic review and meta-analysis. Nursing Open, 8(5), 2194–2207. https://doi.org/10.1002/nop2.792
Huang, L., Yan, Y., Huang, Y., Liao, Y., Li, W., Gu, C., Lu, X., Li, Y., & Li, C. (2023). Summary of best evidence for prevention and control of pressure ulcer on support surfaces. International Wound Journal, 20(6), 2276–2285. https://doi.org/10.1111/iwj.14109
Kurt, Y., Kaşikçi, M., & Malaska, R. (2024). Nursing interventions to prevent pressure injury among open heart surgery patients: A systematic review. Nursing in Critical Care, 29(6), 1706–1720. https://doi.org/10.1111/nicc.13117
Li, Z., Lin, F., Thalib, L., & Chaboyer, W. (2020). Global prevalence and incidence of pressure injuries in hospitalised adult patients: A systematic review and meta-analysis. International Journal of Nursing Studies, 105, 103546. https://doi.org/10.1016/j.ijnurstu.2020.103546
Munoz, N., & Posthauer, M. E. (2022). Nutrition strategies for pressure injury management: Implementing the 2019 International Clinical Practice Guideline. Nutrition in Clinical Practice, 37(3), 567–582. https://doi.org/10.1002/ncp.10762
Padmiasih, N. W. (2020). Pengaruh mobilisasi progresif terhadap kejadian dekubitus pada pasien dengan ventilasi mekanik di ruang ICU RSD Mangusada. Indonesian Academia Health Sciences Journal, 1(2), 12–15.
Parisod, H., Holopainen, A., Kielo-Viljamaa, E., Puukka, P., Beeckman, D., & Haavisto, E. (2022). Attitudes of nursing staff towards pressure ulcer prevention in primary and specialised health care: A correlational cross-sectional study. International Wound Journal, 19(2), 399–410. https://doi.org/10.1111/iwj.13641
Rostamvand, M., Abdi, K., Ghanei Gheshlagh, R., Khaki, S., Dehvan, F., & Barzgaran, R. (2022). Nurses’ attitude on pressure injury prevention: A systematic review and meta-analysis based on the pressure ulcer prevention instrument (APuP). Journal of Tissue Viability, 31(2), 346–352. https://doi.org/10.1016/j.jtv.2021.12.004
Silveira, J. B. da, Teixeira, G. M., Baron, M. V., & Caron-Lienert, R. S. (2022). Impact of nutrition on the prevention and treatment of pressure injuries in critically ill patients: An integrative review. Advances in Skin & Wound Care, 35(10), 566–572. https://doi.org/10.1097/01.ASW.0000855748.02063.99
Tian, J., Liang, X. L., Wang, H. Y., Peng, S. H., Cao, J., Liu, S., Tao, Y. M., & Zhang, X. G. (2023). Nurses’ and nursing students’ knowledge and attitudes to pressure injury prevention: A meta-analysis based on APUP and PUKAT. Nurse Education Today, 128, 105885. https://doi.org/10.1016/j.nedt.2023.105885
Zhang, C., Zhang, S., Wu, B., Zou, K., & Chen, H. (2023). Efficacy of different types of dressings on pressure injuries: Systematic review and network meta-analysis. Nursing Open, 10(9), 5857–5867. https://doi.org/10.1002/nop2.1867







