Evaluation of the Knowledge Levels of Family Medicine Assistants Receiving Specialty Training in İzmir About Pressure Ulcer
Öz
This study aims to assess the knowledge levels regarding pressure ulcers among family medicine residents undergoing specialty training in Izmir. This study is a cross-sectional study. 216 family medicine residents who received specialization training at Izmir Katip Çelebi University (IKÇÜ), Dokuz Eylül University(DEU), Izmir Bozyaka Training and Research Hospital and Tepecik Training and Research Hospital were included in our study after giving their permission to participate. The participants were administered a sociodemographic data survey prepared by the researchers after reviewing the relevant literature and the ‘Pressure Ulcer Prevention Knowledge Assessment Survey’. Data were evaluated using the SPSS 22 (Statistical Package for the Social Sciences) package program. The mean age of the participants was 30.12±5.81 years, the median number of years spent in the profession was 4 years, and the median time spent in residency (months) was 17 months. When evaluated statistically, the scores of the Knowledge Assessment Questionnaire on Pressure Ulcer Prevention (KAPQ) were found to be significantly higher in physicians who used a source for pressure ulcers (38.9%, n=81), received training on the diagnosis, treatment, and prevention of pressure ulcers (37.5%, n=81), worked in a home health unit during their residency (53.7%, n=116), encountered pressure ulcers frequently (25.9%, n=56), and used a scale for the assessment of pressure ulcers (31.5%, n=68). The aim of family medicine specialization training is to train physicians who can provide primary health care services through theoretical and practical training. Pressure ulcers are one of the most common diagnoses encountered during mandatory and elective clinical rotations. Our study shows that family medicine assistants' awareness and knowledge about pressure ulcer, which is a preventable health problem, are not at a sufficient level. In this context, necessary arrangements should be made in educational curricula and applied training programs.
Anahtar Kelimeler
Kaynakça
- 1. Dworsky JQ, Childers CP, Copeland T, Maggard-Gibbons M, Tan HJ, Saliba D, et al. Geriatric events among older adults undergoing non-elective surgery are associated with poor outcomes. Am Surg. 2019;85(10):1089-93.
- 2. World Health Organization Regional Office for the Eastern Mediterranean. A strategy for active, healthy ageing and old age care. Cairo: WHO Regional Office for the Eastern Mediterranean; 2006.
- 3. Champion R, Burton J, Burns T, Breathnach S. Textbook of dermatology. 6th ed. London: Blackwell Science; 1998.
- 4. Livesley NJ, Chow AW. Infected pressure ulcers in elderly individuals [Internet]. Aging and Infectious Diseases. 2002. Available from: https://academic.oup.com/cid/article/35/11/1390/429537
- 5. Anders J, Heinemann A, Leffmann C, Leutenegger M, Pröfener F, Von Renteln-Kruse W. Dekubitalgeschwüre - Pathophysiologie und primärprävention. Dtsch Arztebl. 2010 May 28;107(21):371-82.
- 6. Jiang Q, Li X, Qu X, Liu Y, Zhang L, Su C, et al. The incidence, risk factors and characteristics of pressure ulcers in hospitalized patients in China [Internet]. Int J Clin Exp Pathol. 2014. Available from: www.ijcep.com/
- 7. Buchanan RT. Essentials of plastic, maxillofacial, and reconstructive surgery. In: Georgiade N, Georgiade G, Riefkohl R, Barwick W, editors. Baltimore: Williams & Wilkins; 1987. p. 1189.
- 8. Armstrong D, Bortz P. An integrative review of pressure relief in surgical patients. AORN J [Internet]. 2001 [cited 2023 Nov 9];73(3). Available from: https://pubmed.ncbi.nlm.nih.gov/11253620/
- 9. Akyol AD. Intervention studies for prevention of pressure ulcers in Turkey: a literature review. Int Nurs Rev [Internet]. 2006 Dec [cited 2023 Nov 9];53(4):308-16. Available from: https://pubmed.ncbi.nlm.nih.gov/17083421/
- 10. Ryan TJ, Thoolen M, Yang YH. The effect of mechanical forces (vibration or external compression) on the dermal water content of the upper dermis and epidermis, assessed by high frequency ultrasound. J Tissue Viability [Internet]. 2001 [cited 2023 Nov 9];11(3):97-101. Available from: https://pubmed.ncbi.nlm.nih.gov/11949615/
- 11. Hug E, Ünalan H, Karamehmetoğlu SS, Tüzün S, Gürgöze M, Tüzün F. Bir Eğitim Hastanesinde Bası Yarası Prevalansı ve Bası Yarası Gelişiminde Etkili Risk Faktörleri. Turk J Phys Med Rehabil [Internet]. 2001 [cited 2023 Nov 9]. Available from: https://www.ftrdergisi.com/abstract.php?lang=tr&id=3458
- 12. Gencer ZE, Özkan Ö. Pressure ulcers surveillance report. Turk J Intensive Care [Internet]. 2015 Apr 5 [cited 2023 Nov 9];13(1):26-30. Available from: http://www.turkishjic.org/archives/archive-detail/article-preview/basn-lserleri-srveyans-raporu/10254
- 13. European Pressure Ulcer Advisory Panel, National Pressure Injury Advisory Panel, Pan Pacific Pressure Injury Alliance. Prevention and treatment of pressure ulcers/injuries: quick reference guide 2019. Osborne Park: Cambridge Media; 2019. ISBN 978-0-6480097-9-5.
- 14. Tulek Z, Polat C, Ozkan I, Theofanidis D, Togrol RE. Validity and reliability of the Turkish version of the pressure ulcer prevention knowledge assessment instrument. J Tissue Viability. 2016 Nov;25(4):201-8.
- 15. Ünal Y. Aile Hekimliği Uzmanlık Öğrencilerinde Basınç Yarası Bilgi ve Farkındalık Düzeyi [Thesis]. 2023.
- 16. Irmak F, Baş S, Sızmaz M, Akbulut HA, Karşıdağ SH. Management and treatment of pressure ulcers: clinical experience. Med Bull Sisli Etfal Hosp [Internet]. 2019 [cited 2023 Nov 26];53(1):37. Available from: /pmc/articles/PMC7847732/
- 17. Arshad N, Attiq N. Pressure ulcer: educational campaign in promoting knowledge and attitude across health professionals. Multicult Educ [Internet]. 2022 [cited 2023 Nov 26]. Available from: www.MC-caddogap.com
- 18. Çetin MN. Aile Hekimlerinin Basınç Yarası (Yatak Yarası) Hakkında Bilgi, Tutum ve Davranışları [Thesis]. 2022.
- 19. Beeckman D, Defloor T, Schoonhoven L, Vanderwee K. Knowledge and attitudes of nurses on pressure ulcer prevention: a cross-sectional multicenter study in Belgian hospitals. Worldviews Evid Based Nurs. 2011 Sep;8(3):166-76.
- 20. Simonetti V, Comparcini D, Flacco ME, Di Giovanni P, Cicolini G. Nursing students' knowledge and attitude on pressure ulcer prevention evidence-based guidelines: a multicenter cross-sectional study. Nurse Educ Today. 2015 Apr 1;35(4):573-9.
- 21. Usher K, Woods C, Brown J, Power T, Lea J, Hutchinson M, et al. Australian nursing students’ knowledge and attitudes towards pressure injury prevention: a cross-sectional study. Int J Nurs Stud. 2018 May 1;81:14-20.
- 22. Kimura S, Pacala J. Pressure ulcers in adults: family physicians' knowledge, attitudes, practice preferences, and awareness of AHCPR guidelines. J Fam Pract [Internet]. 1997 [cited 2023 Nov 26]. Available from: https://pubmed.ncbi.nlm.nih.gov/9108833/
- 23. Bozbas GT, Gurer G. Current treatment approaches in pressure ulcers. Sakarya Med J [Internet]. 2011;1(4):118-25. Available from: http://dergipark.gov.tr/doi/10.5505/sakaryamj.2011.24633
- 24. Şenkul FÖ. Aile Hekimliği Uzmanlık Öğrencilerinin Basınç Ülserlerini Önlemeye Yönelik Bilgi Düzeylerinin Değerlendirilmesi [Thesis]. İzmir: Bozyaka Eğitim ve Araştırma Hastanesi; 2020.
- 25. Şengül T, Karadağ A. Determination of nurses’ level of knowledge on the prevention of pressure ulcers: the case of Turkey. J Tissue Viability. 2020 Nov;29(4):337-41.
- 26. Hamdan AB, Duraisamy B, Javison S, Wani T, Alharbi M. Physicians’ attitude towards pressure injury prevention and management. J Cancer Ther. 2020;11(04).
- 27. Cox J, Roche S, Gandhi N. Critical care physicians: attitudes, beliefs, and knowledge about pressure ulcers. Adv Skin Wound Care. 2013;26(4):168-76.
- 28. Dalvand S, Ebadi A, Gheshlagh RG. Nurses’ knowledge on pressure injury prevention: a systematic review and meta-analysis based on the pressure ulcer knowledge assessment tool. Clin Cosmet Investig Dermatol. 2018;11:613-20
İzmir'de Uzmanlık Eğitimi Alan Aile Hekimliği Asistanlarının Basınç Ülseri Hakkındaki Bilgi Düzeylerinin Değerlendirilmesi
Öz
Bu çalışmanın amacı, İzmir'de uzmanlık eğitimi alan aile hekimliği asistanları arasında basınç ülseri hakkındaki bilgi düzeylerini değerlendirmektir. Bu çalışma kesitsel bir çalışmadır. İzmir Katip Çelebi Üniversitesi (IKÇÜ), Dokuz Eylül Üniversitesi (DEÜ), İzmir Bozyaka Eğitim ve Araştırma Hastanesi ve Tepecik Eğitim ve Araştırma Hastanesi'nde uzmanlık eğitimi alan 216 aile hekimliği asistanı, katılım izinleri alınarak çalışmamıza dahil edildi. Katılımcılara, ilgili literatür tarandıktan sonra araştırmacılar tarafından hazırlanan sosyodemografik veri anketi ve 'Basınç Ülseri Önleme Bilgi Değerlendirme Anketi' uygulandı. Veriler SPSS 22 (Sosyal Bilimler için İstatistik Paketi) paket programı kullanılarak değerlendirildi. Katılımcıların yaş ortalaması 30,12±5,81 yıl, meslekte geçirilen yıl ortancası 4 yıl, asistanlıkta geçirilen süre ortancası (ay) 17 ay olarak bulundu. İstatistiksel olarak değerlendirildiğinde, basınç ülseri için kaynak kullanan (38,9%, n=81), basınç ülserlerinin tanısı, tedavisi ve önlenmesi konusunda eğitim alan (37,5%, n=81), asistanlığı sırasında evde sağlık biriminde çalışan (53,7%, n=116), basınç ülserleriyle sık karşılaşan (25,9%, n=56) ve basınç ülserlerini değerlendirmek için ölçek kullanan (31,5%, n=68) hekimlerde Basınç Ülseri Önleme Bilgi Değerlendirme Anketi (KAPQ) puanları anlamlı derecede daha yüksek bulundu. Aile hekimliği uzmanlık eğitiminin amacı, teorik ve pratik eğitim yoluyla birincil sağlık hizmeti sunabilen hekimler yetiştirmektir. Basınçülseri, zorunlu ve elektif klinik rotasyonlar sırasında karşılaşılan en yaygın tanılardan biridir. Çalışmamız, aile hekimliği asistanlarının önlenebilir bir sağlık sorunu olan basınç ülseri konusunda farkındalık ve bilgilerinin yeterli düzeyde olmadığını göstermektedir. Bu bağlamda, eğitim müfredatlarında ve uygulamalı eğitim programlarında gerekli düzenlemeler yapılmalıdır.
Anahtar Kelimeler
Kaynakça
- 1. Dworsky JQ, Childers CP, Copeland T, Maggard-Gibbons M, Tan HJ, Saliba D, et al. Geriatric events among older adults undergoing non-elective surgery are associated with poor outcomes. Am Surg. 2019;85(10):1089-93.
- 2. World Health Organization Regional Office for the Eastern Mediterranean. A strategy for active, healthy ageing and old age care. Cairo: WHO Regional Office for the Eastern Mediterranean; 2006.
- 3. Champion R, Burton J, Burns T, Breathnach S. Textbook of dermatology. 6th ed. London: Blackwell Science; 1998.
- 4. Livesley NJ, Chow AW. Infected pressure ulcers in elderly individuals [Internet]. Aging and Infectious Diseases. 2002. Available from: https://academic.oup.com/cid/article/35/11/1390/429537
- 5. Anders J, Heinemann A, Leffmann C, Leutenegger M, Pröfener F, Von Renteln-Kruse W. Dekubitalgeschwüre - Pathophysiologie und primärprävention. Dtsch Arztebl. 2010 May 28;107(21):371-82.
- 6. Jiang Q, Li X, Qu X, Liu Y, Zhang L, Su C, et al. The incidence, risk factors and characteristics of pressure ulcers in hospitalized patients in China [Internet]. Int J Clin Exp Pathol. 2014. Available from: www.ijcep.com/
- 7. Buchanan RT. Essentials of plastic, maxillofacial, and reconstructive surgery. In: Georgiade N, Georgiade G, Riefkohl R, Barwick W, editors. Baltimore: Williams & Wilkins; 1987. p. 1189.
- 8. Armstrong D, Bortz P. An integrative review of pressure relief in surgical patients. AORN J [Internet]. 2001 [cited 2023 Nov 9];73(3). Available from: https://pubmed.ncbi.nlm.nih.gov/11253620/
- 9. Akyol AD. Intervention studies for prevention of pressure ulcers in Turkey: a literature review. Int Nurs Rev [Internet]. 2006 Dec [cited 2023 Nov 9];53(4):308-16. Available from: https://pubmed.ncbi.nlm.nih.gov/17083421/
- 10. Ryan TJ, Thoolen M, Yang YH. The effect of mechanical forces (vibration or external compression) on the dermal water content of the upper dermis and epidermis, assessed by high frequency ultrasound. J Tissue Viability [Internet]. 2001 [cited 2023 Nov 9];11(3):97-101. Available from: https://pubmed.ncbi.nlm.nih.gov/11949615/
- 11. Hug E, Ünalan H, Karamehmetoğlu SS, Tüzün S, Gürgöze M, Tüzün F. Bir Eğitim Hastanesinde Bası Yarası Prevalansı ve Bası Yarası Gelişiminde Etkili Risk Faktörleri. Turk J Phys Med Rehabil [Internet]. 2001 [cited 2023 Nov 9]. Available from: https://www.ftrdergisi.com/abstract.php?lang=tr&id=3458
- 12. Gencer ZE, Özkan Ö. Pressure ulcers surveillance report. Turk J Intensive Care [Internet]. 2015 Apr 5 [cited 2023 Nov 9];13(1):26-30. Available from: http://www.turkishjic.org/archives/archive-detail/article-preview/basn-lserleri-srveyans-raporu/10254
- 13. European Pressure Ulcer Advisory Panel, National Pressure Injury Advisory Panel, Pan Pacific Pressure Injury Alliance. Prevention and treatment of pressure ulcers/injuries: quick reference guide 2019. Osborne Park: Cambridge Media; 2019. ISBN 978-0-6480097-9-5.
- 14. Tulek Z, Polat C, Ozkan I, Theofanidis D, Togrol RE. Validity and reliability of the Turkish version of the pressure ulcer prevention knowledge assessment instrument. J Tissue Viability. 2016 Nov;25(4):201-8.
- 15. Ünal Y. Aile Hekimliği Uzmanlık Öğrencilerinde Basınç Yarası Bilgi ve Farkındalık Düzeyi [Thesis]. 2023.
- 16. Irmak F, Baş S, Sızmaz M, Akbulut HA, Karşıdağ SH. Management and treatment of pressure ulcers: clinical experience. Med Bull Sisli Etfal Hosp [Internet]. 2019 [cited 2023 Nov 26];53(1):37. Available from: /pmc/articles/PMC7847732/
- 17. Arshad N, Attiq N. Pressure ulcer: educational campaign in promoting knowledge and attitude across health professionals. Multicult Educ [Internet]. 2022 [cited 2023 Nov 26]. Available from: www.MC-caddogap.com
- 18. Çetin MN. Aile Hekimlerinin Basınç Yarası (Yatak Yarası) Hakkında Bilgi, Tutum ve Davranışları [Thesis]. 2022.
- 19. Beeckman D, Defloor T, Schoonhoven L, Vanderwee K. Knowledge and attitudes of nurses on pressure ulcer prevention: a cross-sectional multicenter study in Belgian hospitals. Worldviews Evid Based Nurs. 2011 Sep;8(3):166-76.
- 20. Simonetti V, Comparcini D, Flacco ME, Di Giovanni P, Cicolini G. Nursing students' knowledge and attitude on pressure ulcer prevention evidence-based guidelines: a multicenter cross-sectional study. Nurse Educ Today. 2015 Apr 1;35(4):573-9.
- 21. Usher K, Woods C, Brown J, Power T, Lea J, Hutchinson M, et al. Australian nursing students’ knowledge and attitudes towards pressure injury prevention: a cross-sectional study. Int J Nurs Stud. 2018 May 1;81:14-20.
- 22. Kimura S, Pacala J. Pressure ulcers in adults: family physicians' knowledge, attitudes, practice preferences, and awareness of AHCPR guidelines. J Fam Pract [Internet]. 1997 [cited 2023 Nov 26]. Available from: https://pubmed.ncbi.nlm.nih.gov/9108833/
- 23. Bozbas GT, Gurer G. Current treatment approaches in pressure ulcers. Sakarya Med J [Internet]. 2011;1(4):118-25. Available from: http://dergipark.gov.tr/doi/10.5505/sakaryamj.2011.24633
- 24. Şenkul FÖ. Aile Hekimliği Uzmanlık Öğrencilerinin Basınç Ülserlerini Önlemeye Yönelik Bilgi Düzeylerinin Değerlendirilmesi [Thesis]. İzmir: Bozyaka Eğitim ve Araştırma Hastanesi; 2020.
- 25. Şengül T, Karadağ A. Determination of nurses’ level of knowledge on the prevention of pressure ulcers: the case of Turkey. J Tissue Viability. 2020 Nov;29(4):337-41.
- 26. Hamdan AB, Duraisamy B, Javison S, Wani T, Alharbi M. Physicians’ attitude towards pressure injury prevention and management. J Cancer Ther. 2020;11(04).
- 27. Cox J, Roche S, Gandhi N. Critical care physicians: attitudes, beliefs, and knowledge about pressure ulcers. Adv Skin Wound Care. 2013;26(4):168-76.
- 28. Dalvand S, Ebadi A, Gheshlagh RG. Nurses’ knowledge on pressure injury prevention: a systematic review and meta-analysis based on the pressure ulcer knowledge assessment tool. Clin Cosmet Investig Dermatol. 2018;11:613-20
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Klinik Tıp Bilimleri (Diğer) |
| Bölüm | ORİJİNAL MAKALELER / ORIGINAL ARTICLES |
| Yazarlar | |
| Yayımlanma Tarihi | 2 Mayıs 2025 |
| Gönderilme Tarihi | 16 Ağustos 2024 |
| Kabul Tarihi | 11 Mart 2025 |
| Yayımlandığı Sayı | Yıl 2025 Cilt: 47 Sayı: 3 |