Eficácia de uma intervenção educativa sobre lesões por pressão no conhecimento dos estudantes de enfermagem
DOI:
https://doi.org/10.36517/2175-6783.20262796435Palavras-chave:
Estudantes de Enfermagem; Úlcera por Pressão; Intervenção Educacional Precoce.Resumo
Objetivo: analisar a eficácia de uma intervenção educativa sobre o conhecimento relacionado às lesões por pressão entre estudantes de enfermagem. Métodos: estudo quase experimental, do tipo antes e depois. Os participantes seguiram as respectivas etapas: avaliação do conhecimento prévio, intervenção educativa e reavaliação pós-intervenção. A amostra final foi composta por 30 estudantes. Utilizou-se instrumento validado para mensurar o conhecimento sobre lesões por pressão. A análise incluiu comparação entre os momentos, teste de McNemar para avaliação item a item e cálculo do tamanho de efeito. Resultados: antes da intervenção, apenas 20 itens apresentaram percentual de acerto considerado satisfatório, aumentando para 38 itens após a ação. Foram observadas mudanças estatisticamente significativas (p<0,05) em 16 itens, bem como um aumento significativo da média de acertos e redução de erros no pós-intervenção, com tamanho de efeito elevado (r = 0,874), indicando impacto educacional robusto. Conclusão: a intervenção educativa foi eficaz para ampliar o conhecimento dos estudantes de enfermagem. Contribuições para a prática: os achados sustentam a adoção de intervenções educativas bem planejadas e executadas como estratégia para qualificar a formação em enfermagem, fortalecendo competências essenciais à segurança do paciente e à qualidade do cuidado.
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Referências
1. Pant, I Sharma KK, Bhargava S. International Patient Safety Goals: Assessment of Knowledge and Awareness in a Tertiary Care Healthcare Organization. Int J Healthc Qual Patient Cent Saf. 2025;6(1):4-9. doi: http://dx.doi.org/10.4103/QAIJ.QAIJ_1_25
2. Alderden J, Brooks KR, Kennerly SM, Yap TL, Dworak E, Cox J. Risk factors for pressure injuries in critical care patients: an updated systematic review. Int J Nurs Stud. 2025;169:105127. doi: https://doi.org/10.1016/j.ijnurstu.2025.105127
3. National Pressure Injury Advisory Panel, European Pressure Ulcer Advisory Panel, Pan Pacific Pressure Injury Alliance. Pressure ulcers/injuries: definition and etiology. In: Haesler E, editor. Prevention and treatment of pressure ulcers/injuries: clinical practice guideline. The International Guideline [Internet]. 2025 [cited Nov 28, 2025]. Available from: https://internationalguideline.com
4. Baykara ZG, Karadag A, Bulut H, Duluklu B, Karabulut H, Aktas D, et al. Pressure injury prevalence and risk factors: a national multicenter analytical study. J Wound Ostomy Continence Nurs. 2023;50(4):28995. doi: https://doi.org/10.1097/WON.0000000000000995
5. Labeau SO, Afonso E, Benbenishty J, Blackwood B, Boulanger C, Brett SJ, et al. Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study. Intensive Care Med. 2021;47(2):160-9. doi: https://doi.org/10.1007/s00134-020-06327-5
6. Ding Y, Qian J, Zhou Y, Zhang Y. Effect of e-learning program for improving nurse knowledge and practice towards managing pressure injuries: a systematic review and meta-analysis. Nurs Open. 2024;11(1):e2039. doi: https://doi.org/10.1002/nop2.2039
7. Tian J, Liang XL, Wang HY, Peng SH, Cao J, Liu S, et al. Nurses’ and nursing students’ knowledge and attitudes to pressure injury prevention: a meta-analysis based on APUP and PUKAT. Nurse Educ Today. 2023;128:105885. doi: https://doi.org/10.1016/j.nedt.2023.105885
8. Klaas N, Serebro RL. Intensive care nurses’ knowledge of pressure injury prevention. BMC Nurs. 2024;23(1):876. doi: https://dx.doi.org/10.1186/s12912-024-02533-4
9. Nieto-García A, Nieto-García L, Roca-Biosca MA, Moreiro-Barroso MT, Carpio-Pérez A, Alonso-Sardón M. Pressure injury prevention knowledge in nursing professionals. J Tissue Viability. 2025;35(1):100968. doi: https://dx.doi.org/10.1016/j.jtv.2025.100968
10. Bahar A, Özgürbüz NE, Akın E. Student nurses’ knowledge levels and attitudes regarding pressure injury prevention. J Tissue Viability. 2024;33(4):732-7. doi: http://doi.org/10.1016/j.jtv.2024.07.018
11. Asiri MY, Baker OG, Alanazi HI, Alenazy BA, Alghareeb SA, Alghamdi HM, et al. Nurses’ knowledge, attitudes, and practices in pressure injury prevention: a systematic review and meta-analysis. Healthcare (Basel). 2025;13(11):1220. doi: https://doi.org/10.3390/healthcare13111220
12. Chami L, Boussaid O, Boussaid H, Serhani Y, Zerhane R, Janati-Idrissi R. Nursing students’ knowledge towards pressure injury prevention: a cross-sectional study in the north of Morocco. J Tissue Viability. 2023;32(2):248-54. doi: https://doi.org/10.1016/j.jtv.2023.02.002
13. Gül G, Özyürek P. Evaluation of final-year nursing students’ attitudes towards preventing medical device-related pressure ulcers using a ABC model of affect, behavior and cognitive dimensions. J Tissue Viability. 2024;33(3):472-80. doi: https://doi.org/10.1016/j.jtv.2024.05.007
14. Fraenkel JR, Wallen NE, Hyun HH. How to design and evaluate research in education. New York: McGraw-Hill; 2006.
15. Hansen MH, Hurwitz WN, Madow WG. Sample survey methods and theory. Methods and applications. USA: Wiley Classics Library; 1988.
16. Pieper B, Mott M. Nurses’ knowledge of pressure ulcer prevention, staging, and description. Adv Wound Care [Internet]. 1995 [cited Dec 18, 2025];8(3):34-40. Available from: https://pubmed.ncbi.nlm.nih.gov/7795877/
17. Stratton SJ. Quasi-experimental design (pre-test and post-test studies) in prehospital and disaster research. Prehosp Disaster Med. 2019; 34(6):573-4. doi: https://dx.doi.org/10.1017/S1049023X19005053
18. John AM, Nayak UKR, Lobo G, Thaleppaddy M. Assessment of pressure injury knowledge using PZ-PUKT questionnaire among Indian nurses and the evaluation of impact of an educational intervention on the knowledge scores: a quasi-experimental study. J Tissue Viability. 2024;33(2):215-9. doi: https://doi.org/10.1016/j.jtv.2024.02.002
19. Kandula UR. Impact of multifaceted interventions on pressure injury prevention: a systematic review. BMC Nurs. 2025;24(1):11. doi: https://doi.org/10.1186/s12912-024-02558-9
20. Conselho Federal de Enfermagem (COFEN). Resolução COFEN nº 787, de 21 de agosto de 2025: regulamenta a atuação da equipe de enfermagem na promoção, prevenção, tratamento e reabilitação de pessoas com lesões cutâneas [Internet]. 2025 [cited Nov 28, 2025]. Available from: https://www.cofen.gov.br/resolucao-cofen-no-787-de-21-de-agosto-de-2025/
21. Sucu GD, Kilic HF. Knowledge and attitudes of Turkish nursing students towards pressure injury prevention. J Tissue Viability. 2022;31(1):16-23. doi: https://doi.org/10.1016/j.jtv.2021.08.003
22. Cukljek S, Rezic S, Ficko SL, Hosnjak AM, Smrekar M, Ljubas A. Croatian nurses’ and nursing students’ knowledge about pressure injury prevention. J Tissue Viability. 2022;31(3):453-8. doi: https://doi.org/10.1016/j.jtv.2022.04.008
23. Bernardes RM, Guimarães CS, Rabeh SAN, Caliri MHL, Pieper B, Costa I. Effectiveness of an educational website to enhance knowledge about pressure injuries: quasiexperimental study. J Wound Manage. 2025;27(1). doi: https://dx.doi.org/10.35279/jowm2026.27.01.05
24. Kitamura JC, Nicolosi JT, Paggiaro AO, Carvalho VF. Educational interventions on preventing pressure injuries targeted at nurses: systematic review and meta-analysis. Br J Nurs. 2023;32(Sup20):S40-S50. doi: http://dx.doi.org/10.12968/bjon.2023.32.Sup20.S40
25. Ursavaş FE, İşeri Ö. Effects of education about prevention of pressure ulcer on knowledge and attitudes of nursing students. J Tissue Viability. 2020;29(4):331-6. doi: http://doi.org/10.1016/j.jtv.2020.06.006
26. Chao WY, Wu YL, Hsu MY, Chu CL. Effectiveness of immersive teaching strategies on pressure injury: Impact on nurses’ knowledge, attitudes and self-efficacy - a partially randomized participant preference (PRPP) controlled trial. Nurse Educ Pract. 2025;82:104237. doi: https://doi.org/10.1016/j.nepr.2024.104237
27. Ness MI, Teixeira AB, Chaves EHB, Campos JL, Tanscheit VC. O Conhecimento dos acadêmicos de enfermagem sobre prevenção e tratamentos de lesão por pressão: estudo quase-experimental. Rev Enferm Atual In Derme. 2023;97(4):e023231. doi: https://doi.org/10.31011/reaid-2023-v.97-n.4-art.1748
28. İşeri Ö, Ursavaş FE. The influence of the online education provided using the six thinking hat method on the knowledge and attitudes of nursing students regarding pressure injury prevention; a pilot study. J Tissue Viability. 2024;33(3):465-71. doi: https://8doi.org/10.1016/j.jtv.2024.04.009
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