Article(id=1322168509182882531, tenantId=1146029695717560320, journalId=1220038315760373764, issueId=1322168329855418548, articleNumber=null, orderNo=null, doi=10.12102/j.issn.1009-6493.2026.07.024, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=1746633600000, receivedDateStr=2025-05-08, revisedDate=1772294400000, revisedDateStr=2026-03-01, acceptedDate=null, acceptedDateStr=null, onlineDate=1793159137291, onlineDateStr=2026-10-28, pubDate=1775750400000, pubDateStr=2026-04-10, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1793159137291, onlineIssueDateStr=2026-10-28, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1793159137291, creator=13701087609, updateTime=1793159137291, updator=13701087609, issue=Issue{id=1322168329855418548, tenantId=1146029695717560320, journalId=1220038315760373764, year='2026', volume='40', issue='7', pageStart='1057', pageEnd='1240', issueExtLink='null', onlineDate='null', pubDate='1775750400000', pubDateStr='2026-04-10', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=null, createTime=1793159094536, creator='13701087609', updateTime=1793159094536, updator='13701087609', preIssue=null, nextIssue=null, articleTotal=null, ext=null, issueFiles=null, downloadFileDto=null}, startPage=1232, endPage=1236, ext={EN=ArticleExt(id=1322168511053542119, articleId=1322168509182882531, tenantId=1146029695717560320, journalId=1220038315760373764, language=EN, title=Research progress on knowledge-attitude-practice of acute skin failure among nurses, columnId=1220689485315101342, journalTitle=Chinese Nursing Research, columnName=Review Articles, runingTitle=null, highlight=null, articleAbstract=

This study reviewed the status quo of nurses' knowledge-attitudes-practice toward acute skin failure,assessment tools,and influencing factors.Furthermore,it explored strategies to improve nurses' knowledge-attitudes-practices.The aim was to provide reference for the development of relevant research and intervention measures for managers.

, authors=Songna LUO, Haiping WANG, authorsList=Songna LUO, Haiping WANG, authorCompany=null, correspAuthors=Haiping WANG, authorNote=null, correspAuthorsNote=
WANG Haiping, E-mail:
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对护士急性皮肤衰竭知信行现状、测评工具、影响因素等进行综述,进一步探讨提升护士急性皮肤衰竭知信行的策略,旨在为相关研究的开展及管理者制定干预措施提供参考。

, authors=罗松娜, 王海苹*, *, *, authorsList=罗松娜, 王海苹, authorCompany=null, correspAuthors=王海苹, authorNote=

罗松娜,主管护师,硕士研究生

, correspAuthorsNote=
王海苹,E-mail:
WANG Haiping, E-mail:
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罗松娜,主管护师,硕士研究生

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罗松娜,主管护师,硕士研究生

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companyList=[AuthorCompany(id=1322530380977132411, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168509182882531, xref=1, ext=[AuthorCompanyExt(id=1322530380989715324, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168509182882531, companyId=1322530380977132411, language=EN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=1The First Affiliated Hospital, Zhejiang University School of Medicine, Zhejiang 310003 China), AuthorCompanyExt(id=1322530380998103933, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168509182882531, companyId=1322530380977132411, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=1浙江大学医学院附属第一医院,浙江 310003)])], figs=[ArticleFig(id=1322530382617105300, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168509182882531, language=EN, label=Table 1, caption=

Differentiation points between acute skin failure and pressure injury

, figureFileSmall=null, figureFileBig=null, tableContent=
项目急性皮肤衰竭压力性损伤
发病机制血流动力学异常导致皮肤灌注不足局部压力或压力联合剪切力作用
好发部位无明显规律性,可发生于身体任何部位骨隆突等受压部位
病情进展迅速,数小时至数天内可发展为大面积皮肤坏死渐进性,具有明确分期过程
伴随症状常伴随多器官功能障碍、全身炎症反应综合征局部症状为主,晚期可合并感染
), ArticleFig(id=1322530382709379990, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168509182882531, language=CN, label=表1, caption=

急性皮肤衰竭与压力性损伤的鉴别要点

, figureFileSmall=null, figureFileBig=null, tableContent=
项目急性皮肤衰竭压力性损伤
发病机制血流动力学异常导致皮肤灌注不足局部压力或压力联合剪切力作用
好发部位无明显规律性,可发生于身体任何部位骨隆突等受压部位
病情进展迅速,数小时至数天内可发展为大面积皮肤坏死渐进性,具有明确分期过程
伴随症状常伴随多器官功能障碍、全身炎症反应综合征局部症状为主,晚期可合并感染
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护士急性皮肤衰竭知信行的研究进展
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罗松娜 , 王海苹 *, *, *
护理研究 | 科研综述 2026,40(7): 1232-1236
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护理研究 |科研综述 2026 , 40 (7) : 1232 -1236
护士急性皮肤衰竭知信行的研究进展
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罗松娜, 王海苹*, *, *
作者信息
  • 1浙江大学医学院附属第一医院,浙江 310003
通讯作者:
王海苹,E-mail:
WANG Haiping, E-mail:
作者简介:

罗松娜,主管护师,硕士研究生

Research progress on knowledge-attitude-practice of acute skin failure among nurses
Songna LUO, Haiping WANG
Affiliations
  • 1The First Affiliated Hospital, Zhejiang University School of Medicine, Zhejiang 310003 China
  • Corresponding Author:
    WANG Haiping, E-mail:
出版时间: 2026-04-10 doi: 10.12102/j.issn.1009-6493.2026.07.024
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对护士急性皮肤衰竭知信行现状、测评工具、影响因素等进行综述,进一步探讨提升护士急性皮肤衰竭知信行的策略,旨在为相关研究的开展及管理者制定干预措施提供参考。

急性皮肤衰竭  /  护士  /  知信行  /  影响因素  /  提升策略  /  综述

This study reviewed the status quo of nurses' knowledge-attitudes-practice toward acute skin failure,assessment tools,and influencing factors.Furthermore,it explored strategies to improve nurses' knowledge-attitudes-practices.The aim was to provide reference for the development of relevant research and intervention measures for managers.

acute skin failure  /  nurses  /  knowledge-attitude-practice  /  influencing factors  /  improvement strategies  /  review
罗松娜, 王海苹. 护士急性皮肤衰竭知信行的研究进展. 护理研究, 2026 , 40 (7) : 1232 -1236 . DOI: 10.12102/j.issn.1009-6493.2026.07.024
Songna LUO, Haiping WANG. Research progress on knowledge-attitude-practice of acute skin failure among nurses[J]. Chinese Nursing Research, 2026 , 40 (7) : 1232 -1236 . DOI: 10.12102/j.issn.1009-6493.2026.07.024
皮肤作为人体最大的器官系统,承担着物理屏障防护、维持内环境稳态、免疫调节及参与代谢等多重核心功能[1-2]。然而,当机体处于低灌注状态时,皮肤极易发生急性功能障碍,即急性皮肤衰竭(acute skin failure,ASF)[3]。急性皮肤衰竭是指危重症病人在疾病急性期,因血流动力学紊乱导致皮肤灌注严重不足,进而引发的皮肤及皮下组织急性坏死性病变[4-5]。研究表明,急性皮肤衰竭的发病率很高,其中以臀部、骶尾部为高发区域[6]。急性皮肤衰竭常与多器官功能障碍并发,导致病人死亡率显著上升,急性皮肤衰竭病人的死亡率为35%,且住院时间显著延长[7-8]。重症监护室病人确诊急性皮肤衰竭后30 d内病死率为33.0%,1年后死亡率高达73.3%[9-10]。鉴于急性皮肤衰竭的高危害性,预防其发生成为临床护理的关键环节[11-12],而护士作为病人皮肤问题的首要发现者和皮肤管理措施的主要执行者,其对急性皮肤衰竭的认知水平和态度行为与急性皮肤衰竭病人护理结局密切相关[1,11,13]。基于此,本研究旨在对护士急性皮肤衰竭知信行现状、测评工具、影响因素等进行综述,并深入探讨提升策略,以期为后续研究开展与护理管理干预提供理论依据与实践参考。
急性皮肤衰竭的概念在理论与实践的发展中不断完善。1991年,La Puma[14]首次提出皮肤可发生衰竭的理论,为后续研究奠定了基础。2006年,Langemo等[15]将急性皮肤衰竭定义为急性危重病期间,由于灌注不足、血流动力学不稳定及组织耐受性下降导致的皮肤和皮下组织坏死。随着研究的深入,目前学界普遍认为,急性皮肤衰竭是重症病人在疾病急性期,因循环功能障碍、血管活性物质失衡等因素,致使皮肤灌注急剧减少,进而引发皮肤及皮下组织急性损伤,常伴发全身炎症反应综合征[16-18]。这一定义明确了急性皮肤衰竭与全身病理生理变化的紧密联系,为临床识别和干预提供了重要的理论依据。
在临床实践中,急性皮肤衰竭与压力性损伤(pressure injury,PI)在表征上存在相似性,这往往导致诊断上的混淆[19-20]。然而,这两种状况在病理机制、易发区域、疾病进程以及伴随症状等方面表现出显著的差异性。压力性损伤主要由于局部压力或压力与剪切力的联合作用,皮肤及其下组织缺血、缺氧,其发病过程具有渐进性特征,且多发于骨性隆起等受压区域[21];而急性皮肤坏死的核心病理机制涉及血流动力学异常,导致皮肤灌注不足,其发病部位缺乏明显规律性,且病情进展迅速,可在数小时至数天内演变为大面积皮肤坏死[22-23]。急性皮肤衰竭与压力性损伤的鉴别要点见表1。Hill等[24]开发的皮肤衰竭临床指标量表(Skin Failure Clinical Indicator Scale)为区分急性皮肤坏死与压力性损伤提供了有效的评估工具。精确鉴别急性皮肤坏死与压力性损伤对制定科学的治疗和护理策略、改善病人的预后具有至关重要的意义。
对急性皮肤衰竭的正确认知是护士形成科学、有益护理行为的基石[25-26]。当前护理实践中,护士群体对急性皮肤衰竭的知识储备现状亟待关注。多项研究揭示了护士群体在急性皮肤衰竭知识掌握方面的普遍不足。Yang等[13]对我国8个省份21所医院的304名重症监护室护士进行的多中心横断面调查显示,重症监护室护士对急性皮肤衰竭相关知识的认知得分率仅为45.25%,尤其在病理生理机制、多维度评估指标及鉴别诊断等关键领域存在显著的知识盲区。Fu等[25]对福建10所三级医院的255名重症监护室护士进行调查,结果显示,护士急性皮肤衰竭认知维度得分仅为(2.6±1.1)分,提示护士尚未形成急性皮肤衰竭系统知识架构。王淑娟[27]研究进一步证实,在急性皮肤衰竭危险因素动态评估、皮肤灌注压监测技术等专科领域,临床护士存在明显知识缺口。深入剖析其原因,急性皮肤衰竭知识普及困境呈现多维度特征:1)护理教育体系中,急性皮肤衰竭相关课程设置不足,临床专科培训尚未形成标准化体系;2)急性皮肤衰竭作为新兴研究领域,国内外仍处于理论探索阶段,临床实践指南的规范性和指导性有待完善[4]。鉴于此,建议护理管理者以循证医学为导向,结合临床实践需求,构建动态更新的急性皮肤衰竭专科培训体系,并充分利用数字化学习平台,实现急性皮肤衰竭知识的精准化、系统化培训,切实提升临床护士的皮肤危重症管理能力。
信念为预防急性皮肤衰竭护理行为的驱动力[28]。尽管护士在对急性皮肤衰竭的认知上存在一定的局限性,但在护理态度层面展现出了较高的积极倾向。解怡洁等[29]通过对重症监护室护士的调查发现,其急性皮肤衰竭护理态度维度得分率达85.61%,处于中等偏上水平,与Schmidt等[30-31]研究结果一致,充分说明重症监护室护士已深刻认识到急性皮肤衰竭管理在皮肤护理工作中的重要地位,且持有积极、主动的干预意愿。然而,态度与行为转化间仍存在差距。张建等[32]研究也指出,护士虽对急性皮肤衰竭护理工作持积极态度,但在具体实践认知上存在偏差,突出表现为对急性皮肤衰竭与压力性损伤的鉴别诊断重视不足,以及对急性皮肤衰竭早期监测职责划分认知模糊。这种态度与认知的矛盾性成为阻碍急性皮肤衰竭规范化护理行为落地的关键瓶颈。从根源分析,造成该现象的原因主要涉及两方面:1)缺乏系统化、针对性的信念引导教育;2)现有培训模式未能有效促进知识向实践能力的转化。基于此,建议护理管理者充分借鉴国内外在职培训的成功经验[33-35],依托信息化技术搭建“线上理论学习+线下情景模拟”的混合式培训平台,通过案例研讨、角色扮演等多元化教学方法,强化护士对急性皮肤衰竭防治的科学认知,助力积极信念向临床实践的有效转化,最终提升急性皮肤衰竭整体护理质量。
循证医学证据表明,规范的护理行为是急性皮肤衰竭防治体系中的核心干预要素[36]。然而,临床实践中护士的急性皮肤衰竭护理行为表现存在明显差异,成为制约防治效果的关键因素。解怡洁等[29]对重症监护室护士的调查显示,其急性皮肤衰竭护理行为维度得分率为76.61%,其中主动更新知识、参与跨学科协作及系统性风险筛查等核心护理行为的执行率处于较低水平。张建等[32]研究进一步证实,护士在急性皮肤衰竭动态病情评估、多学科团队协同等关键环节的行为得分显著不足,暴露出临床实践中护理行为的标准化程度亟待提升。深入剖析行为差异的原因主要涉及两方面:1)急性皮肤衰竭护理领域尚未形成统一的标准化操作流程,导致护理行为缺乏规范指引;2)跨学科协作机制的缺失限制了多专业协同干预的有效性。鉴于此,构建急性皮肤衰竭标准化护理操作指南,并建立多学科协作网络,是提升护理行为规范性与临床效能的必要路径。建议护理管理者以循证实践为基础,整合多学科专家共识,制定涵盖风险评估、干预实施、效果评价的全流程标准化方案。同时,搭建跨学科协作平台,通过定期病例讨论、联合查房等形式,促进多专业知识融合,推动急性皮肤衰竭护理行为的专业化发展。
国内学者积极开展急性皮肤衰竭知信行测评工具的研发工作。王淑娟[27]编制的重症监护室护士急性皮肤衰竭知信行量表具有良好的信效度。该量表包含认知、态度和行为3个维度,共45个条目。认知维度包括20个条目,涵盖急性皮肤衰竭定义、发病机制、评估方法等核心知识;态度维度包括10个条目,主要关注护士对急性皮肤衰竭护理重要性的认知和责任意识;行为维度包括15个条目,涉及日常护理操作、知识学习及团队协作等实践行为。经检验,该量表的Cronbach's α系数为0.82,内容效度指数(CVI)为0.91,为准确评估护士急性皮肤衰竭知信行水平提供了科学的工具。
在研究中,研究者除了使用专业量表外,还经常采用经过改良的知信行问卷、Braden压力性损伤量表、皮肤衰竭临床指标量表(SF-CIS)等工具进行综合评估[24,37]。徐好等[37]在进行急性皮肤衰竭与压力性损伤鉴别评估研究时,综合运用了多种工具进行分析。改良后的知信行问卷采用Likert 5级评分法,能够迅速掌握护士对于急性皮肤衰竭的认知、态度以及行为现状;Braden压力性损伤量表和SF-CIS则用于量化评估病人的皮肤状态,以辅助判断护士所采取护理措施的有效性。多种工具的联合应用为全面评估护士在急性皮肤衰竭护理方面的能力提供了多维度的视角。
学历和职称是影响护士急性皮肤衰竭知信行水平的重要个体因素。王淑娟[27]研究发现,硕士研究生及以上学历的护士在急性皮肤衰竭知识储备和态度得分上显著高于其他学历护士,其知识获取能力和专业素养优势明显。解怡洁等[29]研究显示,高职称护士因职业发展需求,对急性皮肤衰竭护理表现出更高的积极性和主动性。此外,专科工作经验对护士急性皮肤衰竭知信行水平影响显著,伤口专科护理年限较长的护士在急性皮肤衰竭护理知识和技能方面表现更为出色[38]。
培训是提升护士急性皮肤衰竭知信行水平的关键措施。Fu等[25]研究证实,接受过系统急性皮肤衰竭培训的护士在知识掌握、态度转变及行为执行方面明显优于未接受过培训的护士。然而,当前的培训体系存在覆盖面不足、内容针对性不强等问题。解怡洁等[29]研究显示,仅有部分护士接受过急性皮肤衰竭相关培训,且培训内容多侧重理论知识,缺乏实践技能和案例教学。因此,完善培训体系、提高培训的实效性是提升护士急性皮肤衰竭知信行水平的重要途径。
医院管理和学科协作对护士急性皮肤衰竭知信行水平具有重要影响。陈香萍等[39]通过质性研究发现,医院对急性皮肤衰竭护理的重视程度直接影响护士的学习积极性和行为规范性。建立急性皮肤衰竭护理管理规范、提供充足的学习资源并搭建多学科协作平台的医院,其护士的急性皮肤衰竭护理能力更强[40]。但目前,急性皮肤衰竭护理缺乏循证实践指南和有效的多学科协作机制,限制了护士对急性皮肤衰竭综合管理能力的提升[39,41]。
护理学科的发展和学术氛围对护士急性皮肤衰竭知信行水平具有潜移默化的影响。随着护理专业对皮肤护理的关注度不断提高,护士对急性皮肤衰竭等专业问题的重视程度也相应增加。然而,学术资源分布不均、知识更新滞后等问题,导致部分护士难以获取最新的研究成果,影响了他们知识的更新和技能的提升[38]。因此,优化学术环境、促进知识共享是提升护士急性皮肤衰竭知信行水平的重要外部因素。
应基于护士群体的差异构建分层递进式培训体系。1)对于新入职护士,开展以急性皮肤衰竭基础理论、评估方法和护理技能为核心的入门培训;2)对于高年资护士,开设急性皮肤衰竭前沿进展、科研方法和多学科协作等进阶课程;3)采用理论授课、案例研讨、模拟实训等多元化教学方法,结合线上学习平台和线下实践操作,提高培训的针对性和实效性;4)建立培训效果评估机制,将考核结果与护士绩效、职称晋升挂钩,激发护士的学习积极性。
1)制定急性皮肤衰竭标准化护理实践指南,明确护理评估、干预和监测流程;2)规范皮肤灌注评估指标(如皮肤颜色、温度、毛细血管充盈时间等)的监测方法和频率,制定急性皮肤衰竭与压力性损伤的标准化鉴别流程;3)建立多学科协作机制,组建由重症医学科、皮肤科、伤口护理专科等专业人员组成协作团队,定期开展病例讨论和学术交流,为护士提供专业支持和指导,提高急性皮肤衰竭护理质量的同质化水平。
1)医院管理层应将急性皮肤衰竭护理纳入重点管理范畴,设立专项培训基金,支持急性皮肤衰竭相关的研究和学术活动:2)建立护理质量监督小组,定期检查急性皮肤衰竭护理措施的执行情况,及时反馈并督促整改;3)营造积极的学习氛围,通过设立急性皮肤衰竭护理示范岗、开展学术竞赛等方式,激发护士的学习热情;4)搭建多学科协作平台,促进知识共享和经验交流,为护士的专业发展提供支持。
1)借助信息化技术提高急性皮肤衰竭护理管理效能;2)开发急性皮肤衰竭知识学习APP和电子数据库,整合研究成果、临床指南和案例资源,为护士提供便捷的学习渠道;3)构建急性皮肤衰竭智能监测系统,通过物联网设备实时采集病人皮肤状态数据,运用人工智能算法进行风险评估和预警,辅助护士及时采取干预措施;4)利用信息化技术实现护理流程数字化管理,提高护理工作效率和质量。
护士急性皮肤衰竭知信行水平直接影响急性皮肤衰竭病人护理质量与预后,但目前护士群体在急性皮肤衰竭认知、态度及实践层面仍有待提升,学历、培训体系、组织环境及学术氛围等因素显著影响其知信行水平。构建分层培训体系、标准化护理实践体系、优化组织管理并融合信息化技术可有效改善护士知信行水平。目前相关研究存在局限性,未来需开展大样本、多中心、跨文化研究,分析不同地区及医院层级差异,基于循证医学构建最佳培训模式;加强信息化创新应用,研发智能评估干预系统;探索护士知信行水平与病人临床结局量化关系,为护理实践提供循证依据,这对提升急性皮肤衰竭病人皮肤护理质量与预后至关重要。

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2026年第40卷第7期
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doi: 10.12102/j.issn.1009-6493.2026.07.024
  • 接收时间:2025-05-08
  • 首发时间:2026-10-28
  • 出版时间:2026-04-10
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  • 收稿日期:2025-05-08
  • 修回日期:2026-03-01
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    1浙江大学医学院附属第一医院,浙江 310003

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王海苹,E-mail:
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2种不同金属材料的力学参数
科
Family
属数
Number of
genus
种数
Number of
species
占总种数比例
Percentage of
total species (%)
属
Genus
种数
Number of
species
占总种数比例
Percentage of total
species (%)
鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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