Objective: Attitudes toward medical device-related pressure ulcers can affect the performance of nursing students in this regard. To date, no studies have examined nursing students' attitudes toward medical device-related pressure ulcers. Therefore, this study aimed to examine nursing students' attitudes toward medical device-related pressure ulcers. Methods: The present study was conducted in 2020 in Iran. The sample size was 187 nursing students who were in one of 5, 6, 7, or 8 semesters. To examine the nursing students' attitudes, a specific questionnaire was used. The questionnaire consists of 11 questions that assess the attitudes of nursing students toward medical device-related pressure in two dimensions of "prevention" and "care". The final score of this questionnaire ranged from 11 to 55. A higher score indicates a more positive attitude toward medical device-related pressure. Results: A total of 187 nursing students participated in the study. Eighty-eight participants (41.7%) reported that they received training on medical device-related pressure ulcers. A total of 163 participants (88%) reported that their training was not sufficient for medical device-related pressure ulcers. Out of the total, 155 students stated that they need to hold a training workshop on medical device-related pressure ulcers. The mean overall score of nursing students' attitudes toward medical device-related pressure ulcers was 42.1±5.2. The mean scores of prevention and care dimensions were 21.8 and 20.2, respectively. No significant relationship was found between the mean score of the overall attitude and the student's demographic variables (p<0.05). Conclusion: The results of the present study showed that nursing students, despite insufficient education, exhibited a positive attitude toward the prevention and care of medical device-related pressure ulcers. However, further studies are needed in this regard with different settings.
Background: The Coronavirus disease 2019 (COVID-19) is an infectious disease with a high mortality rate among older people. Objective: The current study aims to investigate the death rate and related factors among hospitalized older patients with COVID-19 in Qazvin, Iran. Methods: In this descriptive and cross-sectional study, 430 older inpatients with COVID-19 (Mean±SD age: 72.83±8.81) admitted to two hospitals in Qazvin, Iran were randomly selected. Their information was extracted from their electronic health records. Independent t-test, chi-square test, and multivariate logistic regression analysis were used for the data analysis. Findings: Hypertension (n=234, 54.4%), diabetes mellitus (n=148, 34.4%), and cardiovascular diseases (n=127, 29.4%) were the most prevalent comorbidities. Dyspnea (n=300, 69.8%), cough (n=232, 54.0%), fever (n=186, 43.3%), and general malaise (n=168, 39.1%) were the most frequent clinical symptoms. There was in-hospital mortality in 108 (25.1%) older inpatients. Multivariate regression results showed that the risk of in-hospital death was significantly related to the inpatients’ age (OR=1.037, 95%CI=1.007-1.068), white blood cell count (OR=1.187, 95%CI=1.114-1.264), hemoglobin level (OR=0.812, 95%CI=0.720-0.914), platelet count (OR=0.993, 95%CI=0.989-0.996), and oxygen saturation level (OR=0.950, 95%CI=0.967-0.932) at the time of admission. Conclusion: Older age, white blood cell count, hemoglobin level, oxygen saturation level, and platelet count are predictors of death among older inpatients with COVID-19. Identification of these risk factors can assist the healthcare providers for timely intervention for the prevention of death.
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