ICU nurses’ knowledge, attitudes, and practice of oral mucosal pressure injury towards patients with orotracheal intubation: a cross-sectional study

Abstract Purpose To investigate the knowledge, attitudes and behaviors of ICU nurses in tertiary hospitals regarding oral mucosal pressure injury in patients with orotracheal intubation, and to analyze its influencing factors. Methods Using the convenient sampling method, through the self-designed q...

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Main Authors: Zhiheng Gao, Xiaohong Zhang, Zhuoqing Deng, Qianfei Li, Ya’nan Zhang
Format: Article
Language:English
Published: BMC 2025-07-01
Series:BMC Nursing
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Online Access:https://doi.org/10.1186/s12912-025-03443-9
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author Zhiheng Gao
Xiaohong Zhang
Zhuoqing Deng
Qianfei Li
Ya’nan Zhang
author_facet Zhiheng Gao
Xiaohong Zhang
Zhuoqing Deng
Qianfei Li
Ya’nan Zhang
author_sort Zhiheng Gao
collection DOAJ
description Abstract Purpose To investigate the knowledge, attitudes and behaviors of ICU nurses in tertiary hospitals regarding oral mucosal pressure injury in patients with orotracheal intubation, and to analyze its influencing factors. Methods Using the convenient sampling method, through the self-designed questionnaire of knowledge, attitudes and behavior of ICU nurses on oral mucosal pressure injury in patients with orotracheal intubation, 201 ICU nurses from 5 tertiary hospitals in Shanxi Province were investigated. The questionnaire included 34 items in three dimensions: knowledge, attitudes and behavior. Results A total of 201 ICU nurses were surveyed, and the total score of KAP questionnaire was (85.39 ± 13.21), the knowledge dimension score was (11.98 ± 3.45), the attitude dimension score was (39.53 ± 7.86) points, and the behavior dimension score was (33.88 ± 5.90). The results of multiple linear regression analysis showed that academic qualifications, gender, and whether they had studied relevant literature were the influencing factors of ICU nurses’ knowledge, attitude, and behavior on orotracheal intubation (P < 0.05). Conclusion ICU nurses have a good attitude towards oral mucosal pressure injury in patients with orotracheal intubation, but their knowledge level and behavior need to be improved, and ICU managers should pay attention to the systematic training of oral mucosal pressure injury in patients with orotracheal intubation, so as to promote the change of nursing behavior and improve the quality of clinical nursing. Clinical trial number Not applicable.
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spelling doaj-art-0dcdb6f8f17745b89143a774e09df5a22025-08-20T03:37:29ZengBMCBMC Nursing1472-69552025-07-012411910.1186/s12912-025-03443-9ICU nurses’ knowledge, attitudes, and practice of oral mucosal pressure injury towards patients with orotracheal intubation: a cross-sectional studyZhiheng Gao0Xiaohong Zhang1Zhuoqing Deng2Qianfei Li3Ya’nan Zhang4Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Third Hospital of Shanxi Medical University, Tongji Shanxi HospitalShanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Third Hospital of Shanxi Medical University, Tongji Shanxi HospitalShanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Third Hospital of Shanxi Medical University, Tongji Shanxi HospitalShanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Third Hospital of Shanxi Medical University, Tongji Shanxi HospitalShanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Third Hospital of Shanxi Medical University, Tongji Shanxi HospitalAbstract Purpose To investigate the knowledge, attitudes and behaviors of ICU nurses in tertiary hospitals regarding oral mucosal pressure injury in patients with orotracheal intubation, and to analyze its influencing factors. Methods Using the convenient sampling method, through the self-designed questionnaire of knowledge, attitudes and behavior of ICU nurses on oral mucosal pressure injury in patients with orotracheal intubation, 201 ICU nurses from 5 tertiary hospitals in Shanxi Province were investigated. The questionnaire included 34 items in three dimensions: knowledge, attitudes and behavior. Results A total of 201 ICU nurses were surveyed, and the total score of KAP questionnaire was (85.39 ± 13.21), the knowledge dimension score was (11.98 ± 3.45), the attitude dimension score was (39.53 ± 7.86) points, and the behavior dimension score was (33.88 ± 5.90). The results of multiple linear regression analysis showed that academic qualifications, gender, and whether they had studied relevant literature were the influencing factors of ICU nurses’ knowledge, attitude, and behavior on orotracheal intubation (P < 0.05). Conclusion ICU nurses have a good attitude towards oral mucosal pressure injury in patients with orotracheal intubation, but their knowledge level and behavior need to be improved, and ICU managers should pay attention to the systematic training of oral mucosal pressure injury in patients with orotracheal intubation, so as to promote the change of nursing behavior and improve the quality of clinical nursing. Clinical trial number Not applicable.https://doi.org/10.1186/s12912-025-03443-9Orotracheal intubationOral mucosaMucosal pressure injuryIntensive care unitNursing management research
spellingShingle Zhiheng Gao
Xiaohong Zhang
Zhuoqing Deng
Qianfei Li
Ya’nan Zhang
ICU nurses’ knowledge, attitudes, and practice of oral mucosal pressure injury towards patients with orotracheal intubation: a cross-sectional study
BMC Nursing
Orotracheal intubation
Oral mucosa
Mucosal pressure injury
Intensive care unit
Nursing management research
title ICU nurses’ knowledge, attitudes, and practice of oral mucosal pressure injury towards patients with orotracheal intubation: a cross-sectional study
title_full ICU nurses’ knowledge, attitudes, and practice of oral mucosal pressure injury towards patients with orotracheal intubation: a cross-sectional study
title_fullStr ICU nurses’ knowledge, attitudes, and practice of oral mucosal pressure injury towards patients with orotracheal intubation: a cross-sectional study
title_full_unstemmed ICU nurses’ knowledge, attitudes, and practice of oral mucosal pressure injury towards patients with orotracheal intubation: a cross-sectional study
title_short ICU nurses’ knowledge, attitudes, and practice of oral mucosal pressure injury towards patients with orotracheal intubation: a cross-sectional study
title_sort icu nurses knowledge attitudes and practice of oral mucosal pressure injury towards patients with orotracheal intubation a cross sectional study
topic Orotracheal intubation
Oral mucosa
Mucosal pressure injury
Intensive care unit
Nursing management research
url https://doi.org/10.1186/s12912-025-03443-9
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