Abstract: Objective To investigate the cognition and training needs of community nurses for extended nursing of patients with chronic refractory wounds, and to provide reference for the effective implementation of extended nursing and related knowledge training. Methods With convenience sampling, registered nursing staff in 16 community health service institutions in Panyu District were surveyed by using a self-designed questionnaire on cognition on, attitude toward and training needs of extended nursing. Results The score of knowledge of and attitude toward extending nursing of community nurses in Panyu district was 67.3% and 79.3% respectively, which was at the mediate level. The necessity of extending nursing for patients with chronic refractory wounds was recognized by community nurses with different age, professional titles, working time and marital status. 94.8% of the community nurses agreed to carry out extended care for patients with chronic refractory wounds; 77.5% of the community nurses were willing to join in the extended nursing team for chronic refractory wounds and 90.3% of the community nurses considered it necessary to provide related training for nurses. Conclusion The study suggests that the community nurses in Panyu District have certain cognition on extending nursing of patients with chronic refractory wounds, and a higher demand for training. The training are supposed on focusing on professional knowledge, communication skills, humanistic knowledge, and could be conducted by skill demonstration, lectures and case analysis.

Key words: community nurse, cognition on extended nursing, chronic refractory wound, training demand