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[儿科医院医护人员对定量吸入器使用知识的评估]

[Evaluation of the knowledge of health professionals at a pediatric hospital regarding the use of metered-dose inhalers].

作者信息

Muchão Fábio Pereira, Perín Sílvia La Regina Rodrigues, Rodrigues Joaquim Carlos, Leone Cláudio, Silva Filho Luiz Vicente Ribeiro Ferreira

机构信息

Unidade de Pneumologia Pediátrica do Instituto da Criança, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brasil.

出版信息

J Bras Pneumol. 2008 Jan;34(1):4-12. doi: 10.1590/s1806-37132008000100003.

DOI:10.1590/s1806-37132008000100003
PMID:18278370
Abstract

OBJECTIVE

To evaluate health professionals working at a tertiary pediatric hospital in terms of their knowledge regarding the practical use of metered-dose inhalers.

METHODS

Practical and written tests on the use of metered-dose inhalers were applied to physicians, physical therapists, nurses and nursing assistants. A score from 0 to 10 was assigned to each evaluation, and median scores were calculated for each professional category. Questions with higher and lower correct values were identified, and a descriptive comparison was made regarding the performance of the various professional categories. Statistical analysis was performed using the Kruskal-Wallis method for comparison of medians. A sequential logistic multiple regression analysis was also performed.

RESULTS

A total of 30 resident physicians or interns in the pediatrics department, 23 attending physicians, 29 physical therapists, 33 nurses and 31 nursing assistants were evaluated. Resident physicians, physical therapists and attending physicians performed significantly better than did nurses and nursing assistants. Only resident physicians had a median score greater than 6.

CONCLUSIONS

The health professionals evaluated, particularly the nurses and nursing assistants, who are directly involved in the practical use of metered-dose inhalers, possess insufficient knowledge regarding the use of such inhalers.

摘要

目的

评估一家三级儿科医院的医护人员对定量吸入器实际使用的知识掌握情况。

方法

对医生、物理治疗师、护士和护理助理进行定量吸入器使用的实践和书面测试。每次评估给予0至10分的评分,并计算每个专业类别的中位数分数。确定正确值较高和较低的问题,并对不同专业类别的表现进行描述性比较。使用Kruskal-Wallis方法进行中位数比较的统计分析。还进行了顺序逻辑多元回归分析。

结果

共评估了30名儿科住院医师或实习生、23名主治医师、29名物理治疗师、33名护士和31名护理助理。住院医师、物理治疗师和主治医师的表现明显优于护士和护理助理。只有住院医师的中位数分数大于6分。

结论

接受评估的医护人员,尤其是直接参与定量吸入器实际使用的护士和护理助理,对这类吸入器的使用知识掌握不足。

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