Amaraegbulam P I, Nwankwo O E
Department of Surgery, UNTH Ituku Ozalla, Nigeria.
Niger J Clin Pract. 2013 Jan-Mar;16(1):67-70. doi: 10.4103/1119-3077.106769.
Trauma is one of the leading causes of mortality in developing countries. Nonspecialist doctors are the first caregivers to attend to trauma patients. Most nonspecialist doctors in Nigeria lack extra training in trauma care including the ATLS training for doctors.
To determine the knowledge of the ATLS protocol among nonspecialist doctors involved in trauma care in Enugu, Nigeria.
We prepared and shared out questionnaires to the respondents, and later analyzed the information received using the SPSS 15.
65 out of 110 respondents (59.1%) filled and returned their questionnaires. 59 (90.8%) were males and 6 (9.2%) females. Their ages ranged from 29 to 47 years (35.6 ± 3.85 years) and they had been practicing for 1-16 years (mean 4.40 ± 3.540 years). 5 (7.7%) were medical officers while 60 (92.3%) were residents at various stages of training in different Surgical subspecialties. 41 or 63.1% rated their knowledge of the ATLS protocol as satisfactory. 22 (33.8%) demonstrated a satisfactory knowledge of ATLS. The three respondents (4.8%) who had undertaken a formal training in ATLS demonstrated excellent knowledge of ATLS. All believed that training in the protocol would be beneficial in their career.
There is a poor knowledge of ATLS among nonspecialist doctors involved in trauma care in Enugu, Nigeria. ATLS training should be adopted by the hospitals involved in the training of doctors and should become a condition to employ surgery residents.
创伤是发展中国家主要的死亡原因之一。非专科医生是首批诊治创伤患者的医护人员。尼日利亚的大多数非专科医生缺乏创伤护理方面的额外培训,包括针对医生的高级创伤生命支持(ATLS)培训。
确定尼日利亚埃努古参与创伤护理的非专科医生对ATLS协议的了解情况。
我们准备了问卷并分发给受访者,之后使用SPSS 15对收到的信息进行分析。
110名受访者中有65名(59.1%)填写并返还了问卷。其中59名(90.8%)为男性,6名(9.2%)为女性。他们的年龄在29岁至47岁之间(平均35.6 ± 3.85岁),从业年限为1至16年(平均4.40 ± 3.540年)。5名(7.7%)为医务人员,60名(92.3%)是处于不同外科亚专业培训阶段的住院医师。41名(63.1%)认为他们对ATLS协议的了解令人满意。22名(33.8%)表现出对ATLS的了解令人满意。三名接受过ATLS正式培训的受访者(4.8%)表现出对ATLS的卓越了解。所有人都认为该协议的培训对他们的职业有益。
在尼日利亚埃努古参与创伤护理的非专科医生中,对ATLS的了解较差。参与医生培训的医院应采用ATLS培训,并应将其作为聘用外科住院医师的条件。