PATH, Seattle, WA, USA.
Trop Med Int Health. 2014 May;19(5):537-44. doi: 10.1111/tmi.12291. Epub 2014 Mar 17.
To better understand the availability of oxygen and pulse oximetry, barriers to use, clinician perceptions and practices regarding their role in the management of childhood pneumonia, and the formal education and training regarding these technologies received by student clinicians in Cambodia.
In the clinician survey, we surveyed 81 clinicians practising at all national paediatric, provincial and district referral hospitals throughout Cambodia. Respondents were primarily physicians whose scope of practice included paediatrics, and most reported the presence of oxygen (93% (95% confidence interval (CI) [87, 98])) but less availability of pulse oximetry (51% (95% CI [39, 61])).
Common barriers to use included a lack of policies and guidelines, as well as a lack of training. In the student clinician survey, 332 graduating medical and nursing students were surveyed, and most reported learning about oxygen (96% (95% CI [94, 98])) and pulse oximetry (72% (95% CI [67, 77])) during their training.
Data from both surveys indicate that despite their utility, oxygen and pulse oximetry may be underused in Cambodia. The reported barriers and perceptions of the tools indicate a clear role for improved training for clinicians and students on the use of oxygen and pulse oximetry, the value of oxygen and pulse oximetry for managing childhood pneumonia, and the need for improved policies and guidelines governing their use.
更好地了解柬埔寨儿童肺炎管理中氧气和脉搏血氧仪的供应情况、使用障碍、临床医生对其作用的看法和实践，以及学生临床医生在这些技术方面接受的正规教育和培训。
在临床医生调查中，我们调查了柬埔寨所有国家儿科、省级和地区转诊医院的 81 名临床医生。受访者主要是执业范围包括儿科的医生，他们大多数报告说有氧气（93%（95%置信区间[87,98]）），但脉搏血氧仪的供应较少（51%（95%置信区间[39,61]））。
常见的使用障碍包括缺乏政策和指南，以及缺乏培训。在学生临床医生调查中，对 332 名即将毕业的医学生和护士进行了调查，他们大多数在培训中报告学习了氧气（96%（95%置信区间[94,98]））和脉搏血氧仪（72%（95%置信区间[67,77]））。
两项调查的数据均表明，尽管氧气和脉搏血氧仪具有实用性，但在柬埔寨的使用可能不足。对这些工具的报告障碍和看法表明，临床医生和学生在氧气和脉搏血氧仪的使用、氧气和脉搏血氧仪对儿童肺炎管理的价值以及需要改进政策和指南方面，都需要加强培训和管理。
