Ayinbuomwan A Stephen, Isah Ambrose O
Department of Medicine, Clinical Pharmacology and Therapeutics Unit, University of Benin Teaching Hospital; Department of Clinical Pharmacology and Therapeutics, University of Benin, Benin City, Edo State, Nigeria.
Ann Afr Med. 2019 Jan-Mar;18(1):47-50. doi: 10.4103/aam.aam_25_18.
The Nigerian National Standard Treatment Guidelines (NSTG) was introduced in 2008 and the second edition was launched in 2017. This study evaluated the level of awareness, acceptance, and use of this tool within the Nigerian health-care system.
This study was carried out at the University of Benin Teaching Hospital, Benin City, Nigeria. A semistructured questionnaire was administered to doctors in the hospital. Information sought included the biodata, awareness of the STG, publication and use of the STG, the perceived advantages and disadvantages, and suggestions on how to improve its use.
There were 155 respondents with a mean age of 34.1 ± 6.4 years and response rate of 77.5%. The level of awareness was 46.5%, with 21.9% having received lessons on the subject; 53.0% received lessons as students. Awareness of the date of the initial introduction of the STG at the national level was 4.5% with 1.3% aware of the current edition of the NSTG. The description of the STG was satisfactory in 27.7% participants. Again only 20.6% currently use the NSTG, with 12.3% rating the entire STG utilization as successful.
There is low awareness and poor utilization of the STG among doctors in the facility which may be a reflection of the situation in other health facilities in the country. There is need to encourage the use of this clinical tool to ensure appropriate use of medicines and delivery of health care in resource-limited settings.
尼日利亚国家标准治疗指南（NSTG）于2008年推出，2017年发布了第二版。本研究评估了该工具在尼日利亚医疗系统中的知晓度、接受度和使用情况。
本研究在尼日利亚贝宁城贝宁大学教学医院开展。对该医院的医生进行了半结构化问卷调查。所寻求的信息包括生物数据、对治疗指南的知晓情况、治疗指南的发布与使用情况、感知到的优缺点以及关于如何改进其使用的建议。
共有155名受访者，平均年龄为34.1±6.4岁，回复率为77.5%。知晓度为46.5%，其中21.9%接受过关于该主题的课程培训；53.0%在学生时代接受过相关课程培训。对治疗指南在国家层面首次推出日期的知晓率为4.5%，知晓当前版本尼日利亚国家标准治疗指南的比例为1.3%。27.7%的参与者对治疗指南的描述满意。同样，目前只有20.6%的人使用尼日利亚国家标准治疗指南，12.3%的人认为整个治疗指南的使用是成功的。
该机构医生对治疗指南的知晓度低且使用率差，这可能反映了该国其他医疗机构的情况。需要鼓励使用这一临床工具，以确保在资源有限的环境中合理用药和提供医疗服务。
