Akinremi A A, Erinle O A, Hamzat T K
Adjunct Professor (Physiotherapy), School of Health Sciences, Fiji National University, Suva, Fiji Islands, Fiji.
Physiotherapist, College of Medicine, University of Ibadan, Ibadan, Nigeria.
Niger J Clin Pract. 2019 Sep;22(9):1229-1235. doi: 10.4103/njcp.njcp_338_18.
Knowledge of ICU clinicians about Intensive Care Unit Acquired Weakness (ICU-AW) is a vital step in implementing prevention strategies.
The purpose of this study was to investigate the level of knowledge of ICU clinicians in teaching hospitals in Southwest Nigeria about ICU-AW.
ICU clinicians were surveyed using a self-administered questionnaire to obtain data on knowledge about ICUAW. Data were summarized as frequency and percentages, mean and standard deviation using SPSS version 20.
Total of 134 ICU clinicians (56 anesthetists, 35 physiotherapists, and 43 nurses) responded to the questionnaire, of which 100 were aware of ICUAW. Three of the 100 correctly identified ICU-AW as a neuromuscular disease. Totally, 40% correctly indicated Medical Research Council Scoring Scale as a diagnostic tool for ICU-AW. Severe sepsis and prolonged mechanical ventilation were the two highest identified risk factors for ICU-AW. However, only 35% of respondents were able to identify either use of aminoglycosides, and prolonged use of vasopressors as risk factors for ICUAW. Almost half (49%) reported having methods of managing ICUAW at their institution.
Though awareness about Intensive care unit-acquired weakness (ICUAW) among clinicians in teaching hospitals in the Southwestern Nigeria is high, but knowledge about diagnosis and classification is low. This highlights the need for specialized training of ICU clinicians about ICUAW to enhance prevention and early detection.
重症监护病房（ICU）临床医生对重症监护病房获得性肌无力（ICU-AW）的了解是实施预防策略的关键一步。
本研究旨在调查尼日利亚西南部教学医院的ICU临床医生对ICU-AW的了解程度。
采用自填式问卷对ICU临床医生进行调查，以获取有关ICU-AW知识的数据。使用SPSS 20版将数据总结为频率和百分比、均值和标准差。
共有134名ICU临床医生（56名麻醉师、35名物理治疗师和43名护士）回复了问卷，其中100人知晓ICU-AW。100人中3人正确将ICU-AW识别为神经肌肉疾病。总体而言，40%的人正确指出医学研究委员会评分量表是ICU-AW的诊断工具。严重脓毒症和长时间机械通气是被识别出的ICU-AW的两个最高风险因素。然而，只有35%的受访者能够识别使用氨基糖苷类药物和长时间使用血管升压药作为ICU-AW的风险因素。近一半（49%）的人报告其所在机构有管理ICU-AW的方法。
尽管尼日利亚西南部教学医院的临床医生对重症监护病房获得性肌无力（ICU-AW）的知晓率较高，但对其诊断和分类的知识水平较低。这凸显了对ICU临床医生进行关于ICU-AW的专门培训以加强预防和早期检测的必要性。
