埃塞俄比亚北部希雷恩达西拉西卫生设施中护士对姑息治疗的实践：一项横断面研究。
Nurses practice towards palliative care in Shire Endasilasie health facilities, Northern Ethiopia: a cross-sectional study.
作者信息
Zeru Teklay, Gerensea Hadgu, Berihu Hagos, Zeru Mebrahtom, Wubayehu Tewolde
机构信息
Department of Pediatric Nursing, School of Nursing, College of Health Science and Comprehensive Specialized Hospital, Aksum University, Tigray, Ethiopia.
Department of Maternity and Reproductive Health, School of Nursing, College of Health Science and Comprehensive Specialized Hospital, Aksum University, Tigray, Ethiopia.
出版信息
Pan Afr Med J. 2020 Apr 8;35:110. doi: 10.11604/pamj.2020.35.110.18648. eCollection 2020.
INTRODUCTION
The public health strategy of the World Health Organization for palliative care is to increase access to palliative care services by integrating it with the healthcare systems. Therefore, the value of palliative care service provision by nurses who deliver the majority of care to chronical patients is an important issue. The objective of the study is assessing nurses' practice of palliative care.
METHODS
A facility based cross-sectional study was carried out among 278 nurses working in governmental health facilities of Shire Endasilasie town, Tigray region, Ethiopia from February to June 2018. The questionnaire was revised based on the findings of the pre-test. The collected data was checked for its completeness, consistency, and accuracy before analysis. Data were entered and analyzed using SPSS version 22. The final result was reported using text and tables.
RESULTS
A total of 278 nurses were included in the study and the response rate was 100%. The majority of the participants (71.9%) were females and the mean age of the respondents was 32.08 years (range from 20 to 60). Approximately two-thirds (74.8%) of the respondents had poor knowledge of palliative care practice. Half of the study participants reported emotional support gained as primary psychological support. Commonly used drugs for severe pain were paracetamol or ibuprofen 202 (72.2%) and 47.8% nurses focus on quality patient pain assess.
CONCLUSION
The majority of the nurses had a poor practice of palliative care.
引言
世界卫生组织的姑息治疗公共卫生战略是通过将姑息治疗与医疗保健系统相结合来增加获得姑息治疗服务的机会。因此，为慢性病患者提供大部分护理的护士提供姑息治疗服务的价值是一个重要问题。本研究的目的是评估护士的姑息治疗实践。
方法
2018年2月至6月，在埃塞俄比亚提格雷地区希雷恩达西拉西镇政府卫生设施工作的278名护士中进行了一项基于机构的横断面研究。根据预试验结果对问卷进行了修订。在分析之前，检查所收集数据的完整性、一致性和准确性。使用SPSS 22版输入和分析数据。最终结果用文本和表格报告。
结果
共有278名护士纳入研究，应答率为100%。大多数参与者（71.9%）为女性，受访者的平均年龄为32.08岁（范围为20至60岁）。约三分之二（74.8%）的受访者对姑息治疗实践的了解较差。一半的研究参与者报告获得情感支持作为主要的心理支持。用于重度疼痛的常用药物为对乙酰氨基酚或布洛芬202例（72.2%），47.8%的护士注重对患者疼痛进行质量评估。
结论
大多数护士的姑息治疗实践较差。
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