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埃塞俄比亚西北部贡德尔大学综合专科医院医护人员对成人心肺复苏的知识和态度相关因素:一项基于机构的横断面研究

Factors associated with knowledge and attitude towards adult cardiopulmonary resuscitation among healthcare professionals at the University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia: an institutional-based cross-sectional study.

作者信息

Mersha Abraham Tarekegn, Gebre Egzi Amare Haile Kiros, Tawuye Hailu Yimer, Endalew Nigussie Simeneh

机构信息

Anesthesia, University of Gondar College of Medicine and Health Sciences, Gondar, Amhara, Ethiopia

Anesthesia, University of Gondar College of Medicine and Health Sciences, Gondar, Amhara, Ethiopia.

出版信息

BMJ Open. 2020 Sep 28;10(9):e037416. doi: 10.1136/bmjopen-2020-037416.

Abstract

OBJECTIVE

This study was conducted to assess the factors associated with knowledge and attitude towards adult cardiopulmonary resuscitation (CPR) among health professionals at the University of Gondar Hospital, Northwest Ethiopia.

STUDY DESIGN

An institutional-based cross-sectional study was conducted from 15 February to 15 March 2018. Both bivariable and multivariable logistic regression analyses were used to identify factors associated with knowledge and attitude level of health professionals towards CPR. Variables with a p value less than <0.2 in the bivariable analysis were fitted into the multivariable analysis. In the multivariable analysis, variables with a p value <0.05 were considered statistically significant.

SETTING

University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia.

PARTICIPANTS

A total of 406 health professionals (physicians, nurses, anaesthetists, health officers and midwives) were included.

RESULTS

Among the study participants, 25.1% (95% CI 21.2 to 29.3) had good knowledge and 60.8% (95% CI 55.9 to 65.5) had good attitude towards adult CPR. Work experience (adjusted OR (AOR): 5.02, 95% CI 1.25 to 20.20), number of work settings (AOR: 6.52, 95% CI 2.76 to 15.41), taking CPR training (AOR: 2.76, 95% CI 1.40 to 5.42), exposure to cardiac arrest case (AOR: 2.16, 95% CI 1.14 to 4.07) and reading CPR guidelines (AOR: 5.57, 95% CI 2.76 to 11.20) were positively associated with good knowledge. Similarly, taking CPR training (AOR: 1.74, 95% CI 1.42 to 1.53) and reading CPR guidelines (AOR: 2.74, 95% CI 1.55 to 4.85) were positively associated with good attitude.

CONCLUSIONS

The level of knowledge and attitude of health professionals towards adult CPR was suboptimal. Health professionals who were taking CPR training and reading CPR guidelines had good knowledge and attitude towards CPR. In addition, work experience, number of work settings and exposure to cardiac arrest case had a positive association with CPR knowledge. Thus, providing regular CPR training and work setting rotations is highly crucial.

摘要

目的

本研究旨在评估埃塞俄比亚西北部贡德尔大学医院卫生专业人员对成人心肺复苏(CPR)的知识和态度相关因素。

研究设计

于2018年2月15日至3月15日进行了一项基于机构的横断面研究。采用双变量和多变量逻辑回归分析来确定卫生专业人员对CPR的知识和态度水平相关因素。双变量分析中p值小于<0.2的变量纳入多变量分析。在多变量分析中,p值<0.05的变量被认为具有统计学意义。

背景

埃塞俄比亚西北部贡德尔大学综合专科医院。

参与者

共纳入406名卫生专业人员(医生、护士、麻醉师、卫生官员和助产士)。

结果

在研究参与者中,25.1%(95%CI 21.2至29.3)对成人CPR有良好的知识,60.8%(95%CI 55.9至65.5)有良好的态度。工作经验(调整后OR(AOR):5.02,95%CI 1.25至20.20)、工作单位数量(AOR:6.52,95%CI 2.76至15.41)、接受CPR培训(AOR:2.76,95%CI 1.40至5.42)、接触心脏骤停病例(AOR:2.16,95%CI 1.14至4.07)和阅读CPR指南(AOR:5.57,95%CI 2.76至11.20)与良好的知识呈正相关。同样,接受CPR培训(AOR:1.74,95%CI 1.42至1.53)和阅读CPR指南(AOR:2.74,95%CI 1.55至4.85)与良好的态度呈正相关。

结论

卫生专业人员对成人CPR的知识和态度水平不理想。接受CPR培训并阅读CPR指南的卫生专业人员对CPR有良好的知识和态度。此外,工作经验、工作单位数量和接触心脏骤停病例与CPR知识呈正相关。因此,定期提供CPR培训和工作单位轮转至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5d7/7523201/e026c67bd282/bmjopen-2020-037416f01.jpg

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