Abu Hdaib N, Albsoul-Younes A, Wazaify M
Department of Biopharmaceutics and Clinical Pharmacy, School of Pharmacy, The University of Jordan, Jordan.
Department of Pharmacy, Faculty of Pharmacy, Middle East University, Amman, Jordan.
Saudi Pharm J. 2021 Feb;29(2):134-142. doi: 10.1016/j.jsps.2020.12.015. Epub 2021 Jan 7.
Medication administration through enteral feeding tubes is a practice that is commonly encountered in hospital settings, particularly in critically ill patients. This study aims to evaluate the knowledge of intensive care unit nurses regarding enteral medication administration and evaluate the effect of an educational intervention led by a clinical pharmacist that would improve nurses' knowledge regarding the subject.
A pre/post interventional study was conducted. Improvement in nurses' knowledge regarding medication administration through an enteral feeding tube was assessed using a validated questionnaire.
Data were coded, entered, and analyzed using the Statistical Package for Social Sciences (IBM SPSS statistics 22). Independent samples -test and paired -test were used to detect any statistically significant differences in the mean total knowledge scores both between and within each group respectively. A P-value of <0.05 was considered statistically significant. The mean total knowledge score for nurses in the intervention and control group at the pre-interventional phase of the study was inadequate. There was a statistically significant improvement in the mean total knowledge score for the interventional group at the post-interventional phase of the study, while that of the control group remained inadequate (Intervention group total mean knowledge score at baseline 12.11 ± 3.75, post-intervention 21.50 ± 2.36, p-value <0.001; Control group total mean knowledge score at baseline 12.05 ± 3.12, post-intervention 12.60 ± 3.76, p-value 0.96).
Incorrect drug preparation and administration for patients with feeding tubes can affect patients. The knowledge of nurses regarding the subject can be improved significantly via an educational intervention. The activation of clinical pharmacists' role and collaboration between pharmacists, physicians, and nurses is highly recommended in this clinical setting.
通过肠内喂养管给药是医院环境中常见的操作，尤其是在重症患者中。本研究旨在评估重症监护病房护士关于肠内给药的知识，并评估由临床药师主导的教育干预措施对提高护士该方面知识的效果。
进行了一项干预前后的研究。使用经过验证的问卷评估护士关于通过肠内喂养管给药知识的改善情况。
数据使用社会科学统计软件包（IBM SPSS statistics 22）进行编码、录入和分析。分别使用独立样本t检验和配对t检验来检测每组之间以及每组内部平均总知识得分的任何统计学显著差异。P值<0.05被认为具有统计学显著性。在研究的干预前阶段，干预组和对照组护士的平均总知识得分均不足。在研究的干预后阶段，干预组的平均总知识得分有统计学显著提高，而对照组的得分仍然不足（干预组基线时总平均知识得分12.11±3.75，干预后21.50±2.36，p值<0.001；对照组基线时总平均知识得分12.05±3.12，干预后12.60±3.76，p值0.96）。
给有喂养管的患者错误地配制和给药会影响患者。通过教育干预可以显著提高护士关于该主题的知识。强烈建议在这种临床环境中激活临床药师的角色，并促进药师、医生和护士之间的协作。
