知识对姑息治疗和相关因素的护士在埃塞俄比亚:系统评价和meta 分析。
Knowledge on Palliative Care and Associated Factors among Nurses in Ethiopia: A Systematic Review and Meta-Analysis.
机构信息
Department of Nursing, College of Health Sciences, Woldia University, P.O.Box: 400, Woldia, Ethiopia.
Department of Midwifery, College of Health Sciences, Woldia University, P.O.Box: 400, Woldia, Ethiopia.
出版信息
Pain Res Manag. 2021 Apr 24;2021:5557947. doi: 10.1155/2021/5557947. eCollection 2021.
BACKGROUND
Palliative care is a multidisciplinary team-based care for patients facing life-threatening illness and their families which addresses their physical, psychological, social, and spiritual needs to improve the quality of care. There is a strategy for an increase in palliative care services by integrating with the healthcare system. Therefore, this systematic review and meta-analysis was aimed to assess the overall pooled prevalence of nurses' knowledge towards palliative care in Ethiopia.
METHOD
PubMed/MEDLINE, HINARI, EMBASE, Scopus, Google Scholar, and African Journals OnLine (AJOL) were the databases used to search for articles. Cochrane statistics and Egger's test were done to check heterogeneity and publication bias, respectively. Subgroup analysis by region, study period, and sample size was done due to the presence of heterogeneity. Sensitivity analysis was also done to detect the presence or absence of an influential study.
RESULT
Nine studies with a total of 2709 study participants were included in the final analysis. The overall pooled prevalence of nurses' knowledge towards palliative care was 45.57% (95% CI: 35.27-55.87). Educational status and palliative care training were significantly associated factors with the level of nurses' knowledge towards palliative care. B.S. degree holder nurses (AOR = 3.01; 95% CI: 1.50-6.02) and nurses who had palliative care training (AOR = 4.64; 95% CI: 2.37-9.08) were found to be significantly associated factors with the nurses' level of knowledge.
CONCLUSION
More than half of nurses had poor knowledge of palliative care. Educational status of nurses and palliative care training were significantly associated factors with the nurses' level of knowledge about palliative care. Therefore, palliative care training and improving nurses' careers through continuous professional development should be focused on regularly to improve nurses' knowledge about palliative care.
背景
姑息治疗是一种多学科团队式的医疗服务,面向面临危及生命疾病的患者及其家属,旨在满足他们在身体、心理、社会和精神方面的需求,以提高医疗质量。有一种策略是通过与医疗保健系统整合来增加姑息治疗服务。因此,本系统评价和荟萃分析旨在评估埃塞俄比亚护士对姑息治疗知识的总体综合流行率。
方法
使用 PubMed/MEDLINE、HINARI、EMBASE、Scopus、Google Scholar 和 African Journals OnLine (AJOL) 数据库搜索文章。使用 Cochrane 统计量和 Egger 检验分别检查异质性和发表偏倚。由于存在异质性,进行了按地区、研究期间和样本量的亚组分析。还进行了敏感性分析,以检测是否存在有影响力的研究。
结果
共有 9 项研究,总计 2709 名研究参与者被纳入最终分析。护士对姑息治疗知识的总体综合流行率为 45.57%(95%CI:35.27-55.87)。教育程度和姑息治疗培训是与护士对姑息治疗知识水平显著相关的因素。拥有学士学位的护士(AOR=3.01;95%CI:1.50-6.02)和接受过姑息治疗培训的护士(AOR=4.64;95%CI:2.37-9.08)与护士的知识水平显著相关。
结论
超过一半的护士对姑息治疗知识的掌握程度较差。护士的教育程度和姑息治疗培训是与护士对姑息治疗知识水平显著相关的因素。因此,姑息治疗培训和通过持续的专业发展提高护士的职业水平应成为重点,以提高护士对姑息治疗的知识水平。