埃塞俄比亚西北部贡德尔大学综合专科医院护士对重症患者氧疗实践及障碍的评估：一项2021年的调查
Assessment of practice and barriers of oxygen therapy in critically ill patients among nurses: A survey from University of Gondar Comprehensive Specialized Hospital Northwest, Ethiopia, 2021.
作者信息
Getahun Yayeh Adamu, Bizuneh Yosef Belay, Melesse Debas Yaregal, Chekol Wubie Birlie
机构信息
Department of Anesthesia, College of Medicine and Health Sciences, Dilla University, Ethiopia.
Department of Anesthesia, College of Medicine and Health Sciences, University of Gondar, Ethiopia.
出版信息
Ann Med Surg (Lond). 2022 Mar 14;76:103481. doi: 10.1016/j.amsu.2022.103481. eCollection 2022 Apr.
BACKGROUND
Administering oxygen therapy plays an essential role in preventing and managing acute and chronic hypoxemia. This study assesses the level of practice of nurses on oxygen therapy in critically ill patients and associated factors.
METHODS
An institutional-based cross-sectional study was conducted from May 23 to June 07, 2021, at the University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia. A self-administered structured and validated questionnaire was used. It has a socio-demographic characteristics, multiple choice questions, items that measure the possible associated factors and items were used to assess level of knowledge. Data were entered using Epi-data version 4.6 and analyzed using SPSS version 20. Descriptive and inferential statistics were analyzed and presented. The Chi-Square test was used to measure the strength of associations between variables. Binary and multiple logistic regression were used, a p-value of< 0.2 and < 0.05 were considered statistically significant, respectively.
RESULTS
A total of 400 nurses participated in the study, with a response rate of 94.8%. The overall proportion of good practice on oxygen therapy for critically ill patients was 47% (95% CI: 43-51.8). Age >39 years (AOR; 3.17, 95% CI: 1.42-7.08), nurses have good knowledge on oxygen therapy (AOR; 1.74, 95% CI: 1.11-2.74), labeling of the volume of the cylinder after use (AOR; 2.51, 95% CI: 1.36-4.63), were significantly associated with good practice on oxygen therapy in critically ill patients.
CONCLUSIONS AND RECOMMENDATIONS
We concluded that there was a gap in the practice of oxygen therapy among nurses. Therefore, regular educational and training programs about oxygen therapy are needed to increase the level of practice among nurses. In addition practical training sessions should be organized for nurses to update their practice on the latest guidelines on oxygen therapy for critical ill patients.
背景
实施氧疗在预防和处理急慢性低氧血症中起着至关重要的作用。本研究评估了护士对重症患者氧疗的实践水平及相关因素。
方法
2021年5月23日至6月7日，在埃塞俄比亚西北部的贡德尔大学综合专科医院进行了一项基于机构的横断面研究。使用了一份自行编制的结构化且经过验证的问卷。问卷包含社会人口学特征、多项选择题、用于衡量可能相关因素的项目以及用于评估知识水平的项目。数据使用Epi-data 4.6版本录入，并使用SPSS 20版本进行分析。对描述性和推断性统计进行了分析和呈现。采用卡方检验来衡量变量之间关联的强度。使用二元和多元逻辑回归分析，p值分别<0.2和<0.05被认为具有统计学意义。
结果
共有400名护士参与了研究，回复率为94.8%。重症患者氧疗良好实践的总体比例为4
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