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影响埃塞俄比亚西南部米赞泰皮大学教学医院、泰皮综合医院和格布雷萨迪克·沙沃医院护士心肺复苏实践的因素

Factors Affecting Cardiopulmonary Resuscitation Practice Among Nurses in Mizan Tepi University Teaching Hospital, Tepi General Hospital, and Gebretsadik Shawo Hospital, Southwest Ethiopia.

作者信息

Guteta Mirresa

机构信息

Nursing Department, College of Medicine and Health Science, Mizan-Tepi University, Mizan-Aman, Ethiopia.

出版信息

Open Access Emerg Med. 2022 Apr 18;14:165-175. doi: 10.2147/OAEM.S350244. eCollection 2022.

Abstract

BACKGROUND

Cardiopulmonary resuscitation is one of the basic lifesaving medical procedures which is performed for a patient with an emergency such as cardiac arrest, suffocation, near-dying, or circumstance that results in cardiac or pulmonary failure or both.

OBJECTIVE

To assess factors affecting the practice of cardiopulmonary resuscitation among nurses at Mizan Tepi University Teaching Hospital, Tepi General Hospital, and Gebretsadik Shawo Hospital.

METHODS

Institution-based cross-sectional study which was supported by qualitative data conducted from March 20 to April 20, 2021. Nurses who answered ≥7 CPR practice questions correctly were considered to have good practice. Data were entered into EpiData version 4.4 and exported to SPSS version 23 for data analysis. A multivariable logistic regression model was fitted, adjusted odds ratio (AOR) at 95% confidence interval and p-value <0.05 were estimated to determine the statistically significant association between predictors and outcome variable. Qualitative data were analyzed based on thematic content.

RESULTS

The prevalence of good practice towards CPR was 31.8% (95% CI: 27.5-36.3) in the study area. Experience of 6-10 years (AOR = 2.27, 95% CI: 1.25-4.13) and >10 years (AOR= 1.81, 95% CI: 1.10-2.98), rarely (AOR = 3.77, 95% CI: 1.26-11.30) or actively (AOR = 4.60, 95% CI: 1.51-13.98) involved in CPR practice, assigned to emergency department (AOR = 1.02, 95% CI: 0.55-1.90), having CPR good knowledge (AOR = 1.37, 95% CI: 0.28-2.14) and having a nursing degree (AOR = 1.54, 95% CI: 0.93-2.54) were predictors of CPR good practice.

CONCLUSION

Nurses' good practice towards cardiopulmonary resuscitation was low. Therefore, efforts should be taken to enhance nurses' practice towards cardiopulmonary resuscitation.

摘要

背景

心肺复苏是基本的救命医疗程序之一,用于救治患有诸如心脏骤停、窒息、濒死或导致心脏或肺部衰竭或两者皆有的紧急情况的患者。

目的

评估米赞泰皮大学教学医院、泰皮综合医院和格布雷萨迪克·沙沃医院护士进行心肺复苏操作的影响因素。

方法

基于机构的横断面研究,并辅以2021年3月20日至4月20日收集的定性数据。正确回答≥7道心肺复苏操作问题的护士被认为操作良好。数据录入EpiData 4.4版本,并导出到SPSS 23版本进行数据分析。拟合多变量逻辑回归模型,估计95%置信区间的调整优势比(AOR)和p值<0.05,以确定预测因素与结果变量之间的统计学显著关联。定性数据基于主题内容进行分析。

结果

研究区域内心肺复苏操作良好的患病率为31.8%(95%置信区间:27.5 - 36.3)。6 - 10年(AOR = 2.27,95%置信区间:1.25 - 4.13)和>10年(AOR = 1.81,95%置信区间:1.10 - 2.98)的工作经验、很少(AOR = 3.77,95%置信区间:1.26 - 11.30)或积极(AOR = 4.60,95%置信区间:1.51 - 13.98)参与心肺复苏操作、被分配到急诊科(AOR = 1.02,95%置信区间:0.55 - 1.90)、具备良好的心肺复苏知识(AOR = 1.37,95%置信区间:0.28 - 2.14)以及拥有护理学位(AOR = 1.54,95%置信区间:0.93 - 2.54)是心肺复苏操作良好的预测因素。

结论

护士进行心肺复苏的良好操作率较低。因此,应努力提高护士进行心肺复苏的操作水平。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3bee/9030545/2601d111e552/OAEM-14-165-g0001.jpg

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