Wake Addisu Dabi
Nursing Department, College of Health Sciences, Arsi University, Asella, Ethiopia.
SAGE Open Med. 2022 Apr 28;10:20503121221092338. doi: 10.1177/20503121221092338. eCollection 2022.
Palliative care is a holistic care that emphasises on relieving pain and other symptoms of a critical illness, irrespective of age, diagnosis, or stage of illness. It improves the quality of life of the individual. Since nurses spend the longest time with patients, they are the heart of the palliative care team who deliver high standards of care. This study was intended to assess the pooled prevalence of knowledge and associated factors towards palliative care among nurses in Ethiopia. During this study, a comprehensive search was performed by using different databases. A funnel plot and Egger's test were used to evaluate a publication bias. I statistic was used to check the heterogeneity between the studies. The subgroup analysis was also conducted for this study. A total of 11 studies with 3330 study participants were included in this systematic review and meta-analysis. The systematic review and meta-analysis showed that the pooled prevalence of knowledge towards palliative care among nurses in Ethiopia was 42.31% (95% confidence interval = [32.41, 52.21]). Educational status (adjusted odds ratio = 2.69, 95% confidence interval = [1.11, 4.25]), experience of caring for a dying patient (adjusted odds ratio = 3.15, 95% confidence interval = [1.17, 5.13]), and training on palliative care (adjusted odds ratio = 2.53, 95% confidence interval = [1.42, 3.64]) were factors significantly associated with the knowledge of nurses towards palliative care. This study indicated that the pooled prevalence of knowledge towards palliative care among nurses in Ethiopia was low. Educational status, experience of caring for a dying patient, and training on palliative care were factors significantly associated with the knowledge of nurses towards palliative care. Thus, training on palliative care and education is suggested for nurses to improve their knowledge towards palliative care. PROSPERO CRD42021247590.
姑息治疗是一种整体护理，强调缓解危重病的疼痛和其他症状，而不论患者年龄、诊断结果或疾病阶段如何。它能提高个人的生活质量。由于护士与患者相处的时间最长，他们是提供高标准护理的姑息治疗团队的核心。本研究旨在评估埃塞俄比亚护士对姑息治疗的知识汇总患病率及相关因素。在本研究过程中，通过使用不同数据库进行了全面检索。采用漏斗图和埃格检验来评估发表偏倚。使用I统计量来检查各研究之间的异质性。本研究还进行了亚组分析。本系统评价和荟萃分析共纳入了11项研究，涉及3330名研究参与者。系统评价和荟萃分析表明，埃塞俄比亚护士对姑息治疗知识的汇总患病率为42.31%（95%置信区间 = [32.41, 52.21]）。教育程度（调整比值比 = 2.69，95%置信区间 = [1.11, 4.25]）、照顾临终患者的经验（调整比值比 = 3.15，95%置信区间 = [1.17, 5.13]）以及姑息治疗培训（调整比值比 = 2.53，95%置信区间 = [1.42, 3.64]）是与护士对姑息治疗知识显著相关的因素。本研究表明，埃塞俄比亚护士对姑息治疗知识的汇总患病率较低。教育程度、照顾临终患者的经验以及姑息治疗培训是与护士对姑息治疗知识显著相关的因素。因此，建议为护士提供姑息治疗培训和教育，以提高他们对姑息治疗的知识。国际前瞻性系统评价注册库编号：CRD42021247590。
