氧疗标准化方案对提高护士绩效和患者健康结局的有效性。
Effectiveness of Standardized Protocol for Oxygen Therapy on Improving Nurses' Performance and Patients' Health Outcome.
机构信息
Department of Nursing, College of Applied Medical Science, Jouf University, Sakaka 2014, Saudi Arabia.
Pediatric Nursing Department, Faculty of Nursing, Menoufia University, Shebin El-Kom 32511, Egypt.
出版信息
Int J Environ Res Public Health. 2022 May 10;19(10):5817. doi: 10.3390/ijerph19105817.
AIMS
assess nurses' knowledge and performance-related safe administration of oxygen (O2) therapy; apply an intervention program for nurses about standardized protocol for oxygen; and evaluate the effectiveness of standardized protocol for oxygen in improving nurses' performance and patients' health outcomes.
DESIGN
a quasi-experimental study was used.
SETTING
the current study was conducted at three hospitals in Sakaka City with totally different medical aid units (ICUs), CCUs, emergency care departments (ED), medical and surgical wards, pediatric care units (PICUs), neonatal intensive care units (NICUs), pediatric emergency care departments (PED) and pediatric inpatient\outpatient departments.
SUBJECTS
a convenience sample of 105 nurses and 105 patients was divided into 55 patients in the control group who received routine care and 50 patients in the study group who received intervention.
FINDINGS
34.3% of studied nurses had poor knowledge pre-intervention compared with 17% post-intervention. Moreover, 33.3% of them had satisfactory knowledge pre-intervention versus 21% post-intervention. Only 5.7% of them had excellent knowledge pre-intervention, compared with 34.4% post-intervention. Concerning the complications of oxygen therapy, only 10.5% did not have complications in the control group versus 62.9% in the study group, 33.3% of the control group had cyanotic lips and fingernails pre-intervention, versus 7.6% in the study group; 10.5% had oxygen toxicity in the control group, versus 7.6% in the study group, with a highly statistically significant difference at p 0.001 for all.
CONCLUSION
the current results of this study concluded that there was improvement in nurses' knowledge and practice related to oxygen therapy post-intervention. Moreover, when the standard protocol for safe oxygen therapy was used in a positive way, it led to better health for patients and fewer problems with oxygen therapy.
目的
评估护士在安全给予氧气（O2）治疗方面的知识和操作相关能力；为护士提供关于标准化氧气方案的干预方案；并评估标准化氧气方案在改善护士绩效和患者健康结果方面的效果。
设计
采用准实验研究。
地点
本研究在萨卡卡市的三家医院进行，这些医院拥有完全不同的医疗援助单位（ICU、CCU、急诊部门、内科和外科病房、儿科护理单位、新生儿重症监护病房、儿科急诊部门和儿科住院/门诊部门）。
对象
便利抽样选择了 105 名护士和 105 名患者，其中 55 名患者在对照组接受常规护理，50 名患者在研究组接受干预。
结果
在干预前，34.3%的研究护士知识水平较差，而干预后这一比例为 17%。此外，他们中有 33.3%的人在干预前知识水平令人满意，而干预后这一比例为 21%。只有 5.7%的人在干预前知识水平优秀，而干预后这一比例为 34.4%。在氧气治疗并发症方面，对照组无并发症的患者占 10.5%，而研究组这一比例为 62.9%；对照组有 33.3%的患者在干预前嘴唇和指甲发绀，而研究组这一比例为 7.6%；对照组有 10.5%的患者发生氧中毒，而研究组这一比例为 7.6%，所有差异均具有统计学意义（p<0.001）。
结论
本研究的结果表明，护士在接受干预后，与氧气治疗相关的知识和实践有所提高。此外，当积极采用安全氧气治疗的标准方案时，它可以改善患者的健康状况，减少氧气治疗相关问题。
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