尼日利亚阿布贾普通警察对交通事故伤员院前急救的知识、技能和准备情况评估。
Assessment of Knowledge, Skills, and Preparedness of General-Duty Police on Prehospital Care of Road Traffic Accident Victims in Abuja, Nigeria.
机构信息
Department of Community Medicine, Babcock University Teaching Hospital Ilishan-Remo, Ogun State, Nigeria.
Office of Global Health, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
出版信息
Disaster Med Public Health Prep. 2022 Oct 14;17:e247. doi: 10.1017/dmp.2022.196.
OBJECTIVES
Prompt prehospital care (PHC) is essential for improving outcomes of road traffic accident victims. Previous studies in Nigeria show that little or no PHC is delivered to trauma victims by first responders. This study was conducted to assess police officers' experience with FA/BLS, to identify gaps in their FA/BLS knowledge and skills, and assess police stations' FA/BLS equipment capacity for PHC of road traffic accident victims.
METHODS
This cross-sectional study was conducted among 428 GD police in Abuja between November and December 2018. Respondents were selected using stratified random sampling with proportional allocation method. Data were collected using self-administered electronic semi-structured questionnaires. Data analysis was done using STATA v 14.0 (StataCorp, College Station, TX). Chi-square and multivariate logistic regression were used to assess associations.
RESULTS
We analyzed data from 419 respondents. Almost all (90.2%) of the police were aware of FA/BLS. The proportion of police with poor, fair, and good knowledge and skills on FA/BLS were 15.3%, 79.0%, and 5.7%, respectively. Tertiary (OR = 3.35, 95% CI: 1.01-11.11, = 0.048) and postgraduate (OR = 6.89, 95% CI: 1.63-29.19, = 0.009) levels of education had statistically significant association with good knowledge and skills.
CONCLUSION
This highlights the need to implement an educational intervention to increase FA/BLS competencies within the first responder population.
目的
及时的现场前医疗护理（PHC）对于改善道路交通伤害受害者的结局至关重要。尼日利亚之前的研究表明，第一反应者对创伤患者几乎没有或没有提供 PHC。本研究旨在评估警察在 FA/BLS 方面的经验，确定他们在 FA/BLS 知识和技能方面的差距，并评估警察局为道路交通伤害受害者提供 PHC 的 FA/BLS 设备能力。
方法
本横断面研究于 2018 年 11 月至 12 月在阿布贾的 428 名 GD 警察中进行。使用分层随机抽样和比例分配方法选择受访者。使用自我管理的电子半结构式问卷收集数据。使用 STATA v 14.0（StataCorp，德克萨斯州大学城）进行数据分析。使用卡方检验和多变量逻辑回归评估关联。
结果
我们分析了来自 419 名受访者的数据。几乎所有（90.2%）警察都知道 FA/BLS。在 FA/BLS 知识和技能方面，警察的比例分别为差（15.3%）、中等（79.0%）和良好（5.7%）。高等教育（OR=3.35，95%CI：1.01-11.11， = 0.048）和研究生教育（OR=6.89，95%CI：1.63-29.19， = 0.009）与良好的知识和技能呈统计学显著关联。
结论
这突出表明需要实施教育干预，以提高第一反应者人群的 FA/BLS 能力。
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