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利雅得市护士处理气管切开相关并发症的能力、认知及准备情况评估:一项横断面研究

Assessment of the ability, perception, and readiness of nurses to manage tracheostomy-related complications in Riyadh City: a cross-sectional study.

作者信息

Alotaibi Fahad Zarraq, Alkhatabi Reema, Allowaihiq Lujain, Alhazzani Hassan, Alshehri Ghada, Hajr Eman A, Alkholaiwi Feras

机构信息

College of Medicine, Imam Mohammed Ibn Saud Islamic University, Othman Bin Affan Road Alnada-7544, 13317-4233, Riyadh, Kingdom of Saudi Arabia.

Department of Otorhinolaryngology-Head and Neck Surgery, Imam Mohammad Ibn Saud Islamic University, Othman Bin Affan Road Alnada-7544, 13317-4233, Riyadh, Kingdom of Saudi Arabia.

出版信息

BMC Nurs. 2022 Nov 23;21(1):320. doi: 10.1186/s12912-022-01101-y.

Abstract

BACKGROUND

Nursing staff play a key role in the bedside management of tracheostomized patients in both intensive care units and general floors. Effective provision of postoperative care to these patients by nurses is critical. This study aimed to assess the readiness of nursing staff to manage tracheostomy-related complications in Riyadh, Saudi Arabia.

METHODS

This cross-sectional study enrolled 395 nurses in Riyadh, Saudi Arabia. A self-administered questionnaire developed by the authors was distributed to nurses via an online survey. The questionnaire assessed nurses' socio-demographic characteristics and their knowledge and practices regarding tracheostomy indications, postoperative care, and management of its complications.

RESULTS

Of respondents, approximately 59% (232/395) had poor knowledge regarding tracheostomy-related complications and indications, 39% (154/395) had moderate knowledge, and only 2%(9/395) had good knowledge. Several factors were associated with increased knowledge, including having a higher education degree, working in a tertiary/quaternary hospital, being a government employee, caring for tracheostomized patients, and attending courses or lectures on managing tracheostomized patients.

CONCLUSIONS

Knowledge level and practices regarding tracheostomy-related complications and indications among nurses remain limited. In-service continuous professional development programs for nurses working in all hospital settings are strongly recommended. Further research is warranted to elicit the major factors contributing to inadequate knowledge and practices among nurses in Riyadh.

摘要

背景

在重症监护病房和普通病房中,护理人员在气管切开患者的床边管理中起着关键作用。护士有效地为这些患者提供术后护理至关重要。本研究旨在评估沙特阿拉伯利雅得护理人员对气管切开相关并发症的处理准备情况。

方法

这项横断面研究纳入了沙特阿拉伯利雅得的395名护士。作者编制的一份自填式问卷通过在线调查分发给护士。该问卷评估了护士的社会人口学特征以及他们关于气管切开适应症、术后护理及其并发症处理的知识和实践情况。

结果

在受访者中,约59%(232/395)对气管切开相关并发症和适应症的知识掌握较差,39%(154/395)掌握程度中等,只有2%(9/395)掌握良好。几个因素与知识水平的提高相关,包括拥有更高的学历、在三级/四级医院工作、是政府雇员、护理气管切开患者以及参加有关气管切开患者管理的课程或讲座。

结论

护士对气管切开相关并发症和适应症的知识水平及实践能力仍然有限。强烈建议为所有医院环境中的护士开展在职持续专业发展项目。有必要进行进一步研究,以找出导致利雅得护士知识和实践不足的主要因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c31/9682812/0bb0f81c0d9f/12912_2022_1101_Fig1_HTML.jpg

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