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健康专业人员在基本生命支持方面的知识和实践及其在埃塞俄比亚的预测因素:系统评价和荟萃分析。

Health Professionals' knowledge and practice on basic life support and its predicting factors in Ethiopia: Systematic review and meta-analysis.

机构信息

Department of pediatric and neonatal Nursing, College of Health Science, Debre Tabor University, Debre Tabor, Ethiopia.

Department of Midwifery, College of Health Science, Debre Tabor University, Debre Tabor, Ethiopia.

出版信息

PLoS One. 2024 Apr 9;19(4):e0297430. doi: 10.1371/journal.pone.0297430. eCollection 2024.

DOI:10.1371/journal.pone.0297430
PMID:38593136
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11003682/
Abstract

BACKGROUND

Basic Life Support (BLS) is a sequence of care provided to patients who are experiencing respiratory arrest, cardiac arrest, or airway obstruction. Its main purpose is to maintain the airway, breathing, and circulation through CPR. This review aimed to estimate the pooled prevalence of Health Professionals' knowledge and practice on basic life support in Ethiopia.

METHOD

Eligible primary studies were accessed from international database (PubMed, Google Scholar, Hinari databases) and grey literatures found in online repositories. The required data were extracted from those studies and exported to Stata 17 for analysis. A weighted inverse-variance random-effects model and Der Simonian-Laird estimation method were used to compute the overall pooled prevalence of Health Professional's knowledge, practice of basic life support and its predictors. Variations across the included studies were checked using forest plot, funnel plot, I2 statistics, and Egger's test.

RESULT

A total of 5,258 Health Professionals were included from 11 studies. The pooled prevalence of knowledge and practice outcomes on basic life support in Ethiopia were 47.6 (95% CI: 29.899, 65.300, I2: 99.21%) and 44.42 (95% CI: 16.42, 72.41, I2: 99.69) respectively. Educational status of the Professional's was significantly associated with knowledge outcome. Those who had degree and above were 1.9 times (AOR: 1.90 (1.24, 2.56)) more likely knowledgeable on basic life support than under degree.

CONCLUSION

The overall pooled estimates of Health Professionals knowledge and practice on basic life support was considerably low. The educational status of the Health Professionals was significantly associated with knowledge outcome. The Health Professionals and responsible stakeholders should focus on the basic life support at Health Institutions. The professionals should advance their knowledge and skill on basic life support for the patients.

摘要

背景

基础生命支持(BLS)是为出现呼吸暂停、心脏骤停或气道阻塞的患者提供的一系列护理。其主要目的是通过心肺复苏术维持气道、呼吸和循环。本综述旨在估计埃塞俄比亚卫生专业人员基本生命支持知识和实践的综合流行率。

方法

从国际数据库(PubMed、Google Scholar、Hinari 数据库)和在线存储库中找到的灰色文献中获取合格的原始研究。从这些研究中提取所需的数据并导出到 Stata 17 进行分析。使用加权倒数方差随机效应模型和 Der Simonian-Laird 估计方法计算卫生专业人员知识、基本生命支持实践及其预测因素的总体综合流行率。使用森林图、漏斗图、I2 统计量和 Egger 检验检查纳入研究之间的差异。

结果

共有 11 项研究纳入了 5258 名卫生专业人员。埃塞俄比亚基本生命支持知识和实践结果的综合流行率分别为 47.6%(95%CI:29.899,65.300,I2:99.21%)和 44.42%(95%CI:16.42,72.41,I2:99.69)。专业人员的教育状况与知识结果显著相关。具有学位及以上学历的人对基本生命支持的了解程度是学历以下的人的 1.9 倍(AOR:1.90(1.24,2.56))。

结论

卫生专业人员基本生命支持知识和实践的总体综合估计值相当低。卫生专业人员的教育状况与知识结果显著相关。卫生专业人员和相关利益攸关方应在卫生机构中关注基本生命支持。专业人员应提高他们对基本生命支持的知识和技能,以帮助患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20a0/11003682/349fdf17eb02/pone.0297430.g009.jpg
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