Teshale Mikiyas Muche, Moges Nurilign Abebe, Bitew Mezinew Sintayehu, Birhanie Setarg Ayenew, Gedfew Mihretie, Negese Belete, Telayneh Animut Takele, Ayenew Temesgen, Tsegaye Dejen
Debre Markos University, College of Health Science, Department of Nursing, Ethiopia.
Debre Markos University, College of Health Science, Department of Public health, Ethiopia.
Afr J Emerg Med. 2024 Sep;14(3):186-192. doi: 10.1016/j.afjem.2024.06.005. Epub 2024 Jul 16.
Supplemental oxygen therapy is suppling oxygen at quantities higher than those found in the atmosphere (>21 %) and is mostly prescribed for hypoxic patients. To avoid hypoxemia, hypercapnia, and oxygen poisoning, nurses closely monitor patients receiving oxygen therapy. There are considerable gaps in nurses' practice of oxygen therapy. Patients who receive inappropriate oxygen therapy may have negative effects, and it has financial repercussions for both individuals and nations. The aim of this study was to assess oxygen therapy practices and associated factors influencing oxygen administration among nurses in an Ethiopian Regional Hospital.
From March 1 to March 30, 2019, a cross-sectional institutional study using quantitative methods was performed amongst nurses working at a referral hospital in northwestern Ethiopia. Data was gathered using structured self-administered questionnaires.
In this study, 147 participants (91.3 %) were found to have inadequate practice with oxygen therapy. Nurses' lack of knowledge about carbon monoxide, adult patients' typical breathing rates, cardiopulmonary function, and devices (face mask, nasal cannula, oxygen concentrators, pulse oximeter and others) that are difficult for patients to accept were found to be factors associated with oxygen administration practice.
The findings of this study showed that nurses' use of oxygen administration was subpar. The institutional factors, knowledge gaps, and attitudes of nurses were identified as the determinants affecting oxygen administration practice. Nurses would do better to read up on oxygen administration, interact with one another and undertake further training.
补充氧气疗法是提供高于大气中含量（>21%）的氧气，主要用于缺氧患者。为避免低氧血症、高碳酸血症和氧中毒，护士会密切监测接受氧气疗法的患者。护士在氧气疗法的实践中存在相当大的差距。接受不适当氧气疗法的患者可能会产生负面影响，这对个人和国家都有经济影响。本研究的目的是评估埃塞俄比亚一家地区医院护士的氧气疗法实践以及影响氧气供应的相关因素。
2019年3月1日至3月30日，在埃塞俄比亚西北部一家转诊医院工作的护士中进行了一项采用定量方法的横断面机构研究。使用结构化的自填问卷收集数据。
在本研究中，发现147名参与者（91.3%）在氧气疗法方面实践不足。护士对一氧化碳、成年患者的典型呼吸频率、心肺功能以及患者难以接受的设备（面罩、鼻导管、制氧机、脉搏血氧仪等）缺乏了解，被发现是与氧气供应实践相关的因素。
本研究结果表明护士在氧气供应方面的使用情况不佳。机构因素、知识差距和护士的态度被确定为影响氧气供应实践的决定因素。护士最好加强对氧气供应的学习，相互交流并接受进一步培训。
