Endeshaw Destaw, Tesfaye Tadesse Dagget, Afewerk Sahileslassie, Adal Ousman, Belayneh Asnake Gashaw, Bogale Eyob Ketema, Yohannes Senay
Department of Adult Health Nursing, School of Health Sciences, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.
Department of Emergency and Critical Care Nursing, School of Health Sciences, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.
SAGE Open Nurs. 2024 Aug 16;10:23779608241274205. doi: 10.1177/23779608241274205. eCollection 2024 Jan-Dec.
Globally, ostomy creation rates are rising. Stomas, while life-saving, pose significant challenges. Nurses are vital in providing care and support to stoma patients. However, ostomy care practice and knowledge among Ethiopian nurses remain understudied. This study aimed to assess these aspects among nurses in Bahir Dar City, Ethiopia, in 2022.
An institutional-based cross-sectional study was conducted in three public hospitals in Bahir Dar City from September 19 to September 30, 2022. A simple random sampling technique was used to select 423 nurses. Binary logistic regression analysis was employed to identify associated factors toward dependent variables by considering -value <0.05 to be statistically significant.
From the total samples, 382(90.3%) responded to the questionnaire. The overall good knowledge and practice level of nurses regarding ostomy care was 55.2% and 52.1%, respectively. Taking ostomy care training {AOR = 2.44; 95% CI (1.29, 4.61)} and high level of a monthly income of study participants {AOR = 2.90; 95% CI (1.72, 4.91)} had a significant association with knowledge of ostomy care. On the other hand, taking courses on ostomy care {AOR = 1.76; 95% CI (1.06, 2.93)}, receiving training on ostomy care {AOR = 4.15; 95% CI (2.12, 8.09)} and good knowledge level on ostomy care {AOR = 2.13; 95% CI (1.32, 3.45)} were significantly associated with expressed practice of ostomy care.
The study found that only half of nurses exhibit good knowledge and practice in ostomy care. Training and monthly income significantly influence nurses' knowledge, while practice level is associated with training, course attendance, and knowledge. These findings highlight the importance of targeted training programs and education initiatives to enhance nurses' competence in ostomy care. It is also crucial to address factors like nurses' income levels to ensure equitable access to educational resources and opportunities for professional development, thus enhancing their knowledge.
在全球范围内，造口术的施行率正在上升。造口虽然能挽救生命，但也带来了重大挑战。护士在为造口患者提供护理和支持方面至关重要。然而，埃塞俄比亚护士的造口护理实践和知识仍未得到充分研究。本研究旨在评估2022年埃塞俄比亚巴赫达尔市护士在这些方面的情况。
2022年9月19日至9月30日，在巴赫达尔市的三家公立医院开展了一项基于机构的横断面研究。采用简单随机抽样技术选取423名护士。采用二元逻辑回归分析来确定与因变量相关的因素，将P值<0.05视为具有统计学意义。
在所有样本中，382名（90.3%）对问卷做出了回应。护士在造口护理方面的总体良好知识水平和实践水平分别为55.2%和52.1%。接受造口护理培训{AOR = 2.44；95%置信区间（1.29，4.61）}以及研究参与者的月收入水平较高{AOR = 2.90；95%置信区间（1.72，4.91）}与造口护理知识有显著关联。另一方面，参加造口护理课程{AOR = 1.76；95%置信区间（1.06，2.93）}、接受造口护理培训{AOR = 4.15；95%置信区间（2.12，8.09）}以及造口护理知识水平良好{AOR = 2.13；95%置信区间（1.32，3.45）}与造口护理的实际操作有显著关联。
研究发现，只有一半的护士在造口护理方面表现出良好的知识和实践能力。培训和月收入显著影响护士的知识水平，而实践水平与培训、课程参与度和知识水平相关。这些发现凸显了针对性培训项目和教育举措对于提高护士造口护理能力的重要性。解决护士收入水平等因素也至关重要，以确保公平获取教育资源和职业发展机会，从而提升他们的知识水平。
