Department of Nursing, College of Medicine and Health Sciences, Injibara University, Injibara, Ethiopia.
Department of Nursing, Bahir Dar Health Science College, Bahir Dar, Ethiopia.
PLoS One. 2024 Sep 6;19(9):e0309823. doi: 10.1371/journal.pone.0309823. eCollection 2024.
Oxygen therapy is a life-saving intervention used in various healthcare settings to maintain adequate tissue oxygenation while minimizing cardiopulmonary work. Its effective and safe administration depends largely on the knowledge, attitudes, and practices of health professionals. However, there are no pooled studies that examined these skills in the context of Ethiopia. Therefore, this study aimed to assess the pooled prevalence of health professionals' knowledge, attitude, practice, and determinant factors about oxygen therapy in Ethiopia.
The databases PubMed, Web of Science, Scopus, Hinari, Science Direct, African Journal of Online, and Google Scholar were used to search for published studies; Direct Google searches and institutional repositories were used to search for unpublished studies. Duplicate studies were eliminated with Endnote X8 and reported according to PRISMA guidelines. The quality of the included studies was assessed using the Joanna Briggs Institute critical appraisal checklist. A random-effects model was used to estimate the pooled prevalence of KAP among health professionals. Heterogeneity was assessed using Cochran's Q test and I2 statistics. Publication bias was checked by visual inspection of a funnel plot and Egger's regression test. STATA version 11 software was used for statistical analysis.
A total of 14 studies with 2,960 participants for knowledge and practice and 9 studies with 1,991 participants for attitude were used to estimate the pooled prevalence of KAP among health professionals. The pooled prevalence of good knowledge, positive attitude, and good practice regarding oxygen therapy were 52.13% (95% CI: 43.88, 60.39), 55.08% (95% CI: 50.80, 59.35%), and 48.94% (95% CI: 41.14, 56.74) respectively. Both good knowledge and positive attitude were affected by the availability of oxygen therapy guidelines, with adjusted odds ratios (AOR) of 6.11 (95% CI: 2.45, 15.22) and 2.17 (95% CI: 1.39, 3.39) respectively. Additionally, good knowledge (AOR: 4.31, 95% CI: 1.53, 12.11), training (AOR: 4.09, 95% CI: 2.04-8.20), and having an adequate oxygen supply and delivery system (AOR: 3.12, 95% CI: 1.92-5.07) were statistically associated with good practice.
The national pooled prevalence of good knowledge, positive attitude, and good practice among health professionals was low. Therefore, thorough monitoring, supervision, and evaluation of their oxygen therapy is highly recommended for all stakeholders. Yet again, we strongly advise that the identified factors be improved by organizing training sessions, making oxygen therapy guidelines available, and maintaining an adequate oxygen supply system.
The review protocol was registered in the international prospective register of systematic reviews with registration number PROSPERO: CRD42023486036.
氧气疗法是一种在各种医疗保健环境中使用的救生干预措施，用于维持组织氧合，同时最大限度地减少心肺工作量。其有效和安全的管理在很大程度上取决于卫生专业人员的知识、态度和实践。然而，目前还没有汇集研究来检查埃塞俄比亚这些技能。因此，本研究旨在评估埃塞俄比亚卫生专业人员关于氧气疗法的知识、态度、实践及其决定因素的综合流行率。
使用 PubMed、Web of Science、Scopus、Hinari、Science Direct、African Journal of Online 和 Google Scholar 数据库搜索已发表的研究；直接使用 Google 搜索和机构知识库搜索未发表的研究。使用 Endnote X8 消除重复研究，并按照 PRISMA 指南进行报告。使用 Joanna Briggs 研究所的批判性评估清单评估纳入研究的质量。使用随机效应模型估计卫生专业人员 KAP 的综合流行率。使用 Cochran's Q 检验和 I2 统计评估异质性。通过可视化漏斗图和 Egger 回归检验检查发表偏倚。使用 STATA 版本 11 软件进行统计分析。
共有 14 项研究（2960 名参与者）用于评估知识和实践方面的 KAP 综合流行率，9 项研究（1991 名参与者）用于评估态度方面的 KAP 综合流行率。氧气疗法知识、态度和实践良好的综合流行率分别为 52.13%（95%CI：43.88，60.39）、55.08%（95%CI：50.80，59.35%）和 48.94%（95%CI：41.14，56.74%）。良好的知识和积极的态度都受到氧气治疗指南可用性的影响，调整后的优势比（AOR）分别为 6.11（95%CI：2.45，15.22）和 2.17（95%CI：1.39，3.39）。此外，良好的知识（AOR：4.31，95%CI：1.53，12.11）、培训（AOR：4.09，95%CI：2.04-8.20）和充足的氧气供应和输送系统（AOR：3.12，95%CI：1.92-5.07）与良好的实践有统计学关联。
全国卫生专业人员对氧气疗法的知识、态度和实践的综合流行率较低。因此，强烈建议所有利益攸关方对其氧气治疗进行全面监测、监督和评估。我们再次强烈建议通过组织培训课程、提供氧气治疗指南和维持充足的氧气供应系统来改善已确定的因素。
本综述方案已在国际前瞻性系统评价注册中心注册，注册编号为 PROSPERO：CRD42023486036。
