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护士对血液透析血管通路装置的认知:巴勒斯坦的一项横断面研究。

Nurses' knowledge toward hemodialysis vascular access devices: A cross-sectional study in Palestine.

作者信息

Abu El-Kass Sae'd, Ahmed Nisreen, Kannan Tahreer, Abu Shediq Narmean, El Dirani Esraa

机构信息

Faculty of Nursing and Health Sciences, Department of Nursing, University College of Applied Sciences, Gaza Strip, Palestine.

Faculty of Medical Sciences, Department of Nursing, Al-Aqsa University, Gaza Strip, Palestine.

出版信息

SAGE Open Med. 2024 Oct 29;12:20503121241264444. doi: 10.1177/20503121241264444. eCollection 2024.

Abstract

OBJECTIVE

To assess the nurses' knowledge of vascular access devices for patients undergoing hemodialysis programs in the Gaza Strip, Palestine.

METHODS

A descriptive cross-sectional study was conducted to assess the nurses' knowledge of hemodialysis vascular access using the convenience sampling technique. The assessment tool comprised 60 items related to the nurses' knowledge and 7 items on demographic characteristics at hemodialysis units in 5 governmental hospitals in the Gaza Strip, between March and June 2023. Statistical analysis of the collected data was performed using SPSS version 22.

RESULTS

A total of 65 nurses in hemodialysis units were included. Of the majority of study nurses 71% were male, 21.5% of nurses had fair knowledge, and 78.5% had good knowledge about vascular access devices. The overall average score was more than 70% in all dimensions, which revealed good knowledge about vascular access devices. The study indicated that there was a statistically significant association between nurses' knowledge of vascular access devices and (years of experience in the hemodialysis unit, and received training of nurses).

CONCLUSIONS

The knowledge of hemodialysis nurses toward vascular access devices for patients undergoing hemodialysis was good. The years in the hemodialysis unit and having training have shown significant association with knowledge among hemodialysis nurses on vascular access devices care. Thus, interventions should focus on providing training for nurses about vascular access devices care in hemodialysis units to improve the comprehensive knowledge of nurses and to maintain patient's health status.

摘要

目的

评估巴勒斯坦加沙地带接受血液透析治疗的患者的护士对血管通路装置的了解情况。

方法

采用便利抽样技术进行描述性横断面研究,以评估护士对血液透析血管通路的了解情况。评估工具包括60项与护士知识相关的项目以及7项关于加沙地带5家政府医院血液透析单位人口统计学特征的项目,研究时间为2023年3月至6月。使用SPSS 22版对收集的数据进行统计分析。

结果

共纳入65名血液透析单位的护士。大多数参与研究的护士中,71%为男性,21.5%的护士知识水平一般,78.5%的护士对血管通路装置有良好的了解。所有维度的总体平均得分均超过70%,这表明对血管通路装置有良好的了解。研究表明,护士对血管通路装置的了解与(在血液透析单位的工作年限以及接受的护士培训)之间存在统计学上的显著关联。

结论

血液透析护士对接受血液透析治疗患者的血管通路装置的了解情况良好。在血液透析单位的工作年限和接受培训与血液透析护士对血管通路装置护理的知识之间存在显著关联。因此,干预措施应侧重于为血液透析单位的护士提供有关血管通路装置护理的培训,以提高护士的综合知识水平并维持患者的健康状况。

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KDOQI Clinical Practice Guideline for Vascular Access: 2019 Update.KDIGO 临床实践指南:血管通路 2019 更新版。
Am J Kidney Dis. 2020 Apr;75(4 Suppl 2):S1-S164. doi: 10.1053/j.ajkd.2019.12.001. Epub 2020 Mar 12.
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Innovations in vascular access for hemodialysis.血液透析血管通路的创新。
Kidney Int. 2019 May;95(5):1053-1063. doi: 10.1016/j.kint.2018.11.046. Epub 2019 Mar 4.

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