Atomsa Lammi, Temesgen Sidise, Dechasa Abebe, Ayana Mulatu, Amena Nimona, Teklehymanot Dawit, Regea Firaol
Department of Nursing, School of Nursing and Midwifery, Wallaga University, Nekemte, Ethiopia.
College of Health Sciences, Ambo University, Ambo, Ethiopia.
Front Public Health. 2024 Dec 18;12:1498406. doi: 10.3389/fpubh.2024.1498406. eCollection 2024.
Preoperative teaching is fundamental nursing activity in which a nurse educates the patient about surgery and what to anticipate following the procedure. It is a process via which nurses give standard preoperative information to patients before surgery, and it enables the patients to understand their diagnosis and treatment, actively participate in their own care, overcome feelings of incapacity in relation to their condition, regain health, and maintain home care. However, there is a dearth of studies that determine the extent of preoperative teaching practice in Ethiopia in general and in the study area in particular.
This study aimed to assess preoperative patient teaching practices and the factors associated with these practices among nurses working in hospitals in the West Shoa, Oromia region, Ethiopia, in 2022.
An institution-based cross-sectional study was conducted among 267 nurses from 1 September to 30 September 2022, at hospitals in the West Shoa Zone. Two-stage simple random sampling technique was used to select study participants. Data were collected using a pretested and structured self-administered questionnaire. The quantitative data were checked and entered using Epi-data version 4.6 and exported to SPSS version 26.0 for analysis. Bivariable and multivariable logistic analyses were performed, and -values of <0.05 at a 95% confidence interval were considered statistically significant.
A total of 253 nurses returned the entire questionnaire, yielding a response rate of 94.75%. The study enrolled 132 (52.2%) male, the highest percentage (231, 91.3%) of the participants were in the age group of 18-35, the majority of participants (152, 60.1%) were married, and 164 (64.8%) were protestant. Approximately 101 (39.9%) participants demonstrated good preoperative teaching practice. Lack of teaching material, lack of training workload, time constraints, insufficient staffing, language barrier, severity of patient cases, patient and family's anxiety, and complexity of patients' status were significantly associated with preoperative patient teaching practice.
The proportion of preoperative patient teaching practices among nurses working at hospitals in the West Shoa Zone was low. Concerned bodies should emphasize ways to improve preoperative teaching practice.
术前教育是一项基本的护理活动，护士通过该活动让患者了解手术及术后预期情况。这是一个护士在手术前向患者提供标准术前信息的过程，能使患者了解自身的诊断和治疗，积极参与自身护理，克服因病情产生的无助感，恢复健康并维持家庭护理。然而，总体而言，确定埃塞俄比亚术前教育实践程度的研究较少，在研究区域尤其如此。
本研究旨在评估2022年在埃塞俄比亚奥罗米亚州西绍阿地区医院工作的护士的术前患者教育实践情况以及与这些实践相关的因素。
2022年9月1日至9月30日，在西绍阿地区的医院对267名护士进行了一项基于机构的横断面研究。采用两阶段简单随机抽样技术选择研究参与者。使用预先测试和结构化的自填问卷收集数据。定量数据使用Epi - data 4.6版进行检查和录入，并导出到SPSS 26.0版进行分析。进行了双变量和多变量逻辑分析，95%置信区间内p值<0.05被认为具有统计学意义。
共有253名护士返回了完整问卷，回复率为94.75%。该研究纳入了132名（52.2%）男性，参与者中最高比例（231名，91.3%）年龄在18 - 35岁，大多数参与者（152名，60.1%）已婚，164名（64.8%）是新教徒。约101名（39.9%）参与者表现出良好的术前教育实践。缺乏教学材料、培训工作量大、时间限制、人员不足、语言障碍、患者病情严重程度、患者及家属焦虑以及患者状况复杂与术前患者教育实践显著相关。
西绍阿地区医院护士的术前患者教育实践比例较低。相关机构应着重探讨改善术前教育实践的方法。
