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评估重症监护病房护士和医生关于经肠内喂养管给药的知识水平:一项调查研究。

Assessing knowledge levels of intensive care unit nurses and doctors regarding drug administration via enteral feeding tubes: a survey study.

作者信息

Gül Koçoğlu Kinal Ayşe, Ayhan Yunus Emre, Albayrak Aslınur

机构信息

Intensive Care Unit, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Turkiye.

Department of Clinical Pharmacy, Prof. Dr. Cemil Taşcıoğlu City Hospital, İstanbul, Turkiye.

出版信息

Turk J Med Sci. 2025 Feb 2;55(1):193-202. doi: 10.55730/1300-0144.5957. eCollection 2025.

DOI:10.55730/1300-0144.5957
PMID:40104309
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11913513/
Abstract

BACKGROUND/AIM: Knowledge deficiency regarding appropriate drug administration through enteral feeding tubes (EFTs) is common in intensive care units (ICUs). The aim of this study is to evaluate the knowledge levels of nurses and doctors in ICUs about drug administration via EFTs.

MATERIALS AND METHODS

This study was conducted as a cross-sectional online survey. Survey questions were created using Google Forms and distributed to nurses and doctors in various ICUs across hospitals in İstanbul, Türkiye. The researchers designed the survey questions based on literature reviews and existing examples. The survey consisted of three sections and a total of 25 questions: the first section included seven demographic questions, while the second and third sections focused on participants' knowledge regarding drug administration via EFT and the selection of appropriate dosage forms, respectively.

RESULTS

The online survey form was sent to 400 healthcare workers in ICUs, and 221 (55.2%) completed the survey. Among the participants, 66 (29.9%) were male, and 112 (50.6%) were doctors. There was no significant difference in the mean (± SD) of correct answers to 9 questions on drug administration between doctors (5.4 ± 1.3) and nurses (5.3 ± 1.4) (p = 0.471). In the mean (± SD) of correct answers to 9 questions on dosage form selection, doctors (3.9 ± 2.1) had higher scores than nurses (2.7 ± 1.9) (p < 0.001). The mean (± SD) of the responses given to all questions was found to be higher in doctors (9.4 ± 2.9) than in nurses (8 ± 2.7) (p < 0.001).

CONCLUSION

In ICUs, the knowledge of nurses and doctors about drug administration and dosage form selection via EFT is at a low to moderate level. Enhancing collaboration among healthcare professionals may be effective in bridging this knowledge gap.

摘要

背景/目的:在重症监护病房(ICU)中,对于通过肠内喂养管(EFT)进行适当药物给药的知识缺乏现象很常见。本研究的目的是评估ICU护士和医生关于通过EFT给药的知识水平。

材料与方法

本研究采用横断面在线调查的方式进行。调查问卷通过谷歌表单创建,并分发给土耳其伊斯坦布尔各医院不同ICU的护士和医生。研究人员根据文献综述和现有实例设计了调查问卷。该调查包括三个部分,共25个问题:第一部分包括7个人口统计学问题,而第二和第三部分分别侧重于参与者关于通过EFT给药的知识以及合适剂型的选择。

结果

在线调查问卷发送给了400名ICU医护人员,221人(55.2%)完成了调查。在参与者中,66人(29.9%)为男性,112人(50.6%)为医生。医生(5.4±1.3)和护士(5.3±1.4)在9个给药问题上的正确答案均值(±标准差)无显著差异(p = 0.471)。在9个剂型选择问题的正确答案均值(±标准差)方面,医生(3.9±2.1)得分高于护士(2.7±1.9)(p < 0.001)。发现医生(9.4±2.9)对所有问题的回答均值高于护士(8±2.7)(p < 0.001)。

结论

在ICU中,护士和医生关于通过EFT给药和剂型选择的知识处于低至中等水平。加强医护人员之间的合作可能有助于弥合这一知识差距。

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本文引用的文献

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Crit Care Nurs Q. 2024;47(4):286-295. doi: 10.1097/CNQ.0000000000000524. Epub 2024 Sep 13.
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Unraveling medication errors in enteral tube administration: A cross-sectional study in geriatric patients receiving home health care.剖析肠内管饲给药中的用药错误:一项针对接受居家医疗护理的老年患者的横断面研究。
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Clinical Decision Support System-Assisted Pharmacy Intervention Reduces Feeding Tube-Related Medication Errors in Hospitalized Patients: A Focus on Medication Suitable for Feeding-Tube Administration.临床决策支持系统辅助药学干预可减少住院患者的饲管相关用药错误:以适合饲管给药的药物为重点。
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Improving knowledge, attitudes, and practice of nurses in medication administration through enteral feeding tubes by clinical pharmacists: a case-control study.临床药师通过肠内喂养管改善护士给药知识、态度和实践的病例对照研究。
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