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尼日利亚微创骨外科手术实践的挑战——一项关于住院医师认知的全国性调查

Challenges of minimally- invasive orthopaedic surgery practice in Nigeria - a national survey of residents' perceptive.

作者信息

Imediegwu Kelechi, Emmanuel Favour N, Felix Olikagu, Okonkwo Kenechukwu J, Dimson Chinonso J, Oge Ugwu, Edeani Bobby D, Acho Winifred A

机构信息

National Orthopaedic Hospital, Enugu, Nigeria, Orthopaedic surgery.

UNTH, College of Medicine.

出版信息

Afr Health Sci. 2024 Sep;24(3):401-409. doi: 10.4314/ahs.v24i3.44.

DOI:10.4314/ahs.v24i3.44
PMID:40777973
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12327106/
Abstract

BACKGROUND

Minimally invasive orthopaedic surgery (MIOS) practice globally has been on a gradual increase, however the current state in Nigeria is not same.

OBJECTIVES

To determine the challenges of minimally invasive orthopaedic surgery (MIOS) practice in Nigeria and proffer realistic suggestions to improve the current state in Nigeria.

METHODOLOGY

A descriptive cross-sectional online survey conducted among senior orthopaedic surgery residents across all specialist hospitals in Nigeria. Data was analysed with the SPSS software version 20. Significance was set at p<0.05. Mean and S.D scores were calculated for responses with Likert scales of 1-5 (5- strongly agree).

RESULTS

48 residents completed and submitted the questionnaire, response rate of about 70.6%. The results showed that the most significant factors affecting minimally invasive orthopaedic surgery practice in Nigeria were lack of funds (72.9% of respondents), unavailability of equipment and implants (60.4%), limited number of trainers and fellows skilled in minimal access surgery (54.2%). The narrowest Standard deviation reflecting closest precisions in perspectives of the challenges was a S.D of 0.794, Mean 4.02, which stated that there are very few courses on training of MIOS procedures.

CONCLUSION

Funds, training, equipment availability were the major challenges of minimally invasive orthopaedic surgery practice in Nigeria.

摘要

背景

全球范围内微创骨科手术（MIOS）的应用一直在逐步增加，但尼日利亚的现状并非如此。

目的

确定尼日利亚微创骨科手术（MIOS）应用面临的挑战，并提出切实可行的建议以改善尼日利亚的当前状况。

方法

对尼日利亚所有专科医院的高级骨科住院医师进行了一项描述性横断面在线调查。使用SPSS 20软件对数据进行分析。显著性设定为p<0.05。对于采用1-5李克特量表（5-强烈同意）的回答，计算均值和标准差得分。

结果

48名住院医师完成并提交了问卷，回复率约为70.6%。结果表明，影响尼日利亚微创骨科手术应用的最显著因素是资金短缺（72.9%的受访者）、设备和植入物供应不足（60.4%）、具备微创外科手术技能的培训人员和进修人员数量有限（54.2%）。反映对挑战看法最接近精确性的最小标准差为标准差0.794，均值4.02，这表明关于微创骨科手术程序培训的课程非常少。

结论

资金、培训、设备供应是尼日利亚微创骨科手术应用面临的主要挑战。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3445/12327106/15039deba6ac/AFHS2403-0401Fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3445/12327106/9ed6a05e3e0d/AFHS2403-0401Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3445/12327106/34c32b67472d/AFHS2403-0401Fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3445/12327106/00fc5cee978c/AFHS2403-0401Fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3445/12327106/232b65d4a795/AFHS2403-0401Fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3445/12327106/15039deba6ac/AFHS2403-0401Fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3445/12327106/9ed6a05e3e0d/AFHS2403-0401Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3445/12327106/34c32b67472d/AFHS2403-0401Fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3445/12327106/00fc5cee978c/AFHS2403-0401Fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3445/12327106/232b65d4a795/AFHS2403-0401Fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3445/12327106/15039deba6ac/AFHS2403-0401Fig5.jpg

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