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医疗服务提供者对镰状细胞病及其管理的知识:培训前后测试评估结果。

Healthcare providers' knowledge on sickle cell disease and its management: A pre- and post-training test evaluation outcome.

作者信息

Paintsil Vivian, Amuzu Evans Xorse, Ahmed Eunice, Oppong-Mensah Yaa Gyamfua, Osei Lesley, Eklu Bernice, Abubakar Suraj Yawnumah, Osei-Tutu Lawrence, Ansong Daniel, Osei-Akoto Alex, Sarfo Fred Stephen

机构信息

Department of Child Health, School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.

Sickle Cell Unit, Directorate of Child Health, Komfo Anokye Teaching Hospital, Kumasi, Ghana.

出版信息

PLoS One. 2025 Sep 8;20(9):e0332069. doi: 10.1371/journal.pone.0332069. eCollection 2025.

Abstract

In resource-limited settings in Africa, which harbour the greatest burden of Sickle Cell Disease (SCD) globally, poor care outcomes are driven in part, by a lack of trained healthcare providers (HCP) and an absence of context-specific treatment guidelines appropriate to the level of healthcare facility. The study aimed to evaluate the impact of a structured training program on HCP's knowledge of SCD in Ghana. This was prospective cross-sectional study involving HCPs from 46 health facilities from 4 out of 16 regions in Ghana. A curriculum and standard slides were developed by SCD experts based on the Sickle Pan African Research Consortium (SPARCO)Standards of care for Sickle Cell Disease in sub-Saharan Africa clinical recommendations. A full-day workshop highlighting the general overview of SCD, diagnosis, health maintenance, acute and chronic complications was then organized. A pre-training test and a post-training test immediately after the workshop were administered and analyzed. A total of 543 HCPs were trained, mostly from primary level facilities (77.7%). The average number of years working with SCD patients was 5 years (Range: < 1-20 years). Most (93%) HCPs had experience with SCD patients but only 43% reported using a form of guideline for the care of SCD patients. The average score in the pre-training test was 8.4/20 (SD:3.3) increasing to 13.1/20(SD:3.6) in the post-training test, (p-value <0.01). The average proportion of persons indicating a correct answer for a question was 50% at the pre-training test increasing to approximately 69% in the post-test, (p-value <0.01). The knowledge of HCPs about SCD and its management was generally low but improved significantly after the standardized training. Further studies are required to assess the impact of HCP training on health outcomes of SCD in resource limited settings.

摘要

在全球镰状细胞病(SCD)负担最重的非洲资源有限地区,护理效果不佳部分是由于缺乏训练有素的医疗服务提供者(HCP),以及缺乏适合医疗机构水平的针对具体情况的治疗指南。该研究旨在评估一项结构化培训计划对加纳医疗服务提供者关于镰状细胞病知识的影响。这是一项前瞻性横断面研究,涉及来自加纳16个地区中4个地区的46家医疗机构的医疗服务提供者。镰状细胞病专家根据镰状泛非研究联盟(SPARCO)撒哈拉以南非洲镰状细胞病护理标准临床建议制定了课程和标准幻灯片。随后组织了为期一天的研讨会,重点介绍镰状细胞病的概述、诊断、健康维护、急性和慢性并发症。在研讨会结束后立即进行并分析了培训前测试和培训后测试。总共543名医疗服务提供者接受了培训,其中大多数来自基层医疗机构(77.7%)。与镰状细胞病患者打交道的平均年限为5年(范围:<1 - 20年)。大多数(93%)医疗服务提供者有过镰状细胞病患者的治疗经验,但只有43%的人报告使用某种形式的指南来护理镰状细胞病患者。培训前测试的平均分数为8.4/20(标准差:3.3),培训后测试中提高到13.1/20(标准差:3.6),(p值<0.01)。在培训前测试中,对一个问题给出正确答案的人员平均比例为50%,测试后提高到约69%,(p值<0.01)。医疗服务提供者对镰状细胞病及其管理的知识总体较低,但在标准化培训后有显著提高。需要进一步研究来评估在资源有限环境中医疗服务提供者培训对镰状细胞病健康结果的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b65/12416636/e3647ee4c05b/pone.0332069.g001.jpg

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