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医务人员对儿童哮喘紧急情况管理方案的运用

Medical Personnel's Utilization of Management Protocol for Pediatric Asthma Emergencies.

作者信息

Ziyaaba Emmanuel Nyaabil, Wuaku Delali Adwoa, Maabobra Martin Anoyang, Senoo-Dogbey Vivian Efua

机构信息

Ghana College of Nurses and Midwives, Accra, Ghana.

Department of Nursing Research, Nursing and Midwifery Training College, Accra, Ghana.

出版信息

SAGE Open Nurs. 2025 Sep 8;11:23779608251376217. doi: 10.1177/23779608251376217. eCollection 2025 Jan-Dec.

Abstract

INTRODUCTION

Evaluating the utilization of protocols used in managing asthma emergencies in the pediatric setting should be effective in preventing errors during emergency procedures. To ensure that pediatric asthma emergencies are managed properly, there is a need for healthcare personnel to adhere to guidelines for the management of pediatric asthma emergencies.

AIM

To evaluate the utilization of management protocol for pediatric asthma emergencies.

METHODOLOGY

Cross-sectional survey, using a semi-structured questionnaire to gather data from medical personnel to determine the effective use of asthma guidelines in the emergency management of pediatrics. Data were analyzed using SPSS version 27.0. Pearson's Chi-square test of association was used to determine the association between the dependent and independent variables, with a p-value < 0.05 regarded as statistically significant in association.

FINDINGS

Adherence (mean score = 3.49, SD = 1.342) for nurses and a (mean score = 4.25, SD = 0.463) adherence for physicians to the protocol for the management of pediatric asthma emergencies at the health facility. There was a significant statistical association between adherence to the pediatric asthma emergency protocol and the management outcome of pediatric asthma emergency protocol (p-value 0.001).Inadequate resources, such as resuscitation equipment (66.7%) and nebulizers (55.9%), were the barriers hindering the adherence and utilization of the management protocol for pediatric asthma.

CONCLUSION

Although there is high utilization and adherence to the management protocol for pediatric asthma emergencies, availability of essential equipment, training nurses and physicians to sustain the utilization and the positive outcome of the protocol guidelines are needed.

摘要

引言

评估儿科环境中用于管理哮喘紧急情况的方案的使用情况,应能有效预防紧急程序中的错误。为确保儿科哮喘紧急情况得到妥善管理,医护人员需要遵守儿科哮喘紧急情况管理指南。

目的

评估儿科哮喘紧急情况管理方案的使用情况。

方法

横断面调查,使用半结构化问卷从医务人员处收集数据,以确定哮喘指南在儿科紧急管理中的有效使用情况。使用SPSS 27.0版对数据进行分析。采用Pearson卡方关联检验来确定因变量和自变量之间的关联,p值<0.05被视为具有统计学意义的关联。

结果

在该医疗机构中,护士对儿科哮喘紧急情况管理方案的依从性(平均得分=3.49,标准差=1.342),医生的依从性(平均得分=4.25,标准差=0.463)。遵守儿科哮喘紧急情况方案与儿科哮喘紧急情况管理结果之间存在显著的统计学关联(p值0.001)。复苏设备(66.7%)和雾化器(55.9%)等资源不足是阻碍儿科哮喘管理方案依从性和使用的障碍。

结论

尽管对儿科哮喘紧急情况管理方案的利用率和依从性较高,但仍需要提供必要设备,培训护士和医生以维持方案指南的使用和积极效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73ea/12417670/bc7bf7cf0990/10.1177_23779608251376217-fig1.jpg

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