Effect of an educational program on nurses' competency about fluid, electrolyte and Acid Base disturbances on acute liver failure patients' outcomes

A. Mohamed, M. Mohammed, M. Abdel-Malek
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Abstract

Background: Competent nurses must be able to comprehend and manage a patient's fluid and electrolyte balance in order to provide critical care. Abnormalities in these bodily fluids can have catastrophic implications. Aim: Effectiveness of an educational program about fluid, electrolyte and Acid Base disturbances among acute liver failure patients on nurses' competency and patients' outcomes. Patients and Methods: quasi-experimental research design. Participants: A convenience sample of 50 nurses working in the intensive care unit at a liver hospital and eighty patients with acute liver failure. Method: Three tools were used to collect the data: the Tool (I): Before/after knowledge estimation questionnaire and the Tool (II): Before/after observational checklist. Tool (III): was a patients' outcomes evaluation sheet used to assess the effect of an educational program on nurses' competency about fluid, electrolyte, and acid base disturbances among acute liver failure and Patients' outcomes. Results: The majority of nurses have insufficient total knowledge before the teaching program; after the teaching program, the mean score improved significantly, and patients outcomes improved. Conclusion: Implementing a teaching program leads to important progress in nurses' knowledge and acute liver failure patients' outcomes. Recommendations: continuous In–service training programs for the purpose of updating nurse`s knowledge and acute liver failure patients' outcomes.
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提高护士处理液体、电解质和酸碱紊乱能力的教育计划对急性肝衰竭患者预后的影响
背景:称职的护士必须能够理解和管理病人的体液和电解质平衡,以便提供重症护理。这些体液的异常会带来灾难性的影响。目的:关于急性肝衰竭患者体液、电解质和酸碱紊乱的教育计划对护士能力和患者预后的影响。患者和方法:准实验研究设计。参与者:50名在肝病医院重症监护室工作的护士和80名急性肝衰竭患者。方法:采用三种工具收集数据:使用三种工具收集数据:工具(I):前后知识评估问卷和工具(II):前后观察核对表。工具(III):患者疗效评估表,用于评估教育项目对护士掌握急性肝衰竭患者体液、电解质和酸碱紊乱的能力以及患者疗效的影响。结果显示大多数护士在教学计划前总知识不足;教学计划后,平均得分显著提高,患者预后也有所改善。结论实施教学计划后,护士的知识水平和急性肝衰竭患者的预后均有显著提高。建议:持续开展在职培训计划,以更新护士的知识并改善急性肝衰竭患者的预后。
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