埃尔比勒市医院护士对摇晃婴儿综合征的了解

N. Shaker, M. Muhammad, G. Aziz
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摘要

背景和目的:摇晃婴儿综合征和儿童虐待头部创伤是儿童身体虐待导致死亡和发病的最常见原因。护士在父母关于预防虐待儿童的教育方面起着主要作用。本研究旨在评估埃尔比勒市护士对摇晃婴儿综合症的认知。方法:对埃尔比勒市Rapareen儿科教学医院2017年的产房、产房、病房、住院部和重症监护室进行描述性研究。有目的的50名护士被招募到这项研究中。数据收集采用问卷采访研究参与者,数据分析采用描述性和推理统计分析。结果:研究结果显示,大多数研究参与者年龄在19-25岁之间,大多数人对摇晃婴儿综合征的体征和症状(易怒,嗜睡,喂养不良呼吸问题,无法控制的哭泣,呕吐,皮肤发蓝,睡眠模式改变,抽搐或癫痫发作和无反应)缺乏足够的了解。护士对这种情况的危险因素也缺乏足够的了解。只有四分之一的护士知道家庭暴力是一个风险因素,不到四分之一的护士认识到照顾者的抑郁和药物滥用是一个风险因素。在对并发症的了解方面,研究发现,四分之一的护士知道脑损伤、脑瘫和失明是摇晃婴儿综合症的并发症。结论:大多数护士对摇晃婴儿综合征的病因、体征、症状、危险因素及并发症的了解程度较低。
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Knowledge of Shaken Baby Syndrome among Hospital Nurses in Erbil City
Background and objectives: Shaken baby syndrome and pediatric abuse head trauma are the most common causes of mortality and morbidity due to physical child abuse. Nurses have a main role in parents’ education regarding child abuse prevention. This study aimed to assess nurses’ knowledge regarding shaken baby syndrome in Erbil City. Methods: A descriptive study was conducted at postpartum units, the delivery room and the ward at the Maternity Teaching Hospital, and the inpatient and intensive care units at Rapareen Pediatric Teaching Hospital in 2017 in Erbil City. A purposive sample of 50 nurses was recruited to the study. The data collection was performed using a questionnaire for interviewing the study participants, and the data were analyzed using descriptive and in-ferential statistical analysis. Results: The study findings revealed that the majority of the study participants were 19-25 years old and most did not have enough knowledge regarding the signs and symptoms of the shaken baby syndrome (irritability, lethargy, poor feeding breathing problems, uncon-trollable crying, vomiting, bluish skin, changes in sleeping pattern, convulsions or seizures and unresponsiveness). Nurses also had insufficient knowledge about the risk factors of this condition. Only a quarter of nurses knew that domestic violence is a risk factor and less than a quarter of them recognized depression and substance abuse of the caregiver as a risk factor. Regarding knowledge of the complications, the study found that a quarter of nurses knew that brain damage, cerebral palsy and blindness are complications of the shaken baby syndrome. Conclusions: Majority of nurses had poor knowledge about causes, signs, symptoms, risk factors and complications of the shaken baby syndrome.
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