全身性炎症反应综合征(SIRS)和败血症培训对儿科护士的影响

S. Mathema, P. Kayastha, P. Sharma
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摘要

研究表明,关键干预措施在降低儿童败血症患者死亡率方面的重要性。在卫生保健从业人员中,护士通常花最多的时间与病人在一起,他们必须在认识SIRS和败血症方面知识渊博,同时也意识到及时干预的重要性。目的:本研究的目的是评估儿科护士对SIRS的知识,并在败血症培训计划后重新评估他们的知识。方法:本时间序列设计研究于2017年2月至2019年2月进行,纳入24名参与照顾儿科患者的护理人员。护士被分成两组,接受为期一天的败血症培训。在四个不同的时间点对他们的儿童败血症知识进行定期评估。根据训练后立即与训练后12个月和24个月的平均数字分数的变化来计算知识的保留。结果:在“SIRS体征/症状的早期识别”和“知识应用评估”主题领域,护士接受培训后的平均得分与基线相比有显著变化(<0.001)。KAP评估显示,SIRS/脓毒症培训前的总分为14.5分(总分25分),一天培训后的平均知识得分为14.5分(总分22.3分),培训后12个月的知识保留率为19.2分,培训后24个月的知识保留率为15.9分,差异有统计学意义(<0.001)。结论:迫切需要对护理人员进行培训和不断的再培训,以确保其准确、有效地识别脓毒症的能力,从而有助于预防儿童的发病和死亡。
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The Impact of Systemic Inflammatory Response Syndrome (SIRS) and Sepsis Training on Pediatric Nurses
Introduction: Research demonstrates the importance of key interventions in reducing mortality rates of pediatric patients with sepsis. Of health care practitioners, nurses typically spend the most time with patients, and they must be knowledgeable in recognizing the SIRS and sepsis while also being aware of the importance of prompt intervention. Aims: The purpose of this study is to assess the knowledge of pediatric nurses of SIRS and reassess their knowledge after a sepsis training program. Methods: This time-series design study from February 2017 to February 2019 included 24 nursing staff involved in taking care of pediatric patients. The nurses were divided into two groups and they underwent a one-day training on sepsis. They were the evaluated periodically on their knowledge on pediatric sepsis at four different time points. The retention of knowledge was calculated based on the change in scores, as per mean numeric scores, immediately after the training compared to 12 and 24 months after the training.  Results: In the thematic area ‘Early recognition of signs/symptoms of SIRS’ and ‘Assessment of application of knowledge’, there was a significant change (<0.001) from baseline in the mean scores once the nurses underwent training. The KAP assessment revealed a low total score of 14.5 out of 25 prior to the SIRS/Sepsis training There was a significant change (<0.001) in the mean knowledge score after the one-day training, 14.5 compared to 22.3, and the knowledge was retained 12 months after the training 19.2, whereas after 24 months post-training was 15.9. Conclusion: There is an urgent need to train and constantly re-train our nursing staff to ensure their ability of to accurately and efficiently recognize sepsis and hence help prevent pediatric morbidity and mortality.
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