尼日利亚西南部某三级医疗机构卫生专业人员对临终病人姑息治疗的知识和态度:一项横断面研究

M. Odetunde, A. Owojuyigbe, O. Aaron, O. Odedeyi
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引用次数: 0

摘要

关于姑息治疗的现有资料表明,一些非洲国家的服务发展有所增加,尼日利亚在专门护理方面排名前三。然而,卫生专业人员(HP)在PC方面的知识和技能缺陷是对慢性危及生命疾病患者进行高质量治疗的一个重大障碍。本研究的目的是调查在尼日利亚的三级医疗机构HP的个人电脑知识和态度。这项横断面研究涉及260名同意的HP(医生、护士、职业治疗师、物理治疗师和社会工作者),有目的地从Ile-Ife的Obafemi Awolowo大学教学医院招募。分别采用Frommelt临终关怀态度(FATCOD)和姑息治疗态度与知识测验(PCAK)问卷对态度和知识进行评估。此外,还获得了受访者的社会人口统计信息。均值、标准差、频率和百分比的描述性统计;采用卡方检验和Pearson相关的推理统计方法对数据进行分析。α水平设为p<0.05。大多数(80%)受访者从未接受过正式的电脑培训,电脑知识贫乏。只有13人(5%)对个人电脑有良好的认识,而257人(98%)对个人电脑有良好的态度。被调查者的社会人口学特征与个人电脑知识(p<0.05)和个人电脑态度(p= 0.001)有显著相关。Pearson相关分析结果显示,被调查者个人电脑知识与态度之间存在显著相关(r= 0.167, p=0.007)。本研究中大多数HP对PC的认识较差,但态度较好。应将计算机专业纳入相关专业的本科课程,并整合对实践专业人员的持续专业培训
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KNOWLEDGE AND ATTITUDE OF HEALTH PROFESSIONALS ON PALLIATIVE CARE OF TERMINALLY-ILL PATIENTS IN A TERTIARY HEALTH INSTITUTION OF SOUTHWESTERN NIGERIA: A CROSS SECTIONAL STUDY
Existing information on Palliative Care (PC) indicated an increase in development of services in some African countries with Nigeria in top three on specialized care. However, knowledge and skill deficit in PC among health professionals (HP) is a significant barrier to quality treatment of patients with chronic life-threatening diseases. The aim of this study was to investigate the knowledge and attitude of PC among HP in a tertiary health institution in Nigeria. This cross-sectional study involved 260 consenting HP (Medical doctors, Nurses, Occupational therapists, Physiotherapists, and Social workers), purposively recruited from Obafemi Awolowo University Teaching Hospital, Ile-Ife. Attitude and knowledge were assessed using Frommelt attitude towards care of the dying (FATCOD) and the Palliative care attitude and knowledge quiz (PCAK) questionnaires respectively. Also, socio-demographic information of the respondents was obtained. Descriptive statistics of mean, standard deviation, frequency and percentages; and inferential statistics of Chi-Square test and Pearson’s correlation were used to analyze data. Alpha level was set at p<0.05. Majority (80%) of the respondents had never received formal PC training and demonstrated poor PC knowledge. Only 13 (5%) had good knowledge of, while 257 (98%) had favourable attitude towards PC. There were significant associations between respondents’ socio-demographic characteristics and each of knowledge of PC (p<0.05) and attitude towards PC (p= 0.001). Results of Pearson’s correlation indicated significant correlation between knowledge and attitude of the respondents on PC (r= 0.167, p=0.007). Most of the HP in this study had poor knowledge but favourable attitude towards PC. PC should be included in the undergraduate curriculum of concerned HP and continuous professional training be integrated for practicing professionals
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