知识和利用格拉斯哥昏迷量表(GCS)在评估昏迷患者在尼日利亚转诊保健中心的临床护士

Galadima, A. U.
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摘要

格拉斯哥昏迷量表(GCS)是护理人员和临床工作人员对患者进行神经系统评估的基础。该研究旨在确定尼日利亚阿达马瓦州约拉市莫迪博阿达马大学教学医院的护士使用GCS评估昏迷患者的知识水平、使用率和变量。材料与方法:本研究采用描述性研究横断面设计。本研究的样本量采用Yamane太郎的方法计算,对131名受访者进行了结构化问卷调查,以收集研究数据,其中117人成功填写并检索。对收集到的数据进行了分析并以表格形式呈现。结果:超过一半(60%)的受访护士为具有后基础护理资格的女性,61%的受访护士对GCS有所了解,88%和84%的受访护士分别表示对GCS的使用缺乏了解和对GCS的应用缺乏自信是阻碍其在日常实践中应用GCS的主要因素。结论:研究对象对GCS有较好的认识,对GCS的利用状况也较好。建议:根据调查结果,建议护士必须更加努力地保持他们在GCS检查方面的知识和实践,管理层应该建立一个教育团队来评估、指导和确保护士坚持正确使用GCS。
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Knowledge and Utilization of the Glasgow Coma Scale (GCS) in Evaluating Unconscious Patients among Clinical Nurses in a Nigerian Referral Health Centre
Introduction: Glasgow Coma Scale (GCS) is the foundation of the neurological appraisal of patients utilized by both nursing and clinical staff. The study was conducted to ascertain the level of knowledge, utilization and variables that prevent nurses using the GCS to evaluate unconscious patients at the teaching hospital of Modibbo Adama University in Yola, Adamawa state, Nigeria. Materials and Methods: The study utilized descriptive research cross-sectional design. the sample size for the study was calculated using Taro Yamane’s method, a structured questionnaire was administered to 131 respondents to collect data for the study out of which 117 were successfully filled and retrieved. Data collected was analysed and presented on tables. Finding: The findings revealed that more than half of the respondents (60%) were female with post basic nursing qualification, majority (61%) of the nurses surveyed were knowledgeable of GCS, 88% & 84% of respondents respectively reported that lack of knowledge regarding the GCS’s use and not having self-confidence regarding the application of GCS were the main factors that hindered them to their capacity to apply the GCS in their routine practice. Conclusion: It was concluded that the study subjects had good knowledge of GCS, so also utilization status of the GCS was very good. Recommendation: Based on the findings, it was recommended that Nurses must work harder to stay current with their knowledge and practice doing the GCS examination, and management should create an educational team to evaluate, instruct and make sure that nurses adhere to utilizing the GCS appropriately.
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