肯尼亚一家三级医院护士对氧气疗法的了解:对患者护理和培训需求的影响

Lucy W. K., Joseph O., Caroline M., Maggie Z., Irene N.
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摘要

目的:本研究旨在评估一家资源有限的转诊医院儿科和内科护士对氧疗的了解程度。设计:横断面调查。方法: 对所有护士进行问卷调查:共有 213 名护士参与了调查,他们填写了一份急性氧疗问卷,以评估其氧疗知识。采用描述性统计方法对数据进行分析,并在 P < 0.05 时采用卡方检验或 t 检验探讨变量之间的关联。结果参与研究的护士平均年龄为 37 岁,50% 以上为女性。平均而言,参与者在过去三年中没有接受过任何有关氧疗的进修课程。结果发现,男护士(p = 0.008)、了解世界卫生组织氧疗指南(p = 0.006)和高级职位(0.028)的护士对氧疗知识的了解程度较高。儿科护士在 "识别低氧血症 "领域的得分高于内科护士(p = 0.003)。参与者识别正确项目数最少的领域是 "临床实践"(3.23 ± 1.04)。年龄越大(r2 = -0.135)和在医疗机构工作时间越长(r2 = -0.156),对正确记录氧疗知识的了解越少。结论 本研究发现了肯尼亚一家转诊医院护士在氧疗知识方面存在的差距,并强调了对参与氧疗管理的护士进行再培训的重要性。
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Knowledge of Oxygen Therapy among Nurses in a Tertiary Hospital in Kenya: Implications for Patient Care and Training Needs
Aim: The aim of this study was to evaluate the knowledge of oxygen therapy among nurses working in pediatric and medical units at a referral hospital in limited resource setting. Design: A Cross-Sectional Survey. Methods: A total of 213 nurses participated after completing an acute oxygen therapy questionnaire that assessed their knowledge of oxygen therapy. The data were analyzed using descriptive statistics and explored the association between variables with chi-square or t-test at P < 0.05. Results: The mean age of participating nurses was 37 years, and over 50% were female. On average, participants had not undergone any refresher course on oxygen therapy in the preceding three years. Oxygen therapy knowledge was found to be higher in male nurses (p = 0.008), those who were aware of the WHO guidelines for oxygen therapy (p = 0.006), and those in senior positions (0.028). Paediatric nurses scored higher in the ‘Recognizing Hypoxemia’ domain than nurses in the medical department (p = 0.003). The domain with the lowest number of correct items identified by participants was ‘Clinical Practices’ (3.23 ± 1.04). Being older (r2 = -0.135) and having worked in the facility for longer (r2 = -0.156) correlated with low knowledge of correct oxygen therapy documentation. Conclusion This study identified gaps in knowledge of oxygen therapy among nurses at a referral hospital in Kenya and emphasized the importance of re-training nurses involved in oxygen therapy administration.
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