埃塞俄比亚转诊医院护士的氧气疗法实践及相关因素

IF 1.4 4区 医学 Q3 EMERGENCY MEDICINE African Journal of Emergency Medicine Pub Date : 2024-07-16 DOI:10.1016/j.afjem.2024.06.005
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引用次数: 0

摘要

目的补充氧气疗法是指提供高于大气中氧气含量(21%)的氧气,主要用于缺氧患者。为了避免低氧血症、高碳酸血症和氧中毒,护士要密切监测接受氧疗的患者。护士在氧疗实践中存在相当大的差距。接受不当氧疗的患者可能会产生负面影响,对个人和国家都会造成经济损失。本研究旨在评估埃塞俄比亚一家地区医院护士的氧疗实践以及影响氧疗管理的相关因素。方法2019 年 3 月 1 日至 3 月 30 日,在埃塞俄比亚西北部一家转诊医院工作的护士中开展了一项采用定量方法的横断面机构研究。结果在这项研究中,147 名参与者(91.3%)被发现在氧气疗法方面实践不足。研究发现,护士缺乏有关一氧化碳的知识、成年患者的典型呼吸频率、心肺功能以及患者难以接受的设备(面罩、鼻插管、氧气浓缩器、脉搏血氧计等)是影响氧气管理实践的相关因素。制度因素、知识差距和护士的态度被认为是影响给氧操作的决定性因素。护士最好阅读有关氧气管理的书籍,相互交流并接受进一步培训。
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Oxygen therapy practice and associated factors among nurses working at an Ethiopian Referral Hospital

Objective

Supplemental oxygen therapy is suppling oxygen at quantities higher than those found in the atmosphere (>21 %) and is mostly prescribed for hypoxic patients. To avoid hypoxemia, hypercapnia, and oxygen poisoning, nurses closely monitor patients receiving oxygen therapy. There are considerable gaps in nurses' practice of oxygen therapy. Patients who receive inappropriate oxygen therapy may have negative effects, and it has financial repercussions for both individuals and nations. The aim of this study was to assess oxygen therapy practices and associated factors influencing oxygen administration among nurses in an Ethiopian Regional Hospital.

Method

From March 1 to March 30, 2019, a cross-sectional institutional study using quantitative methods was performed amongst nurses working at a referral hospital in northwestern Ethiopia. Data was gathered using structured self-administered questionnaires.

Result

In this study, 147 participants (91.3 %) were found to have inadequate practice with oxygen therapy. Nurses' lack of knowledge about carbon monoxide, adult patients' typical breathing rates, cardiopulmonary function, and devices (face mask, nasal cannula, oxygen concentrators, pulse oximeter and others) that are difficult for patients to accept were found to be factors associated with oxygen administration practice.

Conclusion

The findings of this study showed that nurses' use of oxygen administration was subpar. The institutional factors, knowledge gaps, and attitudes of nurses were identified as the determinants affecting oxygen administration practice. Nurses would do better to read up on oxygen administration, interact with one another and undertake further training.

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来源期刊
CiteScore
2.40
自引率
7.70%
发文量
78
审稿时长
85 days
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