加纳库马西医护人员对老年病护理的认识、态度和实践。

IF 2.4 Q2 HEALTH CARE SCIENCES & SERVICES Health Services Insights Pub Date : 2024-09-28 eCollection Date: 2024-01-01 DOI:10.1177/11786329241285529
Emmanuel Amoateng, Manasseh B Wireko, Augustine Y Assah, Michael Darko Ashaley, Samudeen Sani, Henry S Opare-Addo, Gordon A Manu
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引用次数: 0

摘要

背景:加纳老年人口正以最快的速度增长,这已成为一种负担,因为增长速度与为满足老年人日益恶化的健康需求而进行的医疗投资不成正比。这就造成了在获得医疗服务方面的差异和不平等,再加上医疗服务提供者的服务质量差,不平等就进一步扩大了。医疗服务差与医疗服务提供者的知识贫乏和态度恶劣有关,因此,本研究旨在探讨医疗从业人员对老年病护理的知识、态度和实践(KAP)水平:本研究采用横断面调查设计和简单的分层随机技术来选择研究对象。在抽取的 257 名参与者中,共收到 215 份回复,回复率为 83.6%。其中,护士 166 人,占有效问卷的 83%;医务人员、医生助理和其他专职医疗人员 34 人,占有效问卷的 17%。采用结构化问卷调查法,使用老年患者知识测验(KOP-Q)和科根老年态度量表(KAOP)对老年患者知识和态度进行评估。以平均得分 80% 为标准,将知识、态度和实践分为好坏两类。采用 Kruskal-Wallis H 检验比较医务人员对老年护理的知识、态度和实践的平均等级:结果表明,大多数参与者(94%)对老年病护理的了解程度较低。大多数参与者(84%)没有进行良好的老年病护理。医疗服务提供者之间的知识水平存在差异,且差异具有统计学意义(P = .045)。医生的知识平均得分最低(78.61)。护士(100.27)和医生助理(106.15)的平均知识得分排名中等。尽管没有统计学意义,但实践得分从高到低的排序依次为:医生助理(112.95)、护士(99.19)和医生(79.21)。然而,在实践得分(P = .067)或态度得分(P = .097)方面,不同职业之间没有明显的统计学差异:结论:医疗服务提供者对老年护理的认识不足,态度不端正,这可能与他们提供的服务有关,从而影响老年人对医疗服务的光顾。这为有关当局敲响了警钟,要求他们组织持续的专业培训,使医疗服务提供者能够改善他们的服务。
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Knowledge, Attitude, and Practice of Geriatric Care Among Health Care Professionals in Kumasi, Ghana.

Background: The Ghanaian elderly population is increasing at the fastest rate and this has become a burden as the rate is not proportional to the investment in health to meet their deteriorating health needs. This creates discrepancies and inequalities in healthcare access and coupled with poor healthcare provider services, the inequalities widen. Poor care services are related to poor knowledge and bad attitudes of care providers hence this study seeks to explore the health practitioners' level of knowledge, attitude, and practice (KAP) toward geriatric care.

Methods: The study used a cross-sectional survey design with a simple stratified random technique to select study participants. Out of 257 participants who were sampled for the study, 215 responses were received, representing 83.6% response rate. However, 200 questionnaires were complete (93%) and valid for analysis, which consisted of 166 nurses, representing 83% valid responses, and 34 medical officers, physician assistants, and other allied health care providers, representing 17% valid responses from these professionals. A structured questionnaire was used to assess KAP using the knowledge about Older Patients Quiz (KOP-Q) and Kogan's Attitudes toward Old People Scale (KAOP). Using a mean score of 80%, knowledge, attitude, and practice were dichotomized into good or bad. The Kruskal-Wallis H test was used to compare mean rank across health professionals' knowledge, attitude, and practice of geriatric care.

Results: It shows that the majority (94%) of participants have low levels of knowledge in geriatric care. The majority (84%) of participants do not practice good geriatric care. Differences in knowledge exist among health providers and were statistically significant (P = .045). Doctors had the lowest mean knowledge score (78.61). Nurses (100.27) and physician assistants (106.15) had moderate mean knowledge score ranks. Although not statistically significant, the rank order for practice scores from highest to lowest was: physician assistants (112.95), nurses (99.19), and doctors (79.21). There were however no statistically significant differences between professions in practice scores (P = .067), or attitude scores (P = .097).

Conclusion: Health care providers have low knowledge and, bad attitude toward aged care and this may be related to their service delivery which may affect the aged patronage of healthcare services. This is a wake-up call for authorities to organize continuous professional development to enable care providers to improve their service delivery.

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来源期刊
Health Services Insights
Health Services Insights HEALTH CARE SCIENCES & SERVICES-
CiteScore
3.60
自引率
0.00%
发文量
47
审稿时长
8 weeks
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