剖宫产病人的伤口护理教育:助产学学生知道些什么?

Angelina Abban Ansu
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摘要

背景:与剖宫产(CS)相关的并发症,如手术部位感染(ssi)是复杂的。CS伤口感染的后果非常严重。与CS伤口感染相关的一个主要危险因素是CS患者缺乏伤口护理知识。见习助产士的知识是至关重要的,如果他们要教育CS客户的伤口护理。目的:探讨助产学学生对CS客户伤口护理教育的认知情况。材料和方法:这项横断面研究专门使用了大阿克拉地区助产培训学院的339名助产学最后一年的学生。参与者回答了一份根据相关文献制定的问卷。数据采用频率和百分比分析。统计分析:Stata SE版本13软件。结果:317名(93.1%)、325名(96%)、320名(94.4%)分别对CS、手术部位伤口护理和CS患者伤口护理知识有所了解。同样,286名(84.37%)学生表示,他们的培训使他们具备向CS客户提供伤口护理教育的能力。然而,227名(65.96%)、287名(84.66%)、179名(52.8%)对CS分娩指征、手术部位伤口护理和CS病人伤口护理教育方面的知识不足。结论:大多数助产学最后一年的学生对CS、手术部位伤口护理和CS客户手术部位伤口护理的知识得分较高。然而,相当多的患者在CS分娩和CS伤口护理的适应证方面没有反应。
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Wound Care Education for Caesarean Section Clients: What Do Midwifery Students Know?
Background: Complications associated with Caesarean Section (CS) delivery such as surgical site infection (SSIs) are complex. Infection of the CS wound has enormous consequences. A major risk factor associated with CS wound infection is lack of knowledge of CS clients about wound care. The knowledge of trainee midwives is critical if they are to educate CS clients on wound care. Aim: The objective of the study was to explore midwifery students’ knowledge on the education of CS clients on wound care. Materials and methods: This cross-sectional study purposely used 339 final year midwifery students within the Midwifery Training Colleges of Greater Accra Region. Participants answered a questionnaire formulated from relevant literature. Frequencies and percentages analyses were used for the data. Statistical analysis: Stata SE version 13 software. Results: This study revealed that 317 (93.1%), 325 (96%), 320 (94.4%) were knowledgeable about CS, surgical site wound care and education for CS clients on wound care respectively. Again, 286 (84.37%) of the students indicated that their training has equipped them to give education on wound care to CS clients. However, 227 (65.96%), 287 (84.66%), 179 (52.8%) did not have adequate knowledge on aspects of indications for CS delivery, surgical site wound care and education for CS client on wound care, respectively. Conclusions: Majority of the final year midwifery students recorded higher knowledge scores about CS, surgical site wound care and education for CS clients on surgical site wound care. However, quite a number could not respond to aspects of indication for CS delivery and CS wound care.
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