Bizuayehu Ashine Lakew, Daniel M Bekele, Wudma Alemu Kassa, Boka Dugassa Tolera
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引用次数: 0
Abstract
Background: Acute Coronary Syndrome is the leading cause of morbidity and mortality in developing nations including Ethiopia. As frontline healthcare providers, nurses need to be prudent in handling cases of acute coronary syndrome. However, nurses' knowledge and practice of acute coronary syndrome are not well-known across Ethiopia. Thus, this study aimed to assess knowledge, practice, and associated factors regarding the care of acute coronary syndrome among acute care nurses working at selected hospitals in Addis Ababa, Ethiopia.
Methods: Institution-based descriptive cross-sectional study design was conducted from February to March among 252 purposively selected nurses working in tertiary hospitals of Addis Ababa, Ethiopia. A pretested and structured questionnaire was used for data collection. Data were entered into Epi-Data 4.6 and exported to SPSS version 25. Both descriptive and inferential statistics were used to describe and test the association between selected variables. P-values < 0.05 were declared as significant factors for the outcome variable.
Results: Out of 252 nurses, (52%) had good knowledge, and (44.4%) had good practice towards care of Acute Coronary Syndrome. Being a master's degree [AOR=3.801, (95% CI:1.314-10.996), P =0.014] and having guidelines [AOR= 10.998, (95% CI:2.478-48.805), P =0.002] were significantly associated with nurse's good knowledge of ACS. While having a master's degree [AOR=4.258, (95% CI:1.676-10.820), P=0.002] and getting in-service training [AOR= 1.902, (95% CI:1.022-3.539), P = 0.042] were significantly associated with nurse's good level of practice.
Conclusion: In this study, nurses had inadequate knowledge and practice regarding the care of Acute Coronary Syndrome. Nurses' educational level, presence of clinical practice guidelines, and getting training were determinant factors associated with good knowledge and practice. Therefore, organizational and nursing educational support are needed to improve this gap by providing short- and long-term training, and updated evidence-based clinical practice guidelines should be available for all acute care nurses.
背景：急性冠状动脉综合征是包括埃塞俄比亚在内的发展中国家发病率和死亡率的主要原因。作为一线医疗保健提供者，护士在处理急性冠状动脉综合征病例时需要谨慎。然而，护士对急性冠状动脉综合征的知识和实践在埃塞俄比亚并不为人所知。因此，本研究旨在评估埃塞俄比亚亚的斯亚贝巴选定医院的急性护理护士对急性冠状动脉综合征护理的知识、实践和相关因素，埃塞俄比亚。数据收集采用了经过预测试的结构化问卷。数据输入Epi Data 4.6，并导出到SPSS 25版本。描述性和推断统计学都被用来描述和测试所选变量之间的相关性。P值<0.05被宣布为结果变量的显著因素。结果：252名护士中，52%的护士对急性冠状动脉综合征有良好的认识，44.4%的护士对其护理有良好的实践。具有硕士学位[AOR=3.801，（95%CI:1.314-10.996），P=0.014]和具有指导方针[AOR=10.998，（95%CI:2.478-48.805），P=0.002]与护士对ACS的良好认识显著相关。硕士学位[AOR=4.258，（95%CI:1.676-10.820），P=0.002]和在职培训[AOR=1.902，（95%CI:10.022-3.539），P=0.042]与护士良好的实践水平显著相关。结论：在本研究中，护士对急性冠状动脉综合征的护理知识和实践不足。护士的教育水平、临床实践指南的存在和接受培训是与良好知识和实践相关的决定因素。因此，需要组织和护理教育支持，通过提供短期和长期培训来改善这一差距，并应为所有急性护理护士提供最新的循证临床实践指南。
期刊介绍：
An international, peer-reviewed journal of therapeutics and risk management, focusing on concise rapid reporting of clinical studies on the processes involved in the maintenance of vascular health; the monitoring, prevention, and treatment of vascular disease and its sequelae; and the involvement of metabolic disorders, particularly diabetes. In addition, the journal will also seek to define drug usage in terms of ultimate uptake and acceptance by the patient and healthcare professional.
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