Knowledge, attitude, and experiences of using penicillin G, as a prophylaxis for rheumatic fever and rheumatic heart diseases among nurses in Addis Ababa, Ethiopia: A cross-sectional survey

IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL
Mekuye Ibrahim, T. Aklilu
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引用次数: 0

Abstract

Background: The rate of benzathine penicillin G (BPG) injection to prevent rheumatic heart disease (RHD) is insufficient owing to poor knowledge and the negative attitude of health workers. We aim to investigate the gap of knowledge, attitude, and experience of clinical nurses at the primary health-care level who had not received training on rheumatic fever (RF)/RHD prevention to get information on their training need. Methods: A cross-sectional survey was conducted on clinical nurses at randomly selected health centers in Addis Ababa. After interviewing with semi-structured questionnaires, the data were analyzed on SPSS software version 25. Results: A total of 278 nurses (92% response) with a mean age of 28 years were analyzed. The knowledge scores on “organisms causing tonsillopharyngitis (TP),” “the route of administration of penicillin,” and “when to give BPG after preparation” were good (≥75%). Participants' score was poor (<50% score) in the knowledge of “duration of treatment of tonsillopharyngitis, frequency of chemoprophylaxis of RF/RHD, and the relationship between throat infection and RF.” Knowledge on “prevention of pain using lidocaine,” “warming the syringe and allowing alcohol to dry from the swab before injecting” were also good. In contrast, knowledge of “delivering injection very slowly,” “using vibration before/during injection, and “distracting patient using conversation” was poor. Attitude was positive to statements such as “single dose BPG injection given every 3–4 weeks,” “BPG injection is effective in the treatment of streptococcal pharyngitis and the prevention of RF/RHD,” “good patient – health provider relationship enables the success of prophylaxis.” and “educating patients, health-care providers and their caregivers help adherence to BPG prophylaxis. Fear of anaphylactic reaction, pain at the injection site, and blockage of the syringe during injection were the negative experiences reported. Conclusions: The knowledge of clinical nurses on the prevention of RF/RHD was generally good. However, their knowledge of safe injection techniques was partial. On the other hand, most attitude statements were positive. Fear of anaphylactic shock while injecting BPG, pain, and blockade of the syringe was the common barriers experienced.
埃塞俄比亚亚的斯亚贝巴护士使用青霉素G预防风湿热和风湿性心脏病的知识、态度和经验:一项横断面调查
背景:由于卫生工作者对苄星青霉素G (BPG)注射液预防风湿性心脏病(RHD)的知识贫乏和态度消极,其使用率不足。本研究旨在调查未接受风湿热/RHD预防培训的基层临床护士在知识、态度和经验方面的差距,以了解其培训需求。方法:在亚的斯亚贝巴随机选取卫生中心的临床护士进行横断面调查。采用半结构式问卷访谈后,采用SPSS软件25版对数据进行分析。结果:共分析278名护士(92%),平均年龄28岁。“引起扁桃体咽炎(TP)的微生物”、“青霉素给药途径”、“制剂后何时给予BPG”的知识得分较好(≥75%)。参与者在“扁桃体咽炎治疗持续时间、射频/RHD化疗预防频率以及咽喉感染与射频之间的关系”方面的知识得分较低(得分<50%)。关于“使用利多卡因预防疼痛”、“在注射前加热注射器并让酒精从棉签上干透”的知识也很好。相比之下,对“缓慢注射”、“注射前/注射中使用振动”和“用谈话转移患者注意力”的认识较差。对诸如“每3-4周注射单剂BPG”、“BPG注射可有效治疗链球菌性咽炎和预防RF/RHD”、“良好的医患关系可使预防成功”等陈述持积极态度。以及“对患者、卫生保健提供者及其护理人员进行教育,有助于坚持BPG预防。”对过敏反应的恐惧、注射部位疼痛和注射过程中注射器堵塞是报告的负面经历。结论:临床护士对射频/RHD的预防知识总体较好。然而,他们对安全注射技术的了解是片面的。另一方面,大多数态度陈述都是积极的。注射BPG时害怕过敏性休克、疼痛和注射器阻塞是常见的障碍。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Clinical Sciences
Journal of Clinical Sciences MEDICINE, GENERAL & INTERNAL-
自引率
0.00%
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15
审稿时长
45 weeks
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