赞比亚Kabwe中心医院护士对烧伤治疗方案的遵守情况

Bwalya Munjili, Patricia Mukwato, Emmanuel Musenge, Wanda Hankombo
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摘要

背景:每年,烧伤造成710多万人受伤,25万多人死亡,其中绝大多数发生在低收入和中等收入国家。在赞比亚的卡布韦中心医院,烧伤是外科病房创伤入院的最常见原因之一。为了缓解这一趋势,卫生部分发了感染预防和控制指南,并强调需要根据国家指南对所有烧伤患者进行管理。主要目的:了解卡布韦中心医院护士对烧伤治疗方案的依从性。材料与方法:本研究采用横断面研究设计。采用自填问卷对60名护士和55名护士进行问卷调查。本研究采用方便抽样方法招募护士。结果:观察到的烧伤治疗方案的依从性很低,为51%。尽管大多数护士表达了较高的知识,良好的管理支持和积极的态度。这可归因于该机构很少提供大多数外科医疗用品。结论和建议:研究结果表明,医院需要改善烧伤部门的资源供应,因为大多数护士报告说,在烧伤管理方面资源不足。还需要建立一个理想的烧伤单位。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Compliance with Burns Treatment Protocol by Nurses at Kabwe Central Hospital, Kabwe, Zambia
Background: Annually, burns result in more than 7.1 million injuries and more than 250,000 deaths, with the vast majority being in low and middle income countries. In Zambia, at Kabwe Central Hospital, burn trauma is one of the commonest causes of trauma admissions in surgical wards. To mitigate the trend, Ministry of Health distributed infection prevention and control guidelines and emphasized on the need to manage all patients with burns in accordance with national guidelines. Main Objective: To assess the level of compliance with Burns treatment protocol by nurses at Kabwe Central Hospital. Materials and Methods: A cross sectional study design was used in the study. A self-administered questionnaire was used to obtain data from 60 nurses and 55 nurses observed using an observational checklist. Convenient sampling was used to recruit nurses for the study. Results: Findings showed that observed compliance to burns treatment protocol is very low and stood at 51%. This was despite high knowledge, good management support and positive attitudes expressed by the majority nurses. This can be attributed to rare availability of most medical surgical supplies at the institution. Conclusion and Recommendations: The findings suggests the need of the hospital to improve on the supply of resources to the burns units as most nurses reported resource inadequacy in the management of burns. There is also need of building an ideal burns unit.
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