印度西孟加拉邦 Purba Medinipur 县农村地区社区卫生官员对姑息关怀知识的评估

IF 1.1 Q4 HEALTH CARE SCIENCES & SERVICES
Dilip Kumar Biswas, Lily Modak Deb, Pallabi Dasgupta, Sima Maity, Abhijit Mukherjee, Soumyo Manna
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引用次数: 0

摘要

姑息治疗主要针对那些面临危及生命的疾病的病人。在 Ayushman Bharat 计划下,卫生和健康中心(HWCs)配备了一批新的社区卫生官员(CHOs),他们都是护理专业毕业生。作为 HWC 一级的团队领导,如果对姑息关怀的知识水平较低,就会影响他们的服务。这项研究评估了印度西孟加拉邦普尔巴-梅迪尼普尔农村地区的社区保健员对姑息关怀服务的了解程度。2022 年 7 月至 8 月期间,我们对西孟加拉邦普尔巴-梅迪尼普尔不同保健中心的 314 名社区保健员进行了横断面描述性研究。我们根据 "姑息关怀知识问卷--基础 "收集数据,其中包括与姑息关怀、姑息关怀的要求、疼痛管理、沟通和处理社会心理问题相关的项目。总体而言,216 名护理长(68.8%)对姑息关怀有足够的了解,98 名护理长(31.2%)对姑息关怀了解不足。对濒死病人补氧的作用、人体免疫缺陷病毒/获得性免疫缺陷综合征姑息治疗的必要性、慢性非恶性疾病、疼痛管理和疾病预后沟通等方面的知识存在不足。受过高等教育(70%)和曾担任过护理长(73.3%)的护理长对相关知识有足够了解。曾护理或从未护理过临终病人(P = 0.89)或癌症病人(P = 0.853)的护理长的知识得分几乎相似。对姑息关怀者进行培训和再培训,提高他们的技术和沟通技能,将有助于他们提供适当的姑息关怀服务。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Assessment of Knowledge on Palliative Care among the Community Health Officers in Rural Area of Purba Medinipur District, West Bengal, India
Palliative care deals with patients who are facing problems of life-threatening diseases. Under the Ayushman Bharat programme, a new cadre of Community Health Officers (CHOs) is provisioned at Health and Wellness Centres (HWCs) who are nursing graduates. Being the team leader at the HWC level, having a low level of knowledge of palliative care would compromise their service. The study assessed the knowledge of CHOs about palliative care services in a rural district of Purba Medinipur, West Bengal, India. A descriptive study with a cross-sectional design was carried out among 314 CHOs posted in different HWCs of Purba Medinipur, West Bengal, during July–August’ 2022. We used to collect data based on questionnaires of ‘Palliative-Care-Knowledge Questionnaire-Basic’ comprising items related to palliative care, the requirement of palliative care, pain management, communication, and dealing with psychosocial issues. A chi-square test was performed to check the association with educational- and experience-related variables and knowledge. Overall, adequate knowledge was present in 216 (68.8%) and inadequate knowledge in 98 (31.2%) of CHOs. Improper knowledge was present regarding the role of oxygen supplementation in dying patients, the need for palliative care in human immunodeficiency virus/acquired immunodeficiency syndrome, chronic non-malignant diseases, pain management, and communication about the prognosis of disease. The proportion of CHOs who had adequate knowledge who were highly educated (70%) and those who had previous job as CHO (73.3%). Almost similar knowledge scores were found among those who ever cared for or never cared for either terminally ill patients (P = 0.89) or cancer patients (P = 0.853). In-depth knowledge was lacking among the CHOs. Training and re-training of CHOs to develop technical and communication skills will help them deliver proper palliative care.
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来源期刊
Indian Journal of Palliative Care
Indian Journal of Palliative Care HEALTH CARE SCIENCES & SERVICES-
CiteScore
2.30
自引率
0.00%
发文量
57
期刊介绍: Welcome to the website of the Indian Journal of Palliative Care. You have free full text access to recent issues of the journal. The links connect you to •guidelines and systematic reviews in palliative care and oncology •a directory of palliative care programmes in India and IAPC membership •Palliative Care Formulary, book reviews and other educational material •guidance on statistical tests and medical writing.
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