新生儿重症监护病房(NICU)卫生工作者了解早产儿视网膜病变(ROP)吗?乌干达一家地区转诊医院的定性研究。

IF 2.3 4区 医学 Q2 PEDIATRICS
Innocent Ayesiga, Primrose Magala, Tom Didimus Ediamu, Hana El Diwany, Ian Ly Yeung, Alex Wasomoka, Henry Muwonge, Phillip Musoke, Elias Musiime, Abraham Tumwesigye, Pius Atwau, Noreen Atwijukire, Iddi Ndyabawe, Anne Mpaire Musika, Himanshu I Patel, Aeesha Nj Malik, Ibrahim Bwaga, Sheba Gitta Nakacubo
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引用次数: 0

摘要

早产儿视网膜病变(ROP)是全球早产儿失明和视力障碍的一个重要原因,特别是在低收入和中等收入国家。ROP与早产有关,随着早产儿存活率的增加,其全球负担继续增加。然而,关于乌干达卫生工作者对ROP的看法的信息有限。方法:本定性研究探讨了荷马地区转诊医院新生儿重症监护病房(NICU)医护人员在ROP方面的经验。本研究对8名在新生儿重症监护室工作的卫生工作者进行了深入访谈。我们研究了可能影响医院卫生工作者对ROP看法的个人、机构和国家因素。对获得的数据进行转录和编码,并生成主题以供进一步分析。结果:我们确定了有效ROP护理的关键障碍和促进因素。从分析中得出四个主要主题:(1)ROP的知识和意识;(2)实施ROP筛查计划的挑战和限制;(3)ROP筛查和治疗的培训和指南;(4)ROP预防筛查和管理的建议。将ROP意识、ROP知识、巫术和ROP确定为ROP主题知识和意识下的具体子主题。讨论与结论:本研究揭示了卫生工作者对ROP的知识和意识存在显著差距。对基本设备和专业人员的限制可能进一步限制机械钻速筛查能力。我们建议实施多学科团队方法,持续的专业发展和建立国家ROP指南。我们建议为ROP筛选制定正式的培训结构和教学大纲。在没有专业卫生工作者的地区,培训可以加强卫生工作者之间的任务转移。解决已确定的障碍对于改善乌干达和类似环境中早产儿的护理和结果至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Do neonatal intensive care unit (NICU) health workers know about retinopathy of prematurity (ROP)? A qualitative study at a Regional Referral Hospital in Uganda.

Do neonatal intensive care unit (NICU) health workers know about retinopathy of prematurity (ROP)? A qualitative study at a Regional Referral Hospital in Uganda.

Introduction: Retinopathy of prematurity (ROP) is a significant cause of blindness and visual impairment in preterm infants globally, particularly in low-income and middle-income countries. ROP is associated with prematurity, and with the increase in the survival of preterm infants, its global burden continues to rise. However, there is limited information available on health workers' perspectives regarding ROP in Uganda.

Methods: This qualitative study explored health workers' experiences regarding ROP in the neonatal intensive care unit (NICU) at Hoima Regional Referral Hospital. This study involved in-depth interviews with eight health workers working in the NICU. We examined individual, facility and national factors that could impact the health workers' perspectives on ROP at the hospital. The data obtained were transcribed and coded, and themes were generated for further analysis.

Results: We identified key barriers and facilitators to effective ROP care. Four major themes emerged from the analysis: (1) Knowledge and awareness of ROP, (2) Challenges and limitations in implementing the ROP screening programme, (3) Training and guidelines for ROP screening and treatment and (4) Recommendations for ROP prevention screening and management. ROP awareness, knowledge of ROP and witchcraft and ROP were identified as specific subthemes under the knowledge and awareness of ROP theme.

Discussion and conclusion: This study reveals significant gaps in health workers' knowledge and awareness of ROP. Limited access to essential equipment and specialised personnel may further limit ROP screening capacity. We suggest implementing a multidisciplinary team approach, continuous professional development and establishing national ROP guidelines. We recommend developing a formal training structure and syllabus for ROP screening. The training can enhance task shifting among health workers in areas without specialised health workers. Addressing the identified barriers is crucial for improving the care and outcomes for preterm infants in Uganda and similar settings.

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来源期刊
BMJ Paediatrics Open
BMJ Paediatrics Open Medicine-Pediatrics, Perinatology and Child Health
CiteScore
4.10
自引率
3.80%
发文量
124
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