Yazan Awawdeh, Moath Abu Ejheisheh, Ahmad Ayed, Ibrahim Aqtam, Ahmad Batran
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引用次数: 0
摘要
持续肾替代治疗(CRRT)对于治疗重症监护环境中的急性肾损伤至关重要,特别是当传统透析不适合时。在资源有限的地区,如巴勒斯坦,重症监护病房(ICU)临床医生的知识,态度和做法(KAP)显著影响患者的结果。本研究评估了巴勒斯坦南部ICU临床医生的KAP,以确定差距并提出改进建议。在希布伦和伯利恒的6家医院进行的横断面研究涉及250名ICU临床医生。采用结构化问卷收集数据,并使用SPSS进行分析。250份问卷全部完成,回复率100%。参与者年龄从23岁到59岁不等(平均值= 31.56,标准差[SD] = 6.48);64.4%是男性,70%拥有学士学位。知识水平中等(平均得分= 0.50,SD = 0.14);52.4%的人有足够的知识,30%的人有空白。总体态度是积极的,但30%的人认为腹膜透析是消极的。实践得分平均为3.26分,ICU护士的表现优于其他护士。年龄(B = 0.217, P = 0.004)和临床角色(B = -0.211, P < 0.001)与实践有显著相关性。ICU临床医生对CRRT的认知程度适中,态度积极,但在实践中仍存在差距。建议进行有针对性的培训,以提高巴勒斯坦icu的患者预后。
Knowledge, Attitude, and Practice of Clinicians Regarding Continuous Renal Replacement Therapy for Critical Care Patients in Southern Palestine.
Continuous renal replacement therapy (CRRT) is crucial for managing acute kidney injury in critical care settings, particularly when traditional dialysis is unsuitable. In resource-limited regions like Palestine, intensive care unit (ICU) clinicians' knowledge, attitudes, and practices (KAP) significantly impact patient outcomes. This study assessed the KAP of ICU clinicians in southern Palestine to identify gaps and propose improvements. A cross-sectional study in 6 hospitals across Hebron and Bethlehem involved 250 ICU clinicians. Data were collected using a structured questionnaire and analyzed using SPSS. All 250 questionnaires were completed (100% response rate). Participants' ages ranged from 23 to 59 years (mean = 31.56, standard deviation [SD] = 6.48); 64.4% were male, and 70% held bachelor's degrees. Knowledge was moderate (mean score = 0.50, SD = 0.14); 52.4% had adequate knowledge, while 30% showed gaps. Attitudes were positive overall, but 30% viewed peritoneal dialysis negatively. Practice scores averaged 3.26, with ICU nurses outperforming others. Age (B = 0.217, P = .004) and clinical role (B = -0.211, P < .001) significantly predicted practice. ICU clinicians exhibit moderate knowledge and positive attitudes toward CRRT, but gaps persist in practice. Targeted training is recommended to enhance patient outcomes in ICUs across Palestine.
期刊介绍:
Critical Care Nursing Quarterly (CCNQ) is a peer-reviewed journal that provides current practice-oriented information for the continuing education and improved clinical practice of critical care professionals, including nurses, physicians, and allied health care professionals.