斯里兰卡国家医院重症监护病房工作人员对采集死者供体皮肤的知识和认识

Sivasuganthan Kanesu, G. Ekanayake
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引用次数: 0

摘要

引言:当供体部位有限时,皮肤覆盖是严重烧伤的最大挑战。早期皮肤覆盖对于降低严重烧伤的发病率和死亡率非常重要。我们在重症监护室(ICU)从尸体上采集皮肤,用于临时覆盖切除的烧伤伤口。由于我们没有从重症监护室获得足够的尸体捐赠,我们计划进行这项研究,以确定对此的认识和知识。方法:我们通过自填问卷从外科重症监护室(普通外科、事故和急诊以及神经外科)的医生和护士那里收集数据。然后,我们用SPSS 19数据包对结果进行分析。结果:140名参与者回答了我们的问卷,其中包括118名护士和22名医生。只有40%(n=48)的护士和60%(n=13)的医生知道尸体皮肤捐赠。只有31%(n=44)知道不需要组织或血液匹配。88%(n=124)知道移植物主要取自大腿。一些患者的反应是合并症患者的皮肤不能用于移植。12%(n=18)的人知道当确定尸体皮肤移植患者时该联系谁。只有17%(n=24)的人认为它不会对尸体造成太大的毁容。13%的人(n=18)不知道皮肤捐献的任何细节。结论:ICU工作人员对尸体皮肤采集的认识和知识存在一定程度的不足。我们无法比较医生和护士,因为参与医生的人数较少。在重症监护室,需要开展宣传活动。今后,这一概念也应在公众中进行评估。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Knowledge and awareness on deceased donor skin harvest among intensive care units' staffs in national hospital of Sri Lanka
Introduction: Skin coverage is a greatest challenge in severe burns when the donor sites are limited. Early skin cover is important to reduce morbidity and mortality in severe burns. We use to harvest skin from cadavers at intensive care units (ICUs) for temporary cover of excised burn wounds. As we do not get enough cadaveric donations from ICUs, we plan to conduct this study to identify awareness and knowledge on it. Methods: We collected data from doctors and nurses working in surgical ICUs (general surgical, accident and emergency, and neurosurgical) by a self-administered questionnaire. Then, we analyzed the results by SPSS 19 data package. Results: One hundred and forty participants responded to our questionnaire including 118 nurses and 22 doctors. Only 40% (n = 48) of nurses and 60% (n = 13) of doctors were aware about cadaveric skin donation. Only 31% (n = 44) knew that tissue or blood matching is not needed for it. 88% (n = 124) knew that graft is mainly taken from thighs. Some responded as skin of the patients with comorbidities cannot be used for the transplant. Twelve percent (n = 18) knew whom to contact when the patient for cadaveric skin transplant is identified. Only 17% (n = 24) thinks that it does not cause much disfigurement to the cadaver. Thirteen percent (n = 18) did not know any details about skin donation. Conclusion: There is a knowledge deficit in ICU staffs regarding awareness and knowledge on cadaveric skin harvest. We could not compare the doctors and nurses as there were less participants in doctors. In ICUs, an awareness campaign is required. In future, this concept should be assessed in general public as well.
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