也门荷台达卫生保健工作者对预防呼吸机相关肺炎循证指南的了解情况

Q3 Pharmacology, Toxicology and Pharmaceutics
Sameer A Alkubati, Sultan A M Saghir, Khaled M Al-Sayaghi, Abdullah Alhariri, Mahmoud Al-Areefi
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引用次数: 2

摘要

目的:呼吸机相关性肺炎(VAP)是重症监护病房(icu)中需要机械通气的患者最常见的院内感染。VAP与拔管延迟、住院时间延长、医疗费用增加和死亡率有关。本研究的目的是评估icu医护人员(HCWs)预防VAP的知识水平,并评估他们的知识与他们的社会人口统计学特征的关系。方法:采用描述性横断面设计,评估也门荷台达市公立和私立医院icu中医护人员对预防VAP指南的了解情况。在2017年4月至7月期间,共发放了约140份自行填写的多项选择问卷。结果:本研究共获得120名HCWs(85.6%)填写问卷,其中内科医生20名,麻醉技师20名,护士80名。医护人员的知识总平均得分较低(41±18)分。不同专业和性别的医护人员的知识得分差异有统计学意义。麻醉技师知识得分最高,其次是内科医生和护士(分别为52.2±16.2、45.6±21.2和37.1±16.9,p=0.002)。男性得分高于女性(Median [IQR] 4 [3-5] vs. 3[2-4])。结论:医护人员对VAP预防指南的知识水平较低,这可能影响他们的实践。卫生保健员的知识受到他们以前所获得的信息的影响,这增加了为他们提供定期在职教育和培训计划的必要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Healthcare workers' knowledge of evidence-based guidelines for prevention of ventilator-associated pneumonia in Hodeida, Yemen.

Objectives: Ventilator-associated pneumonia (VAP) is the most common nosocomial infection in patients requiring mechanical ventilation in intensive care units (ICUs). VAP is associated with delayed extubation, prolonged hospital stays, increased healthcare costs and mortality rates. The aims of this study to evaluate the level of knowledge for the prevention of VAP among healthcare workers (HCWs) in ICUs and to assess their knowledge in relation to their socio-demographic characteristics.

Methods: A descriptive, cross-sectional design was conducted to assess HCWs' knowledge of the guidelines for prevention of VAP in the ICUs of public and private hospitals in Hodeida city, Yemen. Around 140 self-administered multiple-choice questionnaires were distributed between April and July 2017.

Results: A total of 120 (85.6%) HCWs completed questionnaire were obtained (20 physicians, 20 anesthesia technicians and 80 nurses) in this study. The total mean score of the HCWs' knowledge was low (41 ± 18). A statistically significant difference was found in the HCWs' knowledge scores according to their specialties and gender. Anesthesia technicians had the highest knowledge score followed by physicians and nurses (52.2 ± 16.2, 45.6 ± 21.2 and 37.1 ± 16.9, respectively, p=0.002). Males had higher scores than females (Median [IQR] 4 [3-5] vs. 3 [2-4], p<0.001). Participants who received information about the prevention of VAP had better knowledge than those who did not (46.2 ± 17.7 vs. 36.8 ± 17.3, p=0.006).

Conclusions: HCWs had a low knowledge level of the guidelines for the prevention of VAP, which may affect their practice. HCWs' knowledge was affected by their previous received information that increases the necessity to provide them with regular in-service education and training programs.

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来源期刊
Journal of Basic and Clinical Physiology and Pharmacology
Journal of Basic and Clinical Physiology and Pharmacology Pharmacology, Toxicology and Pharmaceutics-Pharmacology
CiteScore
3.90
自引率
0.00%
发文量
53
期刊介绍: The Journal of Basic and Clinical Physiology and Pharmacology (JBCPP) is a peer-reviewed bi-monthly published journal in experimental medicine. JBCPP publishes novel research in the physiological and pharmacological sciences, including brain research; cardiovascular-pulmonary interactions; exercise; thermal control; haematology; immune response; inflammation; metabolism; oxidative stress; and phytotherapy. As the borders between physiology, pharmacology and biochemistry become increasingly blurred, we also welcome papers using cutting-edge techniques in cellular and/or molecular biology to link descriptive or behavioral studies with cellular and molecular mechanisms underlying the integrative processes. Topics: Behavior and Neuroprotection, Reproduction, Genotoxicity and Cytotoxicity, Vascular Conditions, Cardiovascular Function, Cardiovascular-Pulmonary Interactions, Oxidative Stress, Metabolism, Immune Response, Hematological Profile, Inflammation, Infection, Phytotherapy.
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