Thực trạng kiến thức, thực hành và các yếu tố liên quan đến tiêm an toàn của điều dưỡng, hộ sinh tại Trung tâm Y tế Thành phố Thuận An năm 2023=Current status of knowledge, practice, and factors related to the safety of injections for nurses and midwives at Thuan An City Medical Center in 2023

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Trọng Diễn Nguyễn, Thị Phương Phạm, Hải Thủy Trương

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2024

Mô tả vật lý: tr.76-83

Bộ sưu tập: Metadata

ID: 478190

Thêm vào giỏ

Injection is one of the most commonly performed medical procedures. Unsafe injections in healthcare facilities have resulted in consequences affecting not only the lives and health of patients but also healthcare workers and the broader community. This also has direct impacts on the quality of medical examination and treatment, as well as the healthcare sector's reputation. Method: A cross-sectional descriptive study was conducted on 85 nurses and midwives, with 115 injections performed in the following departments: Emergency and Critical Care, Intensive Care and Toxicology, General Internal Medicine, General Surgery, Pediatrics, Infectious Diseases, and Obstetrics and Gynecology at the Thuan An City Medical Center, Binh Duong Province, from February 2023 to August 2023. Results: The rate of nurses and midwives with correct and safe injection formulas is 96%, which is proven to be the majority of tough medical staff. However, the standard practice rate is only 41.74%, proving that there is a need for improvement in practice skills. The rate of safe injection practices in women is higher than in men with an odds ratio of OR = 0.3
this difference is statistically significant with p = 0.04, 95% CI: 0.35 - 1.23. Quality/room injections were associated with overall performance with value systems of p = 0.03 (95% CI: 0.72 – 1.52) and p <
0.001 (95% CI: 0.77 – 1.10). Conclusion: Nurses and midwives do possess knowledge of safe injection practices
however, the rate of safe injection practices remains low. There is a need to implement continuous training programs on safe injection practices according to the guidelines issued by the Ministry of Health. Working environmental conditions are overloaded
the lack of appropriate injection equipment or unsuitable injection tools may be contributing factors leading to unsafe injections.Xác định tỷ lệ kiến thức đúng, tỷ lệ thực hành đạt tiêu chuẩn tiêm an toàn của điều dưỡng, hộ sinh và các yếu tố liên quan. Phương pháp: Thiết kế cắt ngang mô tả, thực hiện trên 85 điều dưỡng, hộ sinh, 115 mũi tiêm ở các khoa: Hồi sức cấp cứu, Hồi sức tích cực và chống độc, Nội tổng hợp, Ngoại tổng hợp, Nhi, Truyền nhiễm, Phụ sản tại Trung tâm Y tế thành phố Thuận An, tỉnh Bình Dương từ tháng 02 năm 2023 đến tháng 08 năm 2023. Kết quả: Tỷ lệ điều dưỡng, hộ sinh có kiến thức đúng về tiêm an toàn là 96%, cho thấy phần lớn nhân viên y tế nắm vững lý thuyết. Tuy nhiên, tỷ lệ thực hành đạt tiêu chuẩn chỉ là 41,74%, chứng tỏ rằng cần có sự cải thiện trong kỹ năng thực hành. Tỷ lệ thực hành tiêm an toàn ở nữ cao hơn nam với tỷ số chênh OR = 0,3, sự khác biệt này có ý nghĩa thống kê với p = 0,04, KTC 95%: 0,35 – 1,23. Yếu tố đường tiêm và khoa/phòng có mối liên quan đến thực hành tiêm an toàn với các giá trị thống kê tương ứng là p = 0,03 (KTC 95%: 0,72 – 1,52) và p <
0,001 (KTC 95%: 0,77 – 1,10). Kết luận: Điều dưỡng, hộ sinh có kiến thức về tiêm an toàn nhưng thực hành tiêm an toàn chưa cao, cần có kế hoạch tổ chức đào tạo liên tục thực hành tiêm an toàn theo nội dung hướng dẫn tiêm an toàn của Bộ Y tế. Điều kiện môi trường làm việc quá tải, thiếu phương tiện, dụng cụ tiêm hoặc phương tiện, dụng cụ tiêm không phù hợp có thể là nguyên nhân dẫn đến mũi tiêm không an toàn.

1. Đọc trực tuyến

1. Đọc trực tuyến

Tạo bộ sưu tập với mã QR