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医生对尿失禁的知识,态度,信仰和做法
Anika C Janse van Vuuren1, Jacobus A van Rensburg2, Susan Hanekom1
1Department of Physiotherapy, Faculty of Health Sciences, Stellenbosch University, Cape Town, South Africa.
The South African journal of physiotherapy
|July 7, 2023
概括
南非的初级医疗保健从业者在管理尿失禁方面表现出低于最佳的知识和实践,低于NICE 2013指南. 这凸显了针对性干预的必要性,以改善患者护理和结果.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 主要医疗保健是一级医疗保健.
- 护理实践 护理实践
背景情况:
- 尿失禁影响了南非三分之一的女性.
- 有效的管理取决于患者寻求帮助的行为和医疗保健专业人员的服务.
- 目前南非的尿失禁管理实践在很大程度上仍未得到记录.
研究的目的:
- 评估和比较初级保健护士和医生关于尿失禁的知识和实践.
- 根据NICE 2013指南评估从业人员的表现.
- 探索从业者对尿失禁管理的态度和信仰.
主要方法:
- 通过自行设计的在线问卷进行了一项横截面研究.
- 西开普省的初级医疗保健从业人员有资格,采用分层随机和雪球采样.
- 在与统计学家商后,使用SPSS进行了数据分析.
主要成果:
- 根据NICE 2013指南,从业人员的整体知识得分为66.7%,实践得分为68.9%.
- 在查,患者随访和膀日记利用方面观察到缺陷.
- 虽然骨盆地和膀训练得到了认可,但只有14.8%的患者被转介给物理治疗;许多从业者表达了不适,但希望进行更多的训练.
结论:
- 西开普省初级医疗保健机构的医师知识和实践与NICE 2013指南不一致.
- 研究结果表明,需要在初级卫生保健层面改进尿失禁管理策略.
- 这些数据可以为该地区更好的尿失禁护理提供有针对性的干预措施的开发提供信息.
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