Browsing by Author "Asfaw, Nardos"

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    Assessment of Knowledge, Attitude and Practice in Identification of Early Neurologic Deterioration in Stroke Patients among Health Professionals in Addis Ababa, Ethiopia.
    (Addis Abeba University, 2021-11) Asfaw, Nardos; Dr.Zenebe, Guta (MD, Internist and Neurologist, Assoc. Prof); Dr. Ali, Seid (MD, Internist and Neurologist, Assoc. Prof); Dr.Demissie, Hanna (MD, Consultant Neurologist, Ass. Prof); Dr.Nuri, Hussien (MD, Consultant Neurologist, Asst, Prof)
    ABSTRACT Background: - Worldwide, Stroke is the second most common cause of mortality and disability. In Ethiopia stroke is the 5 th cause of death accounting 7% from the top 10causes of death. Post stroke neurological deterioration is a significant clinical condition that affects up to a third of patients. Early neurological deterioration in stroke patients is a common event and is associated with poor outcomes. Therefore, attempts to prevent and treat early neurological deterioration should be made promptly and aggressively. Although studies have found that being aware of common causes of neurological deterioration can help for optimal care and preventive measures, so far there is no publication as to the knowledge and practice in identification of early neurological deterioration and associated factors in stroke patients among health professionals done in Ethiopia. Objective: To assess the knowledge, attitude, and practice towards identification of early neurologic deterioration in stroke patients among health care professionals in Addis Ababa Ethiopia. Methods: -We conducted a Facility based cross sectional analysis of data collected from June 2021 to September 2021 from 214 health professionals who are mostly involved in the care of stroke patients. Participants filled out pretested self-administered questionnaire. It includes demographic information, three sections to assess knowledge, practice and attitude towards early neurologic deterioration in stroke patient. Data was entered in to SPSS version 25. Categorical variables were summarized by frequency and percentages. Associations were done by binary and multivariable logistic regression to see the association between Knowledge-attitude, KnowledgePractice and Practice-attitude. Results:-A total of 209study participants responded to the study questions among a total of 214 participants making the response rate of 97.6%. Most of the respondents were male 114(54.5%).The mean age of the study participant is 29+/- 3.9. Nurses account for largest number of respondents 101(48.3%) followed by internal medicine residents 46(22%).Majority of respondents 111(53.1%) were from TASH, 41(19.6%) from Zewditu memorial hospital, The mean knowledge score of general practitioners and residents was 9.3 and the majority of internal medicine and Neurology residents scored above 9.3.Higher numbers of respondents 71.8% have positive attitude towards the causes of early neurologic deterioration in stroke patients could be prevented. Individuals who have training on acute care for stroke patients had 2.8 times (AOR = 2.8, CI = 1.4, 6.8) and neurological residents had 6.6 times (AOR = 6.6, CI = 1.2, 7.4 ) more likely to have stroke knowledge. Regarding stroke knowledge level, knowledgeable subjects had 2.7 times (AOR = 2.7, CI = 1.3, 3.5) more likely to have positive attitude towards stroke related early neurological deterioration as compared to those who were not knowledgeable. Health professionals below age 24 year were 0.58 times (AOR = 0.58, CI = 0.16, 2.1) less likely to practice preventive measures of early neurologic deterioration than those within the age range between 3444. Conclusion:-This study leads to the belief that there is a crucial need to rationalize and update knowledge regarding the predictors of early neurologic deterioration and preventive measures. It is important to have and use hospital based protocols to achieve optimum patient outcome and high quality of interdisciplinary care. Assessment to knowledge gap, current practice and attitude helps to fill the gaps as well as for provision of comprehensive, interactive and holistic approach to acute care of stroke and rehabilitation.