Assessment of Knowledge, Practice and Associated Factors on Hypothermia Prevention of Nurses among Trauma Patients.
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Date
2019-06
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Addis Abeba University
Abstract
Background: Trauma patients are particularly prone to hypothermia for multiple reasons includingexposure to environment or low ambient temperature, central nervous system injury, hypovolemicshock, administration of unaesthetic drugs and cold intravenous fluid, blood and blood products whichall decrease the abilities for patients to maintain Normothermia and conserve body heat. Exposure oraccidental hypothermia in adult trauma patients is associated with poor patient outcomes and consideredan independent determinant of early death.
Objectives: the aim of this study was to assess knowledge and practice of nurses‘ and associated factorstowards hypothermia prevention among trauma patients in Addis Ababa Burn, Trauma, and emergency(AaBET) hospital, Ethiopia, 2018/2019 G.C.
Methodology: A descriptive, cross sectional study design was conducted to determine Knowledge andpractice of nurse‘s and associated factors on hypothermia prevention in Addis Ababa Burn, Trauma,and emergency (AaBET) hospital, Addis Ababa, Ethiopia from November 2018- May 2019.A total of242 nurses were recruited by purposive sampling method. The data was collected by using semistructured, self-administer questioner. SPSS version 21.0 for windows was used for data entry andanalysis, descriptive statistics, bivariate and multivariate logistic regression was used to analyze the data.
Result: More than half of 126(52.1%) of participants had good level of knowledge on hypothermia.Nurses who are indicate resource shortage is as a challenge 2.211 times more knowledgeable than nurseswho didn‘t indicate resource shortage is as a challenge. (AOR=2.211, 95 % CI: 1.061, 5.034),)educational status and job place satisfaction were not found to be significant at 0.05 level of p-value.The findings also show that, above half 125(52.5%) study participants had good level of practice onhypothermia prevention. Work experience, resource shortage, and on job training were associate inbivariate analysis but were not found to be significant in multivariate analysis.
Conclusion and recommendation: Although practice of hypothermia prevention in trauma patient appears to be easy, thenurse‘sknowledge on hypothermia and level of practice on hypothermia still has with big difficulties. This canhave a significant impact on trauma patient that facilitate the increment of morbidity and mortalityrelating to trauma, therefore periodic on-job training and pre service training, regarding hypothermia andits prevention should be provided to all staff nurses and the development and subsequent implementationof simple algorithmic practice guideline is expected to improve the recognition and prevention ofhypothermia in trauma
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Keywords
Hypothermia, Knowledge and Practice.