Knowledge, attitude and practice on sedation, analgesia and delirium among physicians working in the ICU at three specialized hospitals in Addis Ababa
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Date
2021-12
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Addis Abeba University
Abstract
Background: Critically ill patients admitted to the Intensive Care Units are prone to develop
varying degrees of agitation and painful experiences. Despite the many researches and knowledge
and practice assessments done in the developed world, there has not been significant studies which
deeply looked in to the knowledge, attitude and practices of physicians in Ethiopia regarding the
initiation, maintenance and withdrawal of sedative and analgesic medications and the prevention,
diagnosis and treatment of delirium.
Objectives: to assess the knowledge, attitude and practice on sedation, analgesia and delirium
among physicians working in the ICU of three hospitals in Addis Ababa.
Methods and Materials: a multi-center cross sectional study done in 03 different hospitals in Addis
Ababa, physicians who consent and with experiences working in the ICU were included. The data
was collected with Google forms and then entered on SPSS and a descriptive analysis undertaken
with SPSS software.
Results: The overall knowledge of participants on pain, sedation and delirium monitoring and
management was 71.8%, while the attitude and practices were 80.06% and 53.17% respectively.
Having a training on sedation and delirium monitoring and management was found to be
associated with good practice on the screening and management of pain, agitation and delirium.
Conclusion and Recommendations: This survey has shown the presence of poor practice
regarding the evaluation and management of pain, agitation and delirium despite moderate
knowledge and good attitude. Preparing formal on job trainings to physicians practicing in ICUs
might help improve the practice.
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Keywords
ICU, Pain, Sedation, Delirium