Assessment of Knowledge and Practice and Impact of Intervention about Early Diagnosis and Management of Increased Intracranial Pressure among Residents and Nurses Working at TASH: A cross-sectional Study, September-october, 2021.
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Date
2021-11
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Addis Abeba University
Abstract
BACKGROUND
Increased intracranial pressure is a commonly encountered and possibly fatal complication of
neurologic, neurosurgical, and systemic diseases. Diagnosis is made based on clinical
findings and neuroimaging and supplemented by invasive and noninvasive intracranial
pressure monitoring methods. Depending on the underlying condition, management consists
of medical and surgical treatments. Early diagnosis and prompt management is critical to
diminish mortality and disability
OBJECTIVE
To assess knowledge and practices around early diagnosis and management of increased
intracranial pressure among residents and nurses working at Tikur anbessa specialized
hospital.
To assess the impact of training on increased intracranial pressure diagnosis and management
among residents and nurses working at Tikur anbessa specialized hospital.
METHOD
We conducted a cross-sectional analysis of data collected from September 1, 2021, to
October 31, 2021, from 183 residents working in neurology, internal medicine, emergency,
and critical care medicine, neurosurgery department, and nurses from the emergency
department, neurology ward, neurosurgical ward, and adult intensive care unit. They were
required to fill out a self-administered questionnaire in English designed to assess
sociodemographic characteristics, knowledge, and practice on diagnosis and management of
increased intracranial pressure. After completion of the questionnaire, they were shown a
video of 18 minutes that was prepared by the investigator on increased intracranial pressure
diagnosis and management. Adequate time was given for the participants to see and analyze
the intervention material. Then after participants were asked to do the same questions again.
Data were entered into Statistical package for social sciences version 26 for analysis.
Categorical variables were summarized by frequency and percentages. Continuous variables
were summarized by mean ± SD. Associations were done by one-way analysis of variants
and paired-t-test.
RESULT
The total correct answer score of residents pretraining range from 55.75% - 90.4%. post
training, the scores raised to 81.5% - 98.78% which was statically significant(p=<0.05).
Post-intervention shows the level of knowledge risen in terms of the 20 questions out of
21.(p<0.05). only 5 out of the 20 questions answered with 85%of the participating residents
correctly. But the post-training result shows nineteen questions were answered with more
than 85%.
For the nurses intervention has shown to increase the level of Knowledge score of 10 out of
12 questions and 7/10 of practice scores.
CONCLUSION
There is substantial knowledge and practice gap among the health care professionals and as
the intervention resulted in significant increment of scores, continuous trainings and
guidelines are important in advancing the level of understanding, practice and improving
patient outcomes.
Description
Keywords
Intracranial pressure