| Summary: | 碩士 === 美和科技大學 === 護理系健康照護碩士班 === 107 === Anaphylaxis is a rapidly progressive allergic reaction that requires
precise recognition and immediate management. However, nurses,
midwives and technicians have not acknowledged awareness of
anaphylaxis. The aim of this study is to investigate the extent of
knowledge about anaphylaxis prevention and emergency management
of anaphylaxis among above medical staffs.
Methods
A cross-sectional study was performed with a questionnaire survey
on knowledge about anaphylaxis prevention and emergency
management for anaphylaxis to nurses, midwives and technicians in
University Medical Center Ho Chi Minh city, from 01 to 31 May 2019.
The survey contained three main sections: questions about
demographic data, knowledge about anaphylaxis prevention and
knowledge about emergency management for anaphylaxis of nurses,
midwives and technicians.
Results
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431 nurses, 65 midwives, and 14 technicians completed the
survey. The percentages of correct answers about the anaphylaxis
definition in nurses, midwives and technicians were 91%, 100% and
100% respectively, showing significant differences between groups
(p<.05). The percentages of correct answers about test of the reaction
to find cause of an allergic reaction must be practiced by experts in
immune allergy faculty in nurses, midwives and technicians were
81.2%, 80% and 71.4% respectively, showing significant differences
between groups (p<.001). The percentages of correct answers about
types infusion medication in the anaphylaxis box in nurses, midwives
and technicians were 47.3%, 80% and 42.9% respectively, showing
significant differences between groups (p<.001). The percentages of
correct answers about the first important medicine, method and time to
use it in anaphylaxis in nurses, midwives and technicians were 83.1%,
96.9% and 64.3% respectively, showing significant differences
between groups (p<.05). The percentages of correct answers about the
right adrenaline dose of 1 mg / 1 ml (IM) in children under 10
kilograms in nurses, midwives and technicians were 54.8%, 80% and
42.9% respectively, showing significant differences between groups
(p<.001). The percentages of correct answers about size of IV catheter
to Adrenaline injection and one more IV for rapid infusion in nurses,
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midwives and technicians were 51.3%, 63.1% and 21.4% respectively,
showing significant differences between groups (p<.05). The
percentages of correct answers about contraindications for adrenalin
injection in children younger than 10 years old in nurses, midwives and
technicians were 67.8%, 89.2% and 71.4% respectively, showing
significant differences between groups (p<.05). Finally, working
department has significant correlation with the correct knowledge
about anaphylaxis prevention and emergency management of
anaphylaxis in nurses, midwives and technicians.
Conclusion
Our study showed considerable lack of knowledge on anaphylaxis
among health medical staffs, especially on the specific emergency
management steps of anaphylaxis. As significant gaps on overall
knowledge of anaphylaxis were observed between different groups of
medical staffs (nurses, midwives and technicians), regular education
should be implemented for each department to increase the correct
knowledge and improve caring skills.
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