The knowledge about prevention and emergency management of anaphylaxis and related factors among nurses, midwives and technicians in Vietnam

• Main Authors: Tran Hoai Phuong, 陳懷方
• Other Authors: Mei-Hua Wang
• Format: Others
• Language: en_US
• Published: 2019
• Online Access: http://ndltd.ncl.edu.tw/handle/9y52q5

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 ii 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, iii 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.