scholarly journals Spectrum of Electrocardiographic Changes in Patients Presenting with Acute Organophosphate Compounds Poisoning

2021 ◽  
Vol 10 (39) ◽  
pp. 3496-3500
Author(s):  
Sonali Nayak ◽  
Roshan Kurmi
Keyword(s):  
Signs And Symptoms ◽  
Cardiac Complications ◽  
Qtc Interval ◽  
Ecg Changes ◽  
Cross Sectional ◽  
Sinus Arrhythmia ◽  
Female Ratio ◽  
Organophosphate Compounds ◽  
Organ Systems ◽  
The Mean

BACKGROUND Organophosphate compounds (OPC) are important cause of poisoning in developing countries. They are irreversible cholinesterase inhibitors and produce signs and symptoms pertaining to various organ systems via their muscarinic and nicotinic effects. The cardiac manifestations include hemodynamic instability and various arrhythmias. Here, in this study, we described various electrocardiographic (ECG) changes in patients of OPC poisoning in our population. METHODS This is a descriptive, cross-sectional study conducted at tertiary academic centre. All patients (>14 years and < 75 years) with history of OPC poisoning were included. Diagnosis was made on the basis of history and clinical features. ECG analysis of each patient was done for rate, rhythm, ST segment and T wave changes, PR and QTc interval, conduction defects and atrial and ventricular premature complexes before and after administration of atropine. RESULTS A total of 54 patients with OPC poisoning were included. The mean age was 28 ± 14.5 years. The predominant age group was < 30 years. There was female predominance with male : female ratio of 1 : 1.45. The most common ECG finding was sinus arrhythmia (tachycardia 25.9 % and bradycardia 20.4 %), followed by prolonged QTc (14.8 %), ST - T changes (11.1 %), premature ventricular complexes (PVCs) (7.4 %), prolonged PR interval (3.7 %) and atrial fibrillation (1.9 %). There was no mortality. The mean ICU and Hospital stay was three and six days respectively. CONCLUSIONS Sinus arrhythmia was the most common ECG changes followed by prolonged QTc, ST - T segment changes and PVCs in our setup. Careful observation of these ECG changes and timely intervention can prevent from sudden cardiac death in these patients. KEY WORDS Cardiac, Complications, Electrocardiogram, Organophosphates, Poisoning

scholarly journals Evaluation of hearing status after type I tympanoplasty

2020 ◽  
Vol 24 (1) ◽  
pp. 50-55
Author(s):  
Mashuque Mahamud ◽  
Mani Lal Aich ◽  
Abdullah Al Mamun ◽  
Rafiul Alam
Keyword(s):  
Otitis Media ◽  
Chronic Otitis Media ◽  
Neck Surgery ◽  
Cross Sectional Study ◽  
Type I ◽  
Cross Sectional ◽  
Female Ratio ◽  
The Mean ◽  
Type I Tympanoplasty ◽  
Air Conduction

Objective: To evaluate hearing outcome after type I tympanoplasty in inactive mucous type of chronic otitis media. Methods: It was a cross-sectional study conducted in the department of Otolaryngology & Head Neck Surgery, Sir Salimullah Medical College and Mitford Hospital, Dhaka, from July 2014 to June 2016. 50 cases were selected by matching inclusion and exclusion criteria. Paired t-test and Z test was used to analyze the variables. P values <0.05 was considered as statistically significant. Results: The mean age was found 28.5 years with range from 15 to 41 years and male female ratio was 1.3:1. All patients had intermittent otorrhoea and varying degree of hearing loss. The mean air conduction threshold was 40.2 dB preoperatively and 27.1 dB post-operatively. Air-bone gap was found 26.9 dB in preoperative and 16.1 dB in post-operative group. The differences were statistically significant between preoperative and post-operative group. Thus mean improvement of air conduction threshold was 13.1 dB and air-bone gap was 10.8 dB. Two third (66.%) patients improved <15 db air conduction thresholds and 17(34%) improved ≥15 db air conduction thresholds. Using the proportion of patients with a postoperative hearing within 40 dB as the criterion, this study showed 46(92%) patients achieving this and 40(80%) patients achieving AB gap within 20 db postoperatively. Conclusion: Improvement of air conduction threshold and AB gap after type I tympanoplasty was statistically significant. Thus from this study it can be concluded that type I tympanoplasty is an effective technique for hearing improvement in inactive mucous type of chronic otitis media. Bangladesh J Otorhinolaryngol; April 2018; 24(1): 50-55

scholarly journals Profile of estimated glomerular filtration rate of children with Human Immunodeficiency Virus/ Acquired Immune Deficiency Syndrome

2019 ◽  
Vol 6 (5) ◽  
pp. 1931
Author(s):  
Gabriel O. Ezeh ◽  
Oluseyi Oniyangi ◽  
Iretiola B. Babaniyi ◽  
Vincent E. Nwatah ◽  
Felicia U. Eke
Keyword(s):  
Glomerular Filtration Rate ◽  
Hiv Infection ◽  
Glomerular Filtration ◽  
Filtration Rate ◽  
Developed Countries ◽  
People Living With Hiv ◽  
Schwartz Formula ◽  
Cross Sectional ◽  
Female Ratio ◽  
The Mean

Background: Kidney disease is more common in people of African descent in developed countries. Studies reporting estimate Glomerular Filtration Rate (eGFR) in African populations and people living with HIV have been carried more frequently on adults than children. The study aimed to assess eGFR by use of the SCHWARTZ formula in HIV infected children seen at tertiary hospital.Methods: A descriptive, prospective and cross sectional study of 221 children with HIV infection. Schwartz formula was used to determine eGFR. The main outcome measures were eGFR. The study population comprised HIV infected children attending Paediatric out-patients’ clinic and those admitted into the Paediatric wards, aged between 6 months and 15 years. Data was analysed using SPSS version 20 and results presented in tables and figures. Results: The age range of the study subjects was 12 months to 15 years with the mean age and SD of 8.21±3.61 years. There were 129 (58.4%) male and 92 (41.6%) female children with male to female ratio 1: 0.7.  The mean age for males was 7.87±3.49 years while that for females was 8.70±3.71 years. The eGFR for the study as determined by Schwartz formula had a range of 49.21 to 463.67 ml/ min/ 1.73m2 with the mean of 159.56±59.04 ml/min. The mean eGFR for the males and females were 166.39±63.54ml/ min and 149.99±45.01 ml/ min respectively. Conclusion: The study, in comparison with other studies, observed a lower prevalence of CKD in HIV infected children. Detection of CKD in HIV infection children may be more optimal if combined methods are employed.

scholarly journals Incidence of post-operative cardiac complications in cardiac patients undergoing urological procedures

2015 ◽  
Vol 1 (2) ◽  
pp. 80
Author(s):  
Mastan Saheb Shaik ◽  
Venkata Rama Rao M ◽  
Sailaja K
Keyword(s):  
General Anaesthesia ◽  
Regional Anaesthesia ◽  
Cardiac Complications ◽  
Anesthetic Techniques ◽  
Ecg Changes ◽  
Arterial Blood ◽  
Group A ◽  
Urological Procedures ◽  
The Mean ◽  
Group B

Context: There are limited studies indicating the incideance of post operative morbidity and mortality in high risk patients. Urological procedures constitute a major portion of geriatric surgeries where a cardiac obligation is almost inevitable and selected for this study purpose.Aims: To compare the incidence of post operative cardiovascular complications during regional and general anesthetic techniques in patients with known cardiac risk undergoing urological surgeriesSettings and Design: Prospective randomized double blind study.Methods and Material: 40 patients aged above 50 years posted for elective urological surgeries were enrolled in the study after obtaining approval from hospital ethics committee and written informed consent from the patients. Patients were divided into two groups A& B. Group A (n=20) received general and group B (n=20) received regional anaesthesia (spinal/ Epidural). All the patients received standard premedication and their basal vitals( BP, HR, ECG pattern) were recorded. The same parameters were monitored in the post operative period at regular intervals.Statistical analysis used: Student T test is used to test the significance of stastical difference in the variables between the two groups.Results: The mean heart rate and the mean arterial blood pressure were increased (P<0.01) in the general anaesthesia group. Group A showed 10% incidence of ECG changes and group B showed 35% incidence of ECG changes. But the changes in the hemodynamics were not significant.Conclusions: There is no difference between regional anaesthesia and general anaesthesia regarding the post operative outcome after urological procedures with respective hemodynamic changes.

scholarly journals Evaluation of Demographic, Clinical and Beyond Clinical Characteristics in Patients with Multiple Sclerosis in Rafsanjan City, Iran

2017 ◽  
Vol 2 (2) ◽  
pp. 63
Author(s):  
Amir Moghaddamahmadi ◽  
Pouria Yazdian-Anari ◽  
Siamak Kazemisufi ◽  
Alireza Vakilian ◽  
Aliasghar Ranjbartotoei ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Clinical Characteristics ◽  
Demographic Data ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Female Ratio ◽  
Mcdonald Criteria ◽  
Male Female Ratio ◽  
The Central Nervous System ◽  
The Mean

Background and objectives: Multiple sclerosis is a chronic and progressive autoimmune disease of the central nervous system that causes motor and sensory impairment and physical disability in patients. This study was conducted to determine the demographic, clinical, and beyond clinical characteristics in patients with multiple sclerosis to help identify common disabilities and better understand of the specific needs of these ones.Materials and methods: This descriptive cross-sectional study was carried out on 50 MS patients in Rafsanjan, Iran. A definitive diagnosis has been done according to neurologist and McDonald criteria. The neurologist conducted examinations. The demographic data were recorded using questionnaire. MRI images were analyzed with the help of radiologist and all data were analyzed using SPSS software.Results: The mean age was 33.81±8.38 years and male/female ratio was 7/42. According to data, 66.7% of the patients were suffering from relapsing-remitting type (RR) disease, and most lesions on MRI in these patients were observed in pyramidal and JuxtaCortical areas. The mean EDSS scores of patients was 1.46. The duration of disease and the number of attacks had a significant correlation with educational level (P<0.05); age was significantly associated with pyramidal, mental and sphincter symptoms (P<0.05).Conclusion: These results suggest that the prevalence of MS in women is higher than in men, especially among housekeeper women. Relapsing and remitting disease showed higher frequency.

scholarly journals Translating the Science of Patient Reported Outcomes into Practice: Meaningfulness of HM-PRO Scores in Patients with Hematological Malignancies

Blood ◽  
2018 ◽  
Vol 132 (Supplement 1) ◽  
pp. 4860-4860 ◽  
Author(s):  
Pushpendra Goswami ◽  
Esther Natalie Oliva ◽  
Tatyana Ionova ◽  
Sam Salek
Keyword(s):  
Hodgkin Lymphoma ◽  
Myeloid Leukemia ◽  
Clinical Decision Making ◽  
Signs And Symptoms ◽  
Clinical Decision ◽  
Cross Sectional ◽  
Non Hodgkin Lymphoma ◽  
Patient Reported ◽  
The Mean ◽  
The Impact

Abstract Introduction: Patient-reported outcome (PRO) measures not only have been widely used in clinical research but also increasingly employed in daily clinical practice to understand the health outcomes of medical interventions. A novel hematological malignancy (HM) specific PRO tool, HM-PRO, has been recently developed for use in daily clinical practice. The HM-PRO is a composite measure consisting of two scales: Part A - measuring the 'impact on patients' quality of life (QoL); and Part B-measuring the effect of 'signs and symptoms' experienced by the patients. Both scales have linear scoring system ranging from 0 to 100, with higher scores representing greater impact on QoL and symptom burden. The assessment of the "meaningfulness" of HM-PRO scores is essential if clinicians are to be able to use the instrument to understand patient health outcomes to aid their clinical decision-making and encourage better patient engagement. One way of enhancing the clinical utility of scores on multi-item questionnaires is by investigating the importance (to patients and clinicians) of cross-sectional differences by anchoring those differences and changes to clinically familiar events that are related to patient well-being. The aims of the present study were to determine the relationship between the HM-PRO scores and a Global Question (GQ) measuring the impact on a patient's life from patients' perspective and to identify bands of HM-PRO scores equivalent to each GQ descriptor, reflecting patients' global rating of PROs. Methods: In this multicenter cross-sectional study, 905 patients: male 486; mean age 64.3 (±12.4, years; mean time since diagnosis 4.6 (±5.2) years; with different HM's ( acute lymphoblastic leukemia n=29, acute myeloid leukemia n=67, aggressive non Hodgkin lymphoma n=54, chronic lymphocytic leukemia n=64, chronic myeloid leukemia n=45, Hodgkin lymphoma n=37, indolent non Hodgkin lymphoma n=41, myelodysplastic syndrome n=158, multiple myeloma n=296, and myeloproliferative neoplasm n=114); in different disease states (stable-399, remission-277, and progressing - 229) were recruited from seven secondary hospitals and five patient organizations in the UK. All patients were asked to complete the HM-PRO and answer the global question as an anchor. Anchor-based differences were determined cross-sectionally (differences between clinically-defined groups at one time point) to determine clinically important differences in scores. The data analysis was carried out using IBM SPSS 23, a statistical software. Results: The mean HM-PRO score for Part A was 31.7 (±21.6) with median of 28.3 (IQR 13.6-46.6), for Part B was 20.9 (±14.2) with median of 17.6 (IQR 8.8 - 29.4), and the mean GQ score was 3.2 (±1.19) with range 1-5. The mean, mode, and median of the GQ scores for each HM-PRO score for both scales of HM-PRO were used to devise the bands (Figure 1) and intra-class correlation coefficient (ICC) was calculated for level of agreement. The set of scores proposed for adoption included: for Part A HM-PRO scores 0-7 = 'no impact' on patients' QoL (GQ=1, n=64), scores 8-25 = 'a small impact' on patients' QoL (GQ=2, n=133), scores 26-41 = 'moderate impact' on patients' QoL (GQ=3, n=97), scores 42-74 = 'very large impact' on patients' QoL (GQ=4, n=111), and scores 75-100 = 'extremely large impact' on patients' QoL (GQ=5, n=18), with ICC =0.80 (95% CI-0.77 - 0.83); for Part B HM-PRO scores 0-3 = 'no effect' of signs and symptoms on patient's life (GQ=1, n=56), scores 4-16 = 'a small effect' of signs and symptoms on patient's life (GQ=2, n=133), scores 17-29 = 'a moderate effect' of signs and symptoms on patient's life (GQ=3, n=122), scores 30-65 = 'very large effect' of signs and symptoms on patient's life (GQ=4, n=104), and scores 66-100 = 'extremely large effect' of signs and symptoms on patient's life (GQ=5, n=3), with ICC =0.75 (95% CI- 0.71-0.78), respectively (Table 1). Conclusion: This study employed the anchor-based approach for devising a set of score banding for both Part A and Part B of HM-PRO. The proposed bands (Part A=0-7, 8-25, 26-41, 42-74, 75-100; Part B=0-3, 4-16, 17-29, 30-65, 66-100) had the highest agreement and number of patients in the individual bands. The proposed bands could be applied independent of gender and different age groups. The findings of this study will help the clinician and the care team to interpret the HM-PRO scores to aid their clinical decision-making process in daily routine practice. Disclosures Oliva: Sanofi: Consultancy, Speakers Bureau; Celgene: Consultancy, Other: Royalties, Speakers Bureau; La Jolla: Consultancy; Amgen: Consultancy, Speakers Bureau; Novartis: Consultancy, Speakers Bureau; Janssen: Consultancy, Speakers Bureau. Ionova:Takeda: Research Funding; BMS: Research Funding.

scholarly journals Nurses’ knowledge of pressure ulcer and its associated factors at Hawassa University Comprehensive Specialized Hospital Hawassa, Ethiopia, 2018.

2020 ◽  
Author(s):  
Ezedin Molla Muhammed ◽  
Berhanu Boru Bifftu ◽  
Yemataw Zewdu Temachu ◽  
Tarkie Abebe Walle
Keyword(s):  
Pressure Ulcer ◽  
Associated Factors ◽  
Pressure Ulcers ◽  
Sampling Technique ◽  
Signs And Symptoms ◽  
Knowledge Score ◽  
Simple Random Sampling ◽  
Cross Sectional ◽  
The Mean ◽  
Nurses Knowledge

Abstract Background: Pressure ulcer is largely avoidable, but its prevalence rate increased more than 80% in a thirteen years study. Nurses have a great position to advance best practices towards the prevention of pressure ulcers. Therefore they should be knowledgeable of the signs and symptoms of pressure ulcers, and preventive strategies to reduce its incidence, but there is limited evidence on nurses’ knowledge and its associated factors to prevent pressure ulcer in Ethiopia. Methods: A hospital-based cross-sectional study was conducted from March 25 – April 23/ 2018. A total of 356 nurses were selected by stratification with a simple random sampling technique. Pretested structured questionnaire with closed and open-ended questions was used to collect data. Frequency distribution and percentage were computed to describe each variable. Bivariate and multivariable logistic regression with a 95% confidence interval was also carried out to see the effect of each independent variable on the dependent variable and declared statistical significant association with P< 0.05. Result: The mean knowledge score of nurses was 25.22 out of 41 item questions. Fifty-two point five percent of nurses score above the mean. Males [AOR=0.44, 95% CI (0.26 – 0.73)], working a maximum of eight hours [AOR= 3.57, 95% CI (1.48 – 8.61), not having training [(AOR= 2.31, 95% CI (1.14 – 4.61)], Low salary [AOR= 3.47, 95% CI (1.03 – 11.67)] were significantly associated with inadequate knowledge. Conclusion: Generally a nurse's knowledge of pressure ulcer was inadequate. Being female, working less than or equal to eight hours, not having the training and low working salary are contributors to a low level of knowledge for pressure ulcer.

scholarly journals Comparing the Effect of Methadone, Buprenorphine, and Opium Tincture on QTc Interval in Addicted Patients Undergoing Maintenance Therapy

2020 ◽  
Author(s):  
Malihe Seyedi ◽  
Seyyed Kaveh Hojjat ◽  
Nahid Rezaeian ◽  
Mina Norouzi Khalili ◽  
Fatemeh Zadehbagheri ◽  
...  
Keyword(s):  
Maintenance Therapy ◽  
Therapy Group ◽  
Cross Sectional Study ◽  
Interval Methods ◽  
Qtc Interval ◽  
Cross Sectional ◽  
Therapy Program ◽  
Significant Difference ◽  
The Mean ◽  
Drug Dependent

Abstract Background : Methadone, buprenorphine, and opium tincture are effective in the treatment of opioid dependency. Currently, in Iran, these three drugs are used in the maintenance therapy program of opioids. On the other word, there are concerns about the incidence of secondary torsade de point (TdP) arrhythmia caused by the prolonged drug-dependent QTc interval. This cross-sectional study has been designed to evaluate and compare the effects of these three maintenance therapies on the QTc interval. Methods : The study population included 110 patients (85% male with the mean age of 51.66±13.34) who participated in an opioid maintenance therapy program for at least 6 months. These patients were assigned to three groups of maintenance therapy with methadone (n = 50), buprenorphine (n = 30) and opium tincture (n = 30). For each patient, a 12-lead ECG was acquired and interpreted. The QT interval was corrected based on the QTc = QT + 1/75 (heart rate - 60) formula. Results : The mean QTc interval was 408.51 ± 25.88 msec in the maintenance therapy group with methadone, 405.58 ± 20.8 msec with buprenorphine and 406.31 ± 16.9 with opium tincture. There was no significant difference between the three groups (P = 0.83). There was only one case with QTc more than 500 msec (511.25 msec) in the maintenance therapy group with methadone. Conclusions : Methadone, buprenorphine and opium tincture are safe drugs in terms of prolonging the QTc interval and are suitable candidates for maintenance therapy of opioid.

scholarly journals Epidemiology, Clinico-Pathological Characteristics, and Comorbidities of SARS-CoV-2 infected Pakistani Patients

2021 ◽  
Author(s):  
Saadia Omer ◽  
Muhammad Bilal Sarwar ◽  
Muhammad Roman ◽  
Muhammad Usman ◽  
Muhammad Alam ◽  
...  
Keyword(s):  
Signs And Symptoms ◽  
Cross Sectional Study ◽  
Response To Treatment ◽  
Future Research ◽  
Cross Sectional ◽  
Icu Patients ◽  
Female Ratio ◽  
Source Of Infection ◽  
Control And Prevention ◽  
Complete Blood Counts

AbstractSARS-CoV-2 is a causative agent for COVI-19 disease, initially reported from Wuhan, China. Infected Patients experienced mild to severe symptoms, resulting in several fatalities due to a weak understanding of its pathogenesis, which is the same even to date. This cross-sectional study has been designed on four hundred and fifty-two symptomatic, mild-to-moderate, and severe/critical patients to understand the epidemiology and clinical characteristics of COVID-19 patients with their comorbidities and response to treatment. The mean age of studied patients was (58±14.42) years, and the overall male to female ratio was 61.7 to 38.2%, respectively. 27.3% of the patients had a history of exposure, 11.9% travel history, while for 60% of patients, the source of infection was unknown. The most prevalent signs and symptoms in ICU patients were dry coughs, myalgias, shortness of breath, gastrointestinal discomfort, and abnormal Chest X-ray (p<0.001), along with the high percentage of hypertension (p=0.007) and COPD (p=0.029) as leading comorbidities. Complete Blood Counts indicators were significantly increased in severe patients, while the Coagulation Profile and D-dimer values were significantly higher in mild-to-moderate (non-ICU) patients (p < 0.001). Serum Creatinine (1.22 umole L-1; p = 0.016) and LDH (619 umol L-1; p < 0.001) indicators were significantly high in non-ICU patients while, raised values of Total Bilirubin (0.91 umol L-1; p = 0.054), CRP (84.68 mg L-1; p = 0.001) and Ferritin (996.81 mg L-1; p < 0.001) were found in ICU patients. Drug Dexamethasone was the leading prescribed and administrated medicine to the COVID-19 patients, followed by Remdesivir, Meropenem, Heparin, and Tocilizumab, respectively. A characteristic pattern of Ground glass opacities (GGO), consolidation, and interlobular septal thickening were prominent in severely infected patients. These findings could be used for future research, control, and prevention of SARS-CoV-2 infected patients.

scholarly journals SEVERE PNEUMONIA

2018 ◽  
Vol 25 (03) ◽  
pp. 396-399
Author(s):  
Asim Amjad ◽  
Ubaid Ullah ◽  
Iqbal Ahmad Azhar
Keyword(s):  
Severe Pneumonia ◽  
Signs And Symptoms ◽  
Cross Sectional Study ◽  
Radiology Department ◽  
Lung Collapse ◽  
Radiological Findings ◽  
Cross Sectional ◽  
Chest X Ray ◽  
The Mean ◽  
Study Setting

Background: The signs and symptoms of pneumonia are often nonspecificand widely vary based on the patient’s age and the infectious organisms involved. IMNCI hasimproved case improved diagnose of pneumonia. This study was conducted to study thefrequency of correctly diagnosed cases of severe pneumonia by IMNCI classification in childrenbetween 2 – 59 months of age. Study Design: Cross sectional study. Setting: Departmentof Pediatrics, Mayo Hospital, Lahore. Period: January to June 2013. Methodology: Total155 cases were included through Non probability purposive sampling. Chest radiographswere taken within the first 6 hours from Radiology Department and reports were obtained forevidence of pneumonia. Data was entered and analyzed in SPSS version 16. Age, weight,height were presented as mean ± standard deviation. Sex and radiological findings of severepneumonia were presented as frequency tables and percentages. Results: The mean age ofpatients was 12.76±11.54 months. There were 47.1% females and 52.9% males. Out of 155patients 134(86.5%) had pneumonia on CXR where as only 21(13.5%) appeared with normalstatus which were already positive on IMNCI. Only 21 (13.5%) appeared with bilateral patchof consolidation, 62 (40%) appeared with Unilateral patch of consolidation, 11 (7.1%) wereappeared with Bronchopneumonia, 30 (19.4%) were appeared with lung collapse condition and(12.9%) were appeared with Pleural Effusion. Conclusion: Clinical assessment of pneumonia inchildren on IMNCI is equivalent to the assessment on chest X-ray.

scholarly journals Nurses’ knowledge of pressure ulcer and its associated factors at Hawassa University Comprehensive Specialized Hospital Hawassa, Ethiopia, 2018.

2019 ◽  
Author(s):  
Tarkie Abebe Walle ◽  
Ezedin Molla Muhammed ◽  
Berhanu Boru Bifftu ◽  
Yemataw Zewdu Temachu
Keyword(s):  
Pressure Ulcer ◽  
Associated Factors ◽  
Pressure Ulcers ◽  
Sampling Technique ◽  
Signs And Symptoms ◽  
Cross Sectional ◽  
Specialized Hospital ◽  
The Mean ◽  
Hawassa University ◽  
Nurses Knowledge

Abstract Introduction Pressure ulcer is largely avoidable, but its prevalence rate increased more than 80% in a thirteen years study. Nurses have a great position to advance best practices towards the prevention of pressure ulcers. Therefore they should be knowledgeable of the signs and symptoms of pressure ulcers, and preventive strategies to reduce its incidence, but there is limited evidence on nurses’ knowledge and its associated factors to prevent pressure ulcer in Ethiopia.Objectives The study aimed to assess nurses' knowledge and associated factors towards pressure ulcer prevention at Hawassa University Comprehensive Specialized Hospital, Hawassa, Ethiopia, 2018.Methods A hospital-based cross-sectional study was conducted from March 25 – April 23/ 2018. A total of 356 nurses were selected by stratification with a simple random sampling technique. Pretested structured questionnaire with closed and open-ended questions was used to collect data. Frequency distribution and percentage were computed to describe each variable. Bivariate and multivariable logistic regression with a 95% confidence interval was also carried out to see the effect of each independent variable on the dependent variable and declared statistical significant association with P< 0.05.Result The mean knowledge score of nurses was 25.22 out of 41 item questions. Fifty-two point five percent of nurses score above the mean. Males [AOR=0.44, 95% CI (0.26 – 0.73)], working a maximum of eight hours [AOR= 3.57, 95% CI (1.48 – 8.61), not having training [(AOR= 2.31, 95% CI (1.14 – 4.61)], Low salary [AOR= 3.47, 95% CI (1.03 – 11.67)] were significantly associated with inadequate knowledge.Conclusion Generally a nurse's knowledge of pressure ulcer was inadequate. Being female, working less than or equal to eight hours, not having the training and low working salary are contributors to a low level of knowledge for pressure ulcer.

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