scholarly journals Perceptions of nursing professionals front the pain of newborns in a neonatal intensive therapy unit

2019 ◽  
Vol 41 (1) ◽  
pp. 40288
Author(s):  
Valdinéa Luiz Hertel ◽  
Luana Aparecida Mendes Colósimo ◽  
Paula Rogéria da Silva
Keyword(s):  
Intensive Therapy ◽  
Cross Sectional Study ◽  
Nursing Interventions ◽  
Cross Sectional ◽  
University Center ◽  
Venous Puncture ◽  
Statistical Program ◽  
Pain Assessment Scales ◽  
Level Of Knowledge ◽  
Nursing Professionals

Objective: This study aims to know the perceptions of nursing professionals regarding the identification of pain in the newborn, as well as to assess the level of knowledge of these professionals regarding the existence and applicability of pain assessment scales for newborns and possible nursing interventions to be performed. Methodology: This is a qualitative, exploratory, descriptive and cross-sectional study conducted at the Intensive Care Unit of Hospital Escola in the city of Itajubá, State Minas Gerais. The present study counted on the participation of 20 professionals who answered two instruments to capture the data from March to June 2016. The analysis was done by the statistical program Excel version 2013 and as for the data, it was recorded by means of interview, it has been used the analysis of content proposed by Laurence Bardin. The study was approved by the Research Ethics Committee of Teresa D'Ávila University Center. Results: The following categories were listed: Yes, Venous Puncture, Crying, Non-pharmacological interventions, Yes, NIPS scale and Non-use of scale. Conclusion: This study will enable the critical reflection of professionals involved in the care of the neonate in pain situation, sensitizing them to interpret and minimize pain in the human being who is not yet able to verbalize it.

Knowledge of nursing students about prevention of radiodermatitis

2009 ◽  
Vol 4 (1) ◽  
pp. 42
Author(s):  
Gerlaine Rodrigues Guerra ◽  
Lia Raquel Monturil Vaz de Souza ◽  
Paula Elaine Diniz dos Reis ◽  
Andréa Mathes Faustino
Keyword(s):  
Nursing Students ◽  
Social Science ◽  
Cross Sectional Study ◽  
Nursing Interventions ◽  
Cross Sectional ◽  
University Center ◽  
Therapeutic Modalities ◽  
Undergraduate Nursing ◽  
Level Of Knowledge ◽  
Nursing Course

ABSTRACTObjective: to assess the knowledge of the last semester of the undergraduate nursing course students on prevention of radiodermatitis. Methods: this is about a cross-sectional study, from survey type. For data collection was applied a questionnaire for students of the 8th semester nursing course in four universities in Brasilia city. Statistical analysis was performed using the Statistical Package for Social Science, version 13.0. This study has been approved by the Committee of Ethics in Research of UNIEURO University Center (010/2008). Results: in a research with 52 students, of which have 44% reported the approach of cancer in some subjects during the course. When asked about the knowledge of prevention and treatment of radiodermatitis, except by students of the institution A, there was a good level of knowledge about the possible nursing interventions. Conclusion: the results suggest that the academics did not have sufficient knowledge of prevention of radiodermatitis caused by ionizing radiation in the treatment with radiotherapy. The training of nurses to prevent and treat the toxicities associated to cancer therapeutic modalities, especially in the study of radiodermatitis, which is more than essential, and the building up of this knowledge should start in the undergraduate course. Descriptors: cancer; radiotherapy; nursing care. RESUMOObjetivo: verificar o conhecimento de alunos do último semestre do curso de graduação em enfermagem sobre prevenção de radiodermatite. Métodos: trata-se de estudo seccional, tipo survey. Para a coleta de dados foi usado questionário aplicado aos alunos do 8º semestre do curso de enfermagem em quatro universidades de Brasília, após aprovação pelo Comitê de Ética em Pesquisa do Centro Universitário UNIEURO (010/2008). A análise estatística foi realizada com auxílio do Statistical Package for Social Science, versão 13.0. Resultados: participaram da pesquisa 52 estudantes, dos quais 44% referiram abordagem da oncologia em alguma disciplina no decorrer do curso. Quando questionados acerca do conhecimento sobre prevenção e tratamento da radiodermatite, exceto pelos alunos da instituição A, não houve bom nível de conhecimento sobre as possíveis intervenções de enfermagem. Conclusão: os resultados sugerem que os acadêmicos não possuíam conhecimento suficiente sobre prevenção de radiodermatite causada pela radiação ionizante no tratamento com radioterapia. Assim, a capacitação do enfermeiro para prevenir e tratar as toxicidades inerentes às modalidades terapêuticas oncológicas, destacando-se neste estudo a radiodermatite, é imprescindível, devendo a construção desse conhecimento iniciar ainda na graduação. Descritores: câncer; radioterapia; cuidados de enfermagem. RESUMENObjetivo: evaluar los conocimientos de los estudiantes del último semestre de la Escuela Universitaria de Enfermería en la prevención de Radiodermatitis. Métodos: es uma investigación transversal, tipo survey, por medio de un cuestionario aplicado a los estudiantes del 8º semestre del curso de enfermería en cuatro universidades de la ciudad de Brasilia. Este estúdio fue aprobado por el Comité de Ética em Investigación del Centro Universitario UNIEURO (010/2008). El análisis estadístico se realizó utilizando el Statistical Package for Social Science, version 13.0. Resultados: una búsqueda de 52 estudiantes, 44% informó obtener alguna informacion sobre el cáncer en algunas clase durante el curso de enfermeria. Cuando se les preguntó por el conocimiento sobre la prevención y el tratamiento de Radiodermatitis salvo por los estudiantes de la institución A, hubo buen nivel de conocimiento acerca de las posibles intervenciones de enfermería. Conclusión: los resultados sugieren que los académicos no tienen conocimientos suficientes sobre la prevención de Radiodermatitis causados por las radiaciones ionizantes en el tratamiento con radioterapia, por lo que la formación del personal de enfermería para prevenir y tratar la toxicidad asociada al cáncer de modalidades terapéuticas, especialmente en el estudio Radiodermatitis es esencial, y la construcción de este conocimiento debe iniciar en la graduación. Descriptores: cáncer; radioterapia; atención de enfermería. 

scholarly journals Use of the nursing intervention classification for identifying the workload of a nursing team in a surgical center

2015 ◽  
Vol 23 (5) ◽  
pp. 781-788 ◽  
Author(s):  
João Francisco Possari ◽  
Raquel Rapone Gaidzinski ◽  
Antônio Fernandes Costa Lima ◽  
Fernanda Maria Togeiro Fugulin ◽  
Tracy Heather Herdman
Keyword(s):  
Surgical Care ◽  
Work Load ◽  
Nursing Intervention ◽  
Cross Sectional Study ◽  
Nursing Interventions ◽  
Cross Sectional ◽  
Staffing Levels ◽  
Nursing Team ◽  
Nursing Staffing ◽  
Nursing Professionals

Objective: to analyze the distribution of nursing professionals' workloads, according to the Nursing Intervention Classification (NIC), during the transoperative period at a surgical center specializing in oncology.Methods: this was an observational and descriptive cross-sectional study. The sample consisted of 11 nurses, 25 nursing technicians who performed a variety of roles within the operating room, 16 nursing technicians who worked with the surgical instrumentation and two nursing technicians from patient reception who worked in the surgical center during the transoperative period. An instrument was developed to collect data and the interventions were validated according to NIC taxonomy.Results: a total of 266 activities were identified and mapped into 49 nursing interventions, seven domains and 20 classes of the NIC. The most representative domains were Physiological-Complex (61.68%) and Health System (22.12%), while the most frequent interventions were Surgical Care (30.62%) and Documentation (11.47%), respectively. The productivity of the nursing team reached 95.34%.Conclusions: use of the Nursing Intervention Classification contributes towards the discussion regarding adequate, professional nursing staffing levels, because it shows the distribution of the work load.

scholarly journals KNOWLEDGE, ATTITUDE, AND BEHAVIOR ABOUT ABORTION AMONG ADULT WOMEN AT PEUNAYONG DISTRICT, BANDA ACEH, INDONESIA

2019 ◽  
pp. 127-129
Author(s):  
EKA RUSDIANTO GUNARDI ◽  
ERIK A RAHMAN ◽  
BIRAN AFFANDI ◽  
MUHAMMAD IKHSAN
Keyword(s):  
Reproductive Health ◽  
Cross Sectional Study ◽  
Adult Women ◽  
Cross Sectional ◽  
Statistical Program ◽  
Level Of Knowledge ◽  
Adolescent Reproductive Health ◽  
And Behavior ◽  
Attitudes And Behavior ◽  
Good Attitude

Objective: Every year approximately 13% (78,000) of maternal death caused by unsafe abortion. Indonesia Family Planning Association predicts 2.5 million abortions per year and 1.5 million of them committed by teenagers. Adolescent reproductive health problems are more alarming year by year. Sexual behavior tends to be permissive and bold with limited knowledge of reproductive health has increased the risk of abortion. This study is to assess the knowledge, attitudes, and behavior regarding abortion in young adults. Methods: This is a descriptive cross-sectional study. The subjects were young women aged 18–24 years old who were fulfilled by inclusion and exclusion criteria. The knowledge, attitudes, and behavior were assessed using questionnaire. The results were analyzed using statistical program. Results: The total subjects recruited in this study were 55 subjects. Twenty-eight (50.9%) of subjects has a good knowledge and 27 (49.1%) of subjects had a moderate knowledge. Twenty-nine (52.7%) subjects had moderate attitudes and 36.4% of subjects had good attitude. Thirty (54.5%) of subjects had a good behavior regarding abortion. Conclusion: Most of the subjects had good level of knowledge and moderate attitude toward abortion.

scholarly journals Diabetes and Education – Knowledge Level about Diabetes Management in Nurses Student

2019 ◽  
Vol 3 (1) ◽  
Author(s):  
Požar H
Keyword(s):  
Nursing Students ◽  
Diabetes Management ◽  
Cross Sectional Study ◽  
Intermediate Level ◽  
Educational Work ◽  
Cross Sectional ◽  
Statistical Program ◽  
Nutritional Needs ◽  
Level Of Knowledge ◽  
Main Activity

Background: Nurses have an important role in the treatment of people with diabetes. However, the information which is transmitted to patients greatly depends on their knowledge of the subject. The aim of this study was to investigate the level of knowledge about diabetes among professional nurses. Method: The survey was conducted as a cross-sectional study in which 80 nursing students participated from high school in Subotica. The level of knowledge was evaluated using the Diabetes Knowledge Test. For statistical analysis, we used SPSS statistical program, methods of descriptive statistics. Results: Respondents have low skills (58.75%) in nutritional needs. Medium knowledge about controlling blood sugar (60%), and intermediate level of knowledge (63%) of chronic complications. The total knowledge about diabetes was 64.36%. Conclusion: The intermediate level of knowledge of diabetes, and low nutrition knowledge, which is the main activity of patient education by nurses, alerts us to possible errors in health educational work.

scholarly journals Adherence and factors related to acceptance of alcohol for antiseptic hand rubbing among nursing professionals

2017 ◽  
Vol 51 (0) ◽  
Author(s):  
Adriana Cristina de Oliveira ◽  
Camila Sarmento Gama ◽  
Adriana Oliveira de Paula
Keyword(s):  
Hand Hygiene ◽  
Intensive Therapy ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Related Factors ◽  
Cross Sectional ◽  
Institutional Investment ◽  
Significance Level ◽  
Ease Of Access ◽  
Nursing Professionals

Abstract OBJECTIVE Identify rates of adhesion and related factors to acceptance of an alcohol based preparation to hands antiseptic friction among nursing professionals in a unit of intensive therapy. METHOD A cross-sectional study, which involved direct observation of hand hygiene opportunities and nursing professionals’ completion of questionnaires, was conducted at a university hospital between January and July 2015. Descriptive and univariate analyses were performed, with a 5% significance level. RESULTS It was observed 956 opportunities of hand hygiene among 46 nursing professionals. The rate of adhesion to alcohol-based handrub (ABH) was 34.8% and about 87.0% preferred handwashing. Nurses used ABH more frequently than nursing technicians (p <0.001), and the report of feeling of clean hands after using the alcohol product was directly related to higher rates of adherence to antiseptic friction through observation (P <0.05). CONCLUSION The finding indicating low ABH usage highlights the need for greater institutional investment in strategies that help health professionals to recognize the advantages of this type of HH with respect to time spent, ease of access to dispensers, effectiveness in eliminating microorganisms, and maintaining skin moisturization.

Risk factors that predisposes the occurrence of complications associated with peripheral venous puncture

2011 ◽  
Vol 5 (7) ◽  
pp. 1691
Author(s):  
Azenath Helena Silva ◽  
Poliana Silva Brito ◽  
Pollyana Maciel Oliveira ◽  
Regina Célia Oliveira
Keyword(s):  
Risk Factors ◽  
Participant Observation ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Check List ◽  
Cross Sectional ◽  
Venous Puncture ◽  
Study Population ◽  
Nursing Professionals ◽  
Puncture Technique

ABSTRACTObjective: to evaluate venous puncture technique developed by nursing professionals. Method: this is about a descriptive, exploratory and cross-sectional study from a quantitative approach, approved by the Ethical Committee for Research at the Hospital da Restauração, with the following CAAE: 0041.0.102.000-09. The study population was consisted by nursing professionals responsible for drug therapy and 44 of them composed the samples. The collection technique used was of non-participant observation. Using a checklist, the data were statistically treated related to frequency and percentages. Results: the authors verified that the criterion of washing hands did not happen before the procedure in 82%(74) of the punctures and 81%(73) after the procedure was not observed. The professionals used procedure gloves in 32%(29) of all times. Antisepsis was not performed in 57%(51) of the cases. The use of the same device occurred in 10%(9) of punctures. 51%(46) of the professionals did not observe the patient's complaints. Most professionals 92%(83) guided not the patient about the puncture care. Conclusion: It was noted with this study how the procedure of venous puncture has been neglected. Descriptors: peripheral catheterization; blood vessels; nursing care.RESUMOObjetivo: avaliar a técnica da punção venosa desenvolvida pelos profissionais de enfermagem. Método: estudo descritivo–exploratório, quantitativo e de corte transversal aprovado pelo Comitê de Ética em Pesquisa do Hospital da Restauração com o seguinte CAAE: 0041.0.102.000-09. A população foi constituída por profissionais de Enfermagem responsáveis pela terapia medicamentosa e desta, 44 compuseram amostra. A técnica de coleta utilizada foi a de observação não participante. Utilizando-se um check-list, cujos dados foram tratados estatisticamente e levou-se em conta a frequência e as porcentagens. Resultados: constatou-se que, quanto ao critério da lavagem das mãos, que isto não aconteceu antes do procedimento em 82%(74) das punções e em 81%(73), após o procedimento, também não foi observada. Em apenas 32%(29) das vezes os profissionais usaram luvas de procedimento. Já a antissepsia não foi realizada em 57% (51) dos casos. O uso do mesmo dispositivo aconteceu em 10%(9) das punções. E 51%(46) dos profissionais não observaram as queixas do paciente. A maioria dos profissionais, 92%(83), não orientou o paciente quanto ao cuidado com a punção. Conclusão: percebeu-se, com este estudo, o quanto o procedimento da punção venosa vem sendo negligenciado. Descritores: cateterismo periférico; vasos sanguíneos; assistência de enfermagem.RESUMENObjetivo: evaluar la técnica de la venopunción periférica desarrollada por los profesionales de enfermería. Método: estudio descriptivo, exploratorio, cuantitativo y comprobado por el Comité de Ética y Busca del Hospital de Restauración con el siguiente CAEE: 0041.0.102.000-09. La población fue constituida por los profesionales de enfermería responsables del tratamiento medicamentoso y compuesto por 44 muestras. La técnica de recolección fue utilizada por la observación no participante utilizando una lista de comprobación, los datos fueron tratados estadísticamente relativos a la frecuencia y porcentajes. Resultados: los autores verificaron que, en relación con el criterio de lavarse las manos que no ocurrió antes del procedimiento en el 82%(74) de las punciones  y en 81%(73) después del procedimiento no observado tampoco. En sólo 32%(29) los profesionales utilizan guantes de procedimiento. Ya antisepsia no fue realizada en 57%(51) de los casos. El uso del mismo dispositivo ocurrió en 10%(9) de las punciones. Y 51%(46) del profesionales no observaran las quejas del pacientes. La mayoría de los profesionales, 92%(83) no orientan a los pacientes cuidar de la punción. Conclusión: se observó en este estudio como el procedimiento de venopunción se ha descuidado. Descriptores: cateterización periférica; los vasos sanguíneos; los cuidados de enfermería.

scholarly journals Nursing interventions for neurocritical patients

2020 ◽  
Vol 14 ◽  
Author(s):  
Kelly Regina Pires da Silva Caciano ◽  
Jakeline De Lima israel Saavedra ◽  
Edna Lopes Monteiro ◽  
Natasha Varjão Volpáti ◽  
Thatiana Lameira Maciel Amaral ◽  
...  
Keyword(s):  
Nursing Care ◽  
Scientific Evidence ◽  
Intensive Therapy ◽  
Vital Signs ◽  
Cross Sectional Study ◽  
Nursing Interventions ◽  
Cross Sectional ◽  
Terapia Intensiva ◽  
Critical Patients ◽  
Quantitative Descriptive

Objetivo: identificar as intervenções de Enfermagem para pacientes neurocríticos em uma Unidade de Terapia Intensiva. Método: trata-se de um estudo quantitativo, descritivo, transversal, com 84 pacientes neurocríticos. Coletaram-se as intervenções de Enfermagem mediante os registros de Enfermagem no instrumento de Sistematização da Assistência de Enfermagem da unidade. Realizaram-se a análise estatística dos dados. Resultados: revela-se que as principais intervenções de Enfermagem identificadas foram a realização da Escala de Coma de Glasgow (87,8%), Escala de Agitação e Sedação Richmond (84,3%), avaliação das pupilas (79,7%), cabeceira elevada a 30° (100%), monitorização dos sinais vitais (46,4%) e avaliação da Escala de Braden (36,9%). Conclusão: relacionam-se as principais intervenções de Enfermagem realizadas ao posicionamento neurológico, monitorização neurológica, monitorização dos sinais vitais e à prevenção de lesão por pressão. Acredita-se que os resultados deste estudo trazem importantes contribuições para o planejamento da assistência ao paciente neurocrítico, contribuindo para a prática baseada em evidências científicas na Enfermagem. Descritores: Hipertensão Intracraniana; Cuidados de Enfermagem; Pressão Intracraniana; Terapia Intensiva; Cuidados Críticos; Traumatismos Craniocerebrais. AbstractObjective: to identify nursing interventions for neuro-critical patients in an Intensive Care Unit. Method: this is a quantitative, descriptive, cross-sectional study with 84 neuro-critical patients. Nursing interventions were collected through the Nursing records in the unit of Nursing Care Systematization of the unit. Statistical analysis of the data was performed. Results: it is revealed that the main nursing interventions identified were the Glasgow Coma Scale (87.8%), Richmond Agitation and Sedation Scale (84.3%), pupil evaluation (79.7%), headboard elevated to 30 ° (100%), monitoring of vital signs (46.4%) and evaluation of the Braden Scale (36.9%). Conclusion: the main nursing interventions performed are related to neurological positioning, neurological monitoring, monitoring of vital signs and the prevention of pressure injury. It is believed that the results of this study bring important contributions to the planning of care for neuro-critical patients, contributing to the practice based on scientific evidence in Nursing. Descriptors: Intracranial Hypertension; Nursing Care; Intracranial Pressure; Intensive Therapy; Critical Care; Craniocerebral Injuries.ResumenObjetivo: identificar intervenciones de Enfermería para pacientes neurocríticos en una Unidad de Cuidados Intensivos. Método: es un estudio cuantitativo, descriptivo, transversal con 84 pacientes neurocríticos. Las intervenciones de Enfermería se recogieron a través de los registros de Enfermería en la unidad de Sistematización de Cuidados de Enfermería de la unidad. Se realizó un análisis estadístico de los datos. Resultados: se revela que las principales intervenciones de Enfermería identificadas fueron la Escala de coma de Glasgow (87.8%), la Escala de Agitación y Sedación de Richmond (84.3%), la evaluación de los alumnos (79.7%), cabecero elevado a 30 ° (100%), monitoreo de signos vitales (46.4%) y evaluación de la Escala de Braden (36.9%). Conclusión: las principales intervenciones de Enfermería realizadas están relacionadas con el posicionamiento neurológico, el monitoreo neurológico, el monitoreo de los signos vitales y la prevención de lesiones por presión. Se cree que los resultados de este estudio hacen contribuciones importantes a la planificación de la atención de pacientes neurocríticos, contribuyendo a la práctica basada en evidencia científica en Enfermería. Descriptores: Hipertensión Intracraneal; Cuidado de Enfermería; Presión Intracraneal; Cuidados Intensivos; Cuidado Crítico; Lesiones Craneocerebrales.

Assessment of knowledge about oral cancer: study with students of public education

RSBO ◽  
2016 ◽  
Vol 12 (1) ◽  
pp. 41 ◽  
Author(s):  
Elisabete Rabaldo Bottan ◽  
Iara Fiorentin Comunello ◽  
Constanza Marín ◽  
Eduardo Mazzetti Subtil
Keyword(s):  
Public Schools ◽  
Oral Cancer ◽  
Target Population ◽  
Cross Sectional Study ◽  
Primary Data ◽  
First Year ◽  
Research Subjects ◽  
Cross Sectional ◽  
Adequate Knowledge ◽  
Level Of Knowledge

Introduction and Objective: To evaluate the level of knowledge about oral cancer of students attending public school in one city of Santa Catarina (Brasil). Material and methods: A descriptive cross-sectional study, using primary data collection. Students of last year of elementary school and first year of high school, enrolled in public schools in the city of Itajaí (SC), in 2012, were the target population. The non-probability sample was obtained by convenience. Data were collected through a self-administered questionnaire structured with 13 questions divided into three fields. The level of knowledge was made based on pre-established scores. Results: 1149 instruments were analyzed (80.8% of the target population). The average age of the group was 15.5 years and 54.5% were female. The majority (78%) never had received information about oral cancer. Only 27.9% had cognizance about self-examination of the oral cavity. With regard to knowledge, 87.5% classified as unsatisfactory. For most issues the cognitive field did not identify a significant correlation between knowledge and the variables gender and education. When asked if they would like to participate in educational and preventive activitiesabout oral cancer and other issues related to health, 72.6% expressed interest. Conclusion: The group did not have adequate knowledge on the subject of oral cancer. Facing this reality, and the positive attitude of respondents, the researchers designed and offered an educational program to the research subjects.

scholarly journals A Questionnaire-Based Survey to Assess the Level of Knowledge and Awareness about Drug–Food Interactions among General Public in Western Saudi Arabia

Pharmacy ◽  
2021 ◽  
Vol 9 (2) ◽  
pp. 76
Author(s):  
Syed Faisal Zaidi ◽  
Rayan Mgarry ◽  
Abdullah Alsanea ◽  
Sakar Khalid Almutairi ◽  
Yaser Alsinnari ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Statistical Significance ◽  
Cross Sectional Study ◽  
Exclusion Criteria ◽  
Cross Sectional ◽  
Jeddah City ◽  
Fundamental Information ◽  
Inadequate Knowledge ◽  
Level Of Knowledge ◽  
Males And Females

Introduction: Various drug–food interactions exist that may hinder treatment and can sometimes be lethal. Our aim was to assess the level of public knowledge and awareness in Jeddah city, Western Saudi Arabia, about drug–food interactions, along with the effects of demographics on their knowledge. Methods: A survey questionnaire was administered in this cross-sectional study to participants spread across multiple locations in Jeddah, including in malls and public gatherings. Participants included both males and females. Sample size was calculated through Raosoft® software. Data analysis was executed using IBM Statistic SPSS and the level of statistical significance was set at p < 0.05. Results: A total of 410 people participated in the study and only 92.68% (380) of responses were enrolled in the study; 7.32% (30) were not enrolled due to the exclusion criteria. Surprisingly, only six out of eighteen questions regarding drug–food interactions in the administered questionnaire were correctly answered by 380 participants. Data indicated that the participants had a poor to intermediate level of both knowledge and awareness with respect to drug–food interactions. Furthermore, participants showed moderate to strong awareness of the effects of alcohol and tea generally, and their interaction with medication. Conclusion: Participants in our study showed inadequate knowledge of basic and fundamental information about drug–food interactions, which highlights the dire need to increase awareness.

scholarly journals Knowledge and understanding of obstetric danger signs among pregnant women attending the antenatal clinic at the National Referral Hospital in Thimphu, Bhutan: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Saran Tenzin Tamang ◽  
Thinley Dorji ◽  
Sonam Yoezer ◽  
Thinley Phuntsho ◽  
Phurb Dorji
Keyword(s):  
Pregnant Women ◽  
Knowledge Score ◽  
Antenatal Clinic ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Obstetric Danger Signs ◽  
Danger Signs ◽  
Obstetric Emergencies ◽  
Level Of Knowledge

Abstract Background The third Sustainable Development Goal for 2030 development agenda aims to reduce maternal and newborn deaths. Pregnant women’s understanding of danger signs is an important factor in seeking timely care during emergencies. We assessed knowledge of obstetric danger signs using both recall and understanding of appropriate action required during obstetric emergencies. Methods This was a cross-sectional study among pregnant women attending antenatal clinic at Bhutan’s largest hospital in Thimphu. Recall was assessed against seven obstetric danger signs outlined in the Mother and Child Health Handbook (7 points). Understanding of danger signs was tested using 13 multiple choice questions (13 points). Knowledge was scored out of 20 points and reported as ‘good’ (≥80%), ‘satisfactory’ (60–79%) and ‘poor’ (< 60%). Correlation between participant characteristics and knowledge score as well as number of danger signs recalled was tested using Pearson’s correlation coefficient. Association between knowledge score and participant characteristics was tested using t-tests (and Kruskal-Wallis test) for numeric variables. Socio-demographic and clinical characteristics associated with the level of knowledge ('good’ versus ‘satisfactory’ and ‘poor’ combined) were assessed with odds ratios using a log-binomial regression model. All results with p < 0.05 were considered significant. Results Four hundred and twenty-two women responded to the survey (response rate = 96.0%). Mean (±SD) knowledge score was 12 (±2.5). Twenty women (4.7%) had ‘good’ knowledge, 245 (58.1%) had ‘satisfactory’ knowledge and 157 (37.2%) had ‘poor’ knowledge. The median number of danger signs recalled was 2 (IQR 1, 3) while 68 women (20.3%) could not recall any danger signs. Most women were knowledgeable about pre-labour rupture of membranes (96.0%) while very few women were knowledgeable about spotting during pregnancy (19.9%). Both knowledge score and number of danger signs recalled had significant correlation with the period of gestation. Women with previous surgery on the reproductive tract had higher odds of having ‘good’ level of knowledge. Conclusions Most pregnant women had ‘satisfactory’ knowledge score with poor explicit recall of danger signs. However, women recognized obstetric emergencies and identified the appropriate action warranted.

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