Deficiencies in education and experience in the management of acute kidney injury among Malawian healthcare workers
Deficiencies in education and experience in the management of acute kidney injury among Malawian healthcare workers
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DOI：
10.4314/mmj.v27i3.6
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发表时间：
2015-09-01
影响因子：
0.8
通讯作者：
Dreyer, G.
中科院分区：
文献类型：
--
作者：
Evans, R.;Rudd, P.;Dreyer, G.
研究背景急性肾损伤（Acute kidney injury，阿基）是一种常见但未被充分认识的疾病过程，具有很高的死亡率或慢性并发症风险，如慢性肾脏疾病和其他器官功能障碍。然而，在发达国家和马拉维，阿基的管理都不是最佳的。这在一定程度上是因为阿基教育和培训的不足。AimTo建立阿基教育的范围内的医疗保健工作者在Malawi.MethodsAn阿基研讨会在布兰太尔在2015年3月的当前水平。代表们被要求完成一项调查，在研讨会开始时，以评估他们的临床经验和教育的管理阿基.ResultsFrom 100名代表，89名护士，临床人员，和医生，来自11个不同的地区，回答了调查。22%的医护人员（包括28%的地区工作人员和31%的护士）从未接受过肾脏疾病的任何方面的教学，50%的医护人员（包括63%的地区工作人员和61%的护士）从未接受过专门关于阿基的教学。44%的人对管理阿基没有信心，98%的人希望获得更多支持来管理肾病患者。34%（包括55%的地区工作人员）不知道伊丽莎白女王中央医院（QECH）可提供血液透析治疗阿基，53%（74%的地区工作人员）不知道腹膜透析可用于治疗儿童阿基。只有33%曾经提到过一个病人与阿基QECH.ConclusionsThere的教育，和临床经验，阿基的管理在马拉维的医疗工作者，除了有限的认识，肾脏服务提供在QECH的不足。需要采取紧急行动解决这些问题，以防止马拉维阿基的发病率和死亡率。
BackgroundAcute kidney injury (AKI) is a common but under-recognised disease process, which carries a high risk of mortality or chronic complications, such as chronic kidney disease and other organ dysfunction. Management of AKI, however, is suboptimal, both in developed settings and in Malawi. This is partly because of deficiencies in AKI education and training.AimTo establish current levels of AKI education in a range of healthcare workers in Malawi.MethodsAn AKI symposium was held in Blantyre in March 2015. Delegates were asked to complete a survey at the start of the symposium to assess their clinical experience and education in the management of AKI.ResultsFrom 100 delegates, 89 nurses, clinical officers, and physicians, originating from 11 different districts, responded to the survey. Twenty-two percent of healthcare workers (including 28% of district workers of the various cadres and 31% of nurses) had never received teaching on any aspect of renal disease, and 50% (including 63% of district workers and 61% of nurses) had never received teaching specifically on AKI. Forty-four percent did not feel confident managing AKI, and 98% wanted more support managing patients with renal disease. Thirty-four percent (including 55% of district workers) were unaware that haemodialysis was available at Queen Elizabeth Central Hospital (QECH) for the treatment of AKI and 53% (74% of district workers) were unaware that peritoneal dialysis was available for the treatment of AKI in children. Only 33% had ever referred a patient with AKI to QECH.ConclusionsThere are deficiencies in education about, and clinical experience in, the management of AKI among Malawian healthcare workers, in addition to limited awareness of the renal service available at QECH. Urgent action is required to address these issues in order to prevent morbidity and mortality from AKI in Malawi.