Building Capacity of Community Nurses to Strengthen the Management of Uncomplicated Hypertension in Persons Living with HIV in Low- and Middle-Income Countries.
Building Capacity of Community Nurses to Strengthen the Management of Uncomplicated Hypertension in Persons Living with HIV in Low- and Middle-Income Countries.
复制标题
作者：
Ojji D;Aifah A;Iwelunmor J;Hade EM;Onakomaiya D;Colvin C;Mishra S;Kanneh N;Rakhra A;Shedul G;Henry D;Duah A;Lew D;Bansal GP;Attah A;Ogedegbe G;Ekanem A
非医生医疗保健工作者（特别是社区护士）的培训不足可能会阻碍低收入和中等收入国家初级医疗保健机构将心血管疾病（CVD）管理成功纳入艾滋病毒慢性病护理。为了解决这一局限性，我们纳入了一个全面的培训计划，其中包括针对实践促进者和社区护士的强大模块，作为管理艾滋病毒感染者高血压的形成阶段的一部分：综合模型（MAP-IT），这是一项评估实践促进对高血压控制任务强化策略（TASSH）整合的有效性的研究进入尼日利亚阿夸伊博姆州的初级保健中心。于2021年6月至11月期间，本集团使用培训模块举办了3个教学培训研讨会，该培训模块基于尼日利亚初级保健高血压简化方案和世界卫生组织（世卫组织）心脏一揽子方案。在前两次讲习班上，使用培训前和培训后匿名评估对参加者获得的知识进行了评估。使用综合课程评价问卷评估了学员对培训的看法。共有92名社区护士和6名执业辅导员参加了艾滋病毒感染者高血压管理讲习班的培训。平均测试前和测试后的分数从11.9（3.4）提高到15.9（2.9）;第一次研讨会的p < 0.001，从15.4（0.9）提高到16.4（1.4）;第二次研讨会的p < 0.001。培训中使用的方法，对MAP-IT研究计划的理解以及参与程度得到了参与者的高度评价，LIKERT评分分别为3.2/4.0，3.2/4.0和3.1/4.0。我们的培训方法，其中包括培训培训员模式，以提供简化的艾滋病毒和高血压护理指南，显示出艾滋病毒感染者管理高血压的知识有所改善，并得到了参与者的高度评价。
Poor training of non-physician healthcare workers (especially community nurses) could hinder the successful integration of cardiovascular disease (CVD) management into HIV chronic care in primary healthcare facilities in low- and middle-income countries. To address this limitation, we included a holistic training programme with a robust module for both practice facilitators and community nurses as part of the formative stages of the managing hypertension among people living with HIV: an integrated model (MAP-IT), which is a study that is evaluating the effectiveness of practice facilitation on the integration of a task-strengthening strategy for hypertension control (TASSH) into primary healthcare centres in Akwa Ibom State of Nigeria. Between June and November 2021, 3 didactic training workshops were conducted using a training module which is based on the simplified Nigerian Hypertension Protocol for primary care and the World Health Organization (WHO) heart package. Knowledge acquired by the participants was assessed using anonymized pre- and post-training assessments in the first two workshops. Participants’ view of the training was assessed using a comprehensive course evaluation questionnaire. A total of 92 community nurses and six practice facilitators were trained in the workshops on managing hypertension in persons living with HIV. Mean pre- and post-test scores improved from 11.9(3.4) to 15.9(2.9); p < 0.001 in the first workshop, and from 15.4(0.9) to 16.4 (1.4); p < 0.001 in the second workshop. The methodology used in the training, understanding of the MAP-IT study programme, and the level of engagement was highly rated by the participants with LIKERT scores of 3.2/4.0, 3.2/4.0, and 3.1/4.0 respectively. Our training methodology, which involved the train-the-trainer model to deliver simplified HIV and HTN care guidelines, showed improvement in the knowledge of managing hypertension in persons living with HIV and was highly rated by participants.
登录
查看更多内容
影响因子：
15.8
作者：
Ogedegbe G;Plange-Rhule J;Gyamfi J;Chaplin W;Ntim M;Apusiga K;Iwelunmor J;Awudzi KY;Quakyi KN;Mogaverro J;Khurshid K;Tayo B;Cooper R
通讯作者：
Cooper R
DOI：
10.1097/qad.0000000000001887
发表时间：
2018-07-01
期刊：
AIDS (London, England)
影响因子：
--
作者：
Njuguna B;Vorkoper S;Patel P;Reid MJA;Vedanthan R;Pfaff C;Park PH;Fischer L;Laktabai J;Pastakia SD
通讯作者：
Pastakia SD
影响因子：
168.9
作者：
Maartens, Gary;Celum, Connie;Lewin, Sharon R.
通讯作者：
Lewin, Sharon R.
影响因子：
7.2
作者：
Harvey, Gill;Kitson, Alison
通讯作者：
Kitson, Alison
影响因子：
2.8
作者：
Gyamfi, Joyce;Plange-Rhule, Jacob;Ogedegbe, Gbenga
通讯作者：
Ogedegbe, Gbenga