Abstract：
OBJECTIVE: To assess the knowledge and confidence level regarding the basic first-aid for treating epistaxis among medical staff, including nurses and physicians across various medical disciplines. The study focused three aspects of first aid management: location of digital pressure, head position and duration of pressure.
METHODS: The study involved 597 participants, categorized into five groups according to their specialties: emergency medicine, internal medicine, surgery, pediatrics, and community-based healthcare. A paper-based multiple-choice questionnaire assessed knowledge of managing epistaxis. Correct answers were determined from literature review and expert consensus.
RESULTS: Most medical staff showed poor knowledge regarding the preferred site for applying digital pressure in epistaxis management. For head position, pediatricians and internal medicine physicians were most accurate (79.4% and 64.8%, respectively, p < 0.01), and nurses from the emergency department outperformed nurses from other disciplines; internal medicine, surgery, pediatrics, and community-based healthcare (61.1%, 41.5%, 43.5%, 60%, 45.6%, respectively, p < 0.05). While most medical staff were unfamiliar with the recommended duration for applying pressure on the nose, pediatricians and community clinic physicians were most accurate (47.1% and 46.0%, respectively, p < 0.01), while ER physicians were least accurate (14.9%, p < 0.01). Interestingly, a negative correlation was found between years of work experience and reported confidence level in managing epistaxis.
CONCLUSIONS: Our findings indicate a significant lack of knowledge concerning epistaxis first-aid among medical staff, particularly physicians in emergency departments. This finding highlights the pressing need for education and training to enhance healthcare workers\' knowledge in managing epistaxis.
METHODS: The study involved 597 participants, categorized into five groups according to their specialties: emergency medicine, internal medicine, surgery, pediatrics, and community-based healthcare. A paper-based multiple-choice questionnaire assessed knowledge of managing epistaxis. Correct answers were determined from literature review and expert consensus.
RESULTS: Most medical staff showed poor knowledge regarding the preferred site for applying digital pressure in epistaxis management. For head position, pediatricians and internal medicine physicians were most accurate (79.4% and 64.8%, respectively, p < 0.01), and nurses from the emergency department outperformed nurses from other disciplines; internal medicine, surgery, pediatrics, and community-based healthcare (61.1%, 41.5%, 43.5%, 60%, 45.6%, respectively, p < 0.05). While most medical staff were unfamiliar with the recommended duration for applying pressure on the nose, pediatricians and community clinic physicians were most accurate (47.1% and 46.0%, respectively, p < 0.01), while ER physicians were least accurate (14.9%, p < 0.01). Interestingly, a negative correlation was found between years of work experience and reported confidence level in managing epistaxis.
CONCLUSIONS: Our findings indicate a significant lack of knowledge concerning epistaxis first-aid among medical staff, particularly physicians in emergency departments. This finding highlights the pressing need for education and training to enhance healthcare workers\' knowledge in managing epistaxis.
摘要：
目的：评估医务人员对治疗鼻出血的基本急救知识和信心水平，包括各个医学学科的护士和医生。该研究集中于急救管理的三个方面：数字压力的位置，头部位置和压力持续时间。
方法：该研究涉及597名参与者，根据他们的专长分为五组:急诊医学，内科，手术,儿科,以社区为基础的医疗保健。基于纸质的多项选择问卷评估了管理鼻出血的知识。根据文献综述和专家共识确定正确答案。
结果：大多数医务人员对鼻出血管理中应用数字压力的首选部位了解不足。对于头部位置，儿科医生和内科医师最准确(79.4%和64.8%，分别,p<0.01),急诊科的护士表现优于其他学科的护士；内科，手术,儿科,和社区医疗保健(61.1%，41.5%,43.5%,60%,45.6%,分别,p<0.05)。虽然大多数医务人员不熟悉对鼻子施加压力的建议持续时间，儿科医生和社区诊所医生最准确(47.1%和46.0%，分别,p<0.01),而急诊室医生最不准确(14.9%，p<0.01)。有趣的是,发现年工作经验与报告的鼻出血管理信心水平呈负相关.
结论：我们的研究结果表明，医务人员对鼻出血急救的认识明显缺乏，尤其是急诊科的医生。这一发现强调了迫切需要进行教育和培训，以增强医护人员管理鼻出血的知识。
方法：该研究涉及597名参与者，根据他们的专长分为五组:急诊医学，内科，手术,儿科,以社区为基础的医疗保健。基于纸质的多项选择问卷评估了管理鼻出血的知识。根据文献综述和专家共识确定正确答案。
结果：大多数医务人员对鼻出血管理中应用数字压力的首选部位了解不足。对于头部位置，儿科医生和内科医师最准确(79.4%和64.8%，分别,p<0.01),急诊科的护士表现优于其他学科的护士；内科，手术,儿科,和社区医疗保健(61.1%，41.5%,43.5%,60%,45.6%,分别,p<0.05)。虽然大多数医务人员不熟悉对鼻子施加压力的建议持续时间，儿科医生和社区诊所医生最准确(47.1%和46.0%，分别,p<0.01),而急诊室医生最不准确(14.9%，p<0.01)。有趣的是,发现年工作经验与报告的鼻出血管理信心水平呈负相关.
结论：我们的研究结果表明，医务人员对鼻出血急救的认识明显缺乏，尤其是急诊科的医生。这一发现强调了迫切需要进行教育和培训，以增强医护人员管理鼻出血的知识。
