背景:由于资源有限,飞行中的医疗紧急情况(IFE)给医护人员(HCW)带来了相当大的挑战,受限环境,和医学法律问题。这项研究评估了HCWs的知识,意愿,以及对解决飞行中医疗紧急情况的信心。
方法:2023年6月至8月,在巴林的初级保健中心和政府医院工作的护士和医生中进行了一项横断面研究。使用分层随机抽样选择受试者;使用自编的高可靠性在线问卷(Cronbachα=0.914)收集数据。进行Logistic回归分析以确定知识的关联,意愿,以及对处理具有各种HCW特征的飞行中紧急情况的信心。
结果:该研究包括805名平均年龄为35.5岁的HCWs(SD=9.2)。调查结果表明培训不足,<10%的参与者接受过IFE培训。相当比例的参与者对IFE表现出低水平的知识(88.3%)和信心(75.9%)。尽管如此,超过一半的参与者表示愿意协助IFE(59.1%)。非巴林医疗保健专业人员(比值比[OR]=2.901,P<0.001)对IFE的了解较高。护士(OR=1.642,P=0.047)和工作经验较长的参与者更愿意协助IFE。此外,非巴林专业人士(OR=3.249,P<0.001),在二级保健工作(OR=1.619,95%置信区间P=0.021),曾接受过IFE培训(OR=2.247,P=0.004),且之前曾遭遇IFE(OR=1.974,P=0.006)的自信心水平较高。
结论:考虑到巴林医疗保健专业人员对IFE的知识和信心水平较低,有针对性的培训计划和教育计划是必要的,以提高HCW应对此类紧急情况的信心和准备。
BACKGROUND: In-flight medical emergency (IFE) impose considerable challenges on healthcare workers (HCWs) because of limited resources, constrained environment, and medico-legal issues. This study assessed HCWs knowledge, willingness, and confidence in addressing in-flight medical emergencies.
METHODS: A cross-sectional study was conducted between June and August 2023 among nurses and physicians working in primary healthcare centers and governmental hospitals in Bahrain. Subjects were selected using stratified random sampling; a self-administered online questionnaire of high reliability (Cronbach alpha = 0.914) was used to collect the data. Logistic regression analysis were performed to determine association of knowledge, willingness, and confidence in dealing with in-flight emergencies with various characteristics of HCWs.
RESULTS: The study included 805 HCWs with mean age of 35.5 years (SD=9.2). The findings indicated deficiency in training, with <10% of participants trained on IFE. A considerable proportion of participants exhibited low levels of knowledge (88.3%) and confidence (75.9%) with IFE. Nonetheless, more than half of the participants expressed the willingness to assist in IFE (59.1%). Non-Bahraini healthcare professionals (odds ratio [OR] = 2.901, P < 0.001) had higher knowledge of IFE. Nurses (OR = 1.642, P = 0.047) and participants with longer work experience had higher willingness to assist in IFE. In addition, professionals who were non-Bahraini (OR = 3.249, P < 0.001), working in secondary care (OR = 1.619, 95% confidence interval P = 0.021), had had training on IFE (OR = 2.247, P = 0.004), and had encountered IFE before (OR = 1.974, P = 0.006) had greater self-confidence levels.
CONCLUSIONS: Considering the low levels of knowledge and confidence healthcare professionals in Bahrain had with regard to IFE, targeted training initiatives and educational programs are necessary to improve HCW\'s confidence and preparedness to deal with such emergencies.