Assessment of Vietnamese nurse’s knowledge and practice regarding patient’s safety after coronary angiography or percutaneous coronary intervention

Original Research

Abstract

Background: Many clinical and paraclinical studies related to coronary artery disease have been done in Vietnam in recent years. However, there have been no studies on nurses’ knowledge and practice regarding patient care after coronary angiography (CAG) or percutaneous coronary intervention (PCI). This study was conducted to assess nurses' knowledge and practice on patient’s safety after CAG or PCI and its associated factors.

Methods: A descriptive cross-sectional study was conducted from December 2019 to June 2020 at the Department of Internal Cardiology, Interventional Cardiology, Intravascular Intervention, and Intensive care unit/Coronary care unit in three general and specialist hospitals in Ho Chi Minh city, Vietnam. 167 nurses who have taken care of patients after CAG or PCI were included in the study through using convenient sampling technique. A translated self-administered questionnaire was utilised. This self-reported survey achieved 100% response rate. Statistical analysis was performed by the Chi-square test (X2). Statistical significance level was at p<0.05 to determine factors related to nurses’ knowledge and practice. Prevalence ratio (PR) with 95% confidence interval (95% CI) were also used to measure the association.

Results: The study findings revealed that only 36% of the study sample had a good knowledge while 78% of them had a good practice on patient’s safety after CAG or PCI. There were association between educational level, working place with the knowledge (PR=1.87-1.92, p<0.01) and practice (PR=1.18-1.35, p<0.05) on patient’s safety after CAG or PCI among Vietnamese nurses. Besides those factors, the number of years working in cardiac specialty were also found to have an association with the practice. A moderately positive correlation between the knowledge and the practice towards patient‘s safety after CAG or PCI has been identified in this study (PR=1.27, 95% CI [1.09 – 1.47], p=0.005).

Conclusions: More than a half of the study sample had poor knowledge but performed good practice in some items of care for patients after CAG or PCI. There was positive association between the knowledge and practice about patient’s safety after CAG or PCI among Vietnamese registered nurses. Educational training programs for staffs working in coronary angiography or percutaneous coronary intervention is recommended to develop.

Graphical abstract

Knowledge, attitude and practice towards Covid-19 pandemic of pharmacy students in University of Medicine and Pharmacy at Ho Chi Minh city, Vietnam

Original Research

Abstract

Introduction: The rapid increase of infected cases and fatalities during the COVID-19 pandemic has created a huge health crisis to the world and Vietnam in particular. Health professionals were put under massive pressure in preventing pandemic. This study was conducted to assess the knowledge, attitude and practice (KAP) during the COVID-19 disease through an online survey as well as related infection control practices among pharmacy students in the University of Medicine and Pharmacy at Ho Chi Minh City (UMP).

Methods: The cross-sectional study was conducted based on the data obtained from an online questionnaire. Correlation analysis was performed using statistical tests and linear regression model for practice. The total study sample, chosen based on the inclusion and exclusion criteria was taken from pharmacy students in UMP during the study period.

Results: A scale of KAP towards COVID-19 was developed with 43 questions and received 1,089 responses. We acknowledged that the awareness and practice of these students were at a good level (with a mean score of 8.37±0.77 and 8.46±1.33, respectively) and the attitude was optimistic with a mean score of 6.22±0.68. Related factors to practice included gender (p=0.005), year of study (p=0.013); to knowledge included the time spent in university (p=0.040); to attitude included social distancing (p=0.024). Multivariable regression analysis showed that practice is related with male gender (β=-0.254; p=0.001), the first 3 school years (β = 0.173; p=0.020), knowledge score (β =0.154; p=0.003).

Conclusions: Based on a constructive scale, the study noted students' knowledge-attitude-practice towards COVID-19 at a good level. School year and knowledge scores positively affected practice scores, while male students had a negative effect.

Graphical abstract

Factors Relating to Preventive Practices of Health Science Students during the Early Stage of the COVID-19 Pandemic

Original Research

Abstract

Objectives: We assessed the factors relating to the prevention of the Novel Coronavirus Disease (COVID-19) for students at the University of Medicine and Pharmacy at Ho Chi Minh City, Vietnam. 

Methods: A cross-sectional study was performed in February and March 2020. A 21 item self-administered questionnaire on the knowledge, attitude, and practices regarding COVID-19 was collected from students of the first to the sixth year using the strategy of simple random sampling. The aim was to establish factors that relate to practices using Odds ratio (OR) and 95% confidence interval (95% CI) which were estimated by the logistic regression model, p-value <0.05 shows a significant difference.

Results: Of the 551 students, 41.0% recorded responses indicating good practices toward prevention measures, while around half the students reported that they did not wash their hands for 20 full seconds (50.5%). The overall rate of good knowledge and positive attitude was 49.0% and 26.1%, respectively. When adjusted for all variables in the logistic regression model, a positive overall attitude was associated with good overall preventive practice; AOR = 1.72 (95% CI: 1.16 – 2.55). Furthermore, students mainly accessed information via social media and television (95.8% and 85.8%, respectively).

Conclusions: There were only 41.0% recorded responses indicating good practices toward prevention measures. Besides, knowledge and attitudes about COVID-19 among students were inadequate. Further health education interventions should be focused to change bad hand-washing habits via mass media messages.

Graphical abstract

Associated factors of ethnic mothers’ knowledge, attitude, practice about diarrhea disease in children under 5-year old in Daklak province

Original Research

Abstract

Background and Objectives: Diarrhea is one of the first causes of morbidity and mortality among children, especially in poor and developing countries including Vietnam. For decades, although Vietnam has implemented different health interventions to suppress diarrhea spread, this disease has been continuously concerned as a national health problem. Hence, the aim of this study was to assess ethnic minority mothers’ knowledge, attitude and practice (KAP) associated with diarrhea in children under 5 years old; Then to find out the correlation among KAP, and discover some factors related to good knowledge, positive attitude, correct practice about diarrhea in under 5-year old children of the mothers in Pediatrics Department of Daklak General Hospital, 2014.

Method: A community based cross-sectional study was carried out from September 2013 to July 2014 in Pediatrics Department - Daklak General Hospital with the participation of 153 ethnic mothers who has children with diarrhea. The mothers were interviewed directly following the questionnaire, whose structure was adapted from the World Health Organization (WHO) and author Hau Van Pham. The collected data were checked for completeness, consistency and then entered into Epidata 3.1 and analyzed using SPSS 20.

Results: The data from 153 participants showed that the ethnic mothers had good knowledge accounted for 39.9%, whereas more than half of ethnic mothers (64.7%) had a positive attitude towards prevention of diarrhea among under-five children. However, the correct practice in taking care of children with diarrhea was not high (40.5%). As expected, there was statistically significant correlation between the mothers’ knowledge and their attitudes (p < 0.001), as well as their practice toward diarrhea treatment (p=0.005). Analyzed data exhibited that knowledge of the mothers about diarrhea was influenced by their differences in socio-demographic factors, including educational level (p<0.001), occupation (p=0.002) and an ability to access information related to diarrhea in children under 5 (p<0.001). Similarly, the socio-demographic factor (p=0.028) and access to information about diarrhea (p<0.001) have an effect the correct practice in the prevention of diarrhea. There was a statistically significant correlation between the good practice in preventing diarrhea and the socio-demographic factor, including the mothers’ educational level (p<0.001) and the occupation (p=0.021).

Graphical abstract

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