Somali'de Üçüncü Düzey Sağlık Kuruluşunda Çalışan Asistan Doktorların Temel Yaşam Desteği Hakkındaki Bİlgi Düzeyi

Yıl 2025, Cilt: 15 Sayı: 3, 1 - 5

Şule Yakar , Ayşe Şule Akan , Necmi Baykan , Nasteho Sheikh Omar , Emir Şahan , Funda İpekten

Öz

Amaç: Bu çalışmada Somali Mogadişu Türkiye Recep Tayyip Erdoğan Eğitim ve Araştırma Hastanesi kliniklerinde asistan hekimlerin Temel Yaşam Desteği (BLS) ve İleri Yaşam Desteği (ALS) konusundaki bilgi düzeylerinin değerlendirilmesi amaçlandı.
Yöntem: Çalışmaya klinikte aktif olarak görev yapan toplam 102 asistan gönüllü olarak katılmıştır. Katılımcılar, BLS ve ALS ile ilgili bilgi düzeylerini ölçen, demografik verileri ve 34 objektif soruyu içeren anketi doldurdu. Anket yanıtları, farklı kliniklerdeki sonuçlar karşılaştırılarak analiz edildi.
Bulgular: 102 katılımcının 84'ü erkek, 18'i kadın asistan doktordu. Yaş dağılımı analizi, 58 katılımcının 26 ila 30 yaş veya üzerinde olduğunu ortaya çıkardı. Asistan doktorların çoğunluğunun (n=10) acil tıp ve jinekoloji (n=10) branşlarında görev yaptığı belirlendi. Mesleki deneyime bakıldığında en yüksek oranın (n=36) bir yıldan az iş tecrübesine sahip olduğu görülmektedir. İstatistiksel analizler, kadın ve erkek asistanlar arasında (p=0.58, p=0.34), tıbbi ve cerrahi departmanlar arasında (p=0.31, p=0.34) veya mesleki deneyim yıllarına göre doğru yanıtlar arasında anlamlı bir fark olmadığını ortaya çıkardı. (p=0.69, p=0.65).
Sonuç: Tüm asistan doktorlara yetişkin yaşam desteği konusunda periyodik bilgilendirme eğitimleri verilmelidir. Bu yaklaşım, yetişkin yaşam desteğinin uygulanmasında bilgi düzeyini ve hizmet kalitesini önemli ölçüde artıracaktır.

Anahtar Kelimeler

İleri yaşam desteği, Temel yaşam desteği, Kardiyak arrest

Knowledge Level of Residents of A Tertiary Care Center in Somalia Regarding Adult Life Support

Öz

Aim: This study aimed to assess the knowledge level of resident doctors in clinics at the Somalia Mogadishu Turkey Recep Tayyip Erdoğan Training and Research Hospital concerning Basic Life Support (BLS) and Advanced Life Support (ALS).
Methods: A total of 102 residents, actively engaged in the clinical practice, voluntarily participated in the study. Participants completed a questionnaire encompassing demographic data and 34 objective questions measuring knowledge levels about BLS and ALS. The questionnaire responses were analyzed, comparing the results across different clinics.
Results: Among the 102 participants, 84 were male and 18 were female resident doctors. Age distribution analysis revealed that 58 participants were aged between 26 and 30 years or older. Most of the resident doctors (n=10) were working in emergency medicine and gynecology (n=10). Regarding professional experience, the highest proportion (n=36) had less than one year of work experience. Statistical analyses revealed no significant differences in correct answers between female and male residents (p=0.58, p=0.34), between medical and surgical departments (p=0.31, p=0.34), or based on years of professional experience (p=0.69, p=0.65).
Conclusions: Periodic informative training on adult life support should be provided to all resident doctors. This approach will substantially enhance knowledge levels and service quality in applying adult life support.

Anahtar Kelimeler

Advanced Life Support, Basic Life Support, Cardiac Arrest

Kaynakça

• 1. Ssewante N, Wekha G, Iradukunda A, et al. Basic life support, a necessary inclusion in the medical curriculum: a cross-sectional survey of knowledge and attitude in Uganda. BMC Med Educ. 2022;22(1):140.
• 2. Bhatnagar V, Tandon U, Jinjil K, Dwivedi D, Kiran S, Verma R. Cardiopulmonary Resuscitation: Evaluation of Knowledge, Efficacy, and Retention in Young Doctors Joining Postgraduation Program. Anesth Essays Res. 2017;11(4):842-6.
• 3. Chandran KV, Abraham SV. Basic Life Support: Need of the Hour-A Study on the Knowledge of Basic Life Support among Young Doctors in India. Indian J Crit Care Med. 2020;24(5):332-5.
• 4. Ryynänen OP, Iirola T, Reitala J, Pälve H, Malmivaara A. Is advanced life support better than basic life support in prehospital care? A systematic review. Scand J Trauma Resusc Emerg Med. 2010;18:62.
• 5. Krajina I, Kvolik S, Steiner R, Kovacevic K, Lovric I. Cardiopulmonary resuscitation, chest compression only and teamwork from the perspective of medical doctors, surgeons and anesthesiologists. Iran Red Crescent Med J. 2015;17(3):e18208.
• 6. Böttiger BW, Lockey A, Aickin R, et al. "All citizens of the world can save a life" - The World Restart a Heart (WRAH) initiative starts in 2018. Resuscitation. 2018;128:188-90.
• 7. Spooner BB, Fallaha JF, Kocierz L, Smith CM, Smith SC, Perkins GD. An evaluation of objective feedback in basic life support (BLS) training. Resuscitation. 2007;73(3):417-24.
• 8. Oktay V, Cirali IC, Baydar O, Sansoy V. Knowledge and experience of cardiopulmonary resuscitation among cardiologists in clinical practice: A multicenter cross-sectional study. Anatol J Cardiol. 2019;21(6):296-304. 9. Rajeswaran L, Cox M, Moeng S, Tsima BM. Assessment of nurses' cardiopulmonary resuscitation knowledge and skills within three district hospitals in Botswana. Afr J Prim Health Care Fam Med. 2018;10(1):1-6.
• 10. Brugger H, Durrer B, Elsensohn F, et al. Resuscitation of avalanche victims: Evidence-based guidelines of the international commission for mountain emergency medicine (ICAR MEDCOM): intended for physicians and other advanced life support personnel. Resuscitation. 2013;84(5):539-46.
• 11. Yang CW, Yen ZS, McGowan JE, et al. A systematic review of retention of adult advanced life support knowledge and skills in healthcare providers. Resuscitation. 2012;83(9):1055-60.
• 12. Passali C, Pantazopoulos I, Dontas I, et al. Evaluation of nurses' and doctors' knowledge of basic & advanced life support resuscitation guidelines. Nurse Educ Pract. 2011;11(6):365-9.
• 13. Kourek C, Greif R, Georgiopoulos G, et al. Healthcare professionals' knowledge on cardiopulmonary resuscitation correlated with return of spontaneous circulation rates after in-hospital cardiac arrests: A multicentric study between university hospitals in 12 European countries. Eur J Cardiovasc Nurs. 2020;19(5):401-10.
• 14. Munezero JBT, Atuhaire C, Groves S, Cumber SN. Assessment of nurses knowledge and skills following cardiopulmonary resuscitation training at Mbarara Regional Referral Hospital, Uganda. Pan Afr Med J. 2018;30:108.