Nurses Knowledge Regarding Care of Pregnant Woman with Late Ante partum Hemorrhage in Obstetrics and Gynecological Military Hospital, Sudan

الملخص

Background: Hemorrhage during the antepartum period is a
life-threatening emergency for mother and/or fetus. Late
antepartum hemorrhage is a serious complication of pregnancy
occurring within the third trimester associated with an increased
risk of postpartum hemorrhage (PPH), anemia, shock, low birth
weight, intrauterine fetal death (IUFD), and birth asphyxia. Main
objective: To assess nurses‖ knowledge regarding care of
pregnancy women with late ante partum hemorrhage. Specific
objectives: To identify study group knowledge regarding
disease process: definition, classification, etiology, path physiology, clinical manifestations, investigation, complication,
and medication, affects the APH on pregnancy and risk factors.
To find out the association between the knowledge score in
relation to demographic variables among study group. Methods:
This is descriptive study on hospital based used was utilized to
fulfill the aim of the study and conducted in period from
February 2021 _July 2021.A convenient sample of all nurses
who are working in the antenatal words (57 nurses) were
included in the present study. The tool was used for data
collection: standardized structured questionnaire consists two
parts; Part 1: Socio demographic characteristics of the study
group: includes (age, educational level, years of experience and
previous training course). Part 2: knowledge regarding
information about disease, risk factors and nursing
management. The data was analyzed by (SPSS) program
version 24 with (mean, standard deviation, T. test chi squire test
and cut off P value).
Ethical consideration: Approval was obtained from karary
University and then an official permission to conduct the study
was obtained from the responsible administration of the healthy
services that was taken and delivered to the direct obstetrics
and gynecology military hospital in order to obtain their
agreement to conduct the study after explaining its purpose Results: the results were revealed that the study had more
Knowledgeable in pointed of definition which reached score very
good 33(58.9%) it was highly statistically significant (p.0.000),
And on other side the majority of study group had inadequate
knowledge in statement of (incidence, classifications,
complications, medications, investigation) were attain score poor
level ranging between 91% ,50%,58.9%,56.7% ,53.6%
respectively, and stander deviation in all items less than one
indicates statistical insignificant, regarding association between
nursing management of pregnant woman with late APH among
staff nurses and selected demographic variables such as,
qualification, , duration of experience and training course inservices. The findings were revealed there was insignificant
statistically between nurses' knowledge score and demographic
variables, probability value of Chi-Square test (07140,399,
0.677.) respectively t higher than significance level (0.05). (p
value > .05) was a negative association.
Conclusion: The study concludes that the nurses who are
participated in the study were more knowledge in some
variables have achievable maximum score level in pointed of
definition of late anti partum hemorrhage. On the other hand,
the study group had adequate knowledge the maximum deficit
was found in statement of incidence of ante partum hemorrhage and definition of abruption placentae. Finally, the overall
knowledge scores obtained by the staff nurses, the majority
more than three quarters had poor knowledge which retch
(68.9%)