Ghabrah Tawfik M, Madani Tariq A, Albarrak Ali M, Alhazmi Mohammad A, Alazraqi Tarik A, Alhudaithi Mugbil A, Ishaq Abdulrahman H
Department of Community Medicine, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia.
Scand J Infect Dis. 2007;39(11-12):1018-24. doi: 10.1080/00365540701466173. Epub 2007 Jun 21.
We assessed hospital infection control knowledge, attitude, and practice (KAP) of healthcare workers (HCWs) during the Hajj season of the Islamic y 1423 (2003). A self-administered structured questionnaire was used to collect the data. A total of 392 HCWs was studied, of whom 215 (54.8%) were nurses and 177 (45.2%) were doctors. 315 (80.4%) HCWs worked in hospitals, whereas 77 (19.6%) worked in primary healthcare centres. Of the 392 HCWs, 164 (41.8%) were from Makkah, and the remaining 228 (58.2%) were recruited from other regions in Saudi Arabia. A good proportion (81.8%) of HCWs correctly answered at least 5 of the 11 knowledge statements. However, obvious deficiency of knowledge appeared concerning other important hospital infection control measures. A smaller proportion (61.9%) of HCWs achieved a score of at least 4 out of 7 for attitude statements with unacceptable attitude for the remaining 3 areas. Response to questions concerning practice showed that nurses tended to be better than doctors (p-value=0.204), but both groups reported variable compliance to hospital infection control practices in terms of strict or near-strict adherence. In conclusion, training of HCWs is needed to improve KAP in infection control.
我们评估了在伊斯兰教历1423年(2003年)朝觐季节期间医护人员的医院感染控制知识、态度和实践(KAP)情况。采用自行填写的结构化问卷收集数据。共研究了392名医护人员,其中215名(54.8%)是护士,177名(45.2%)是医生。315名(80.4%)医护人员在医院工作,而77名(19.6%)在初级医疗保健中心工作。在这392名医护人员中,164名(41.8%)来自麦加,其余228名(58.2%)从沙特阿拉伯其他地区招募。相当比例(81.8%)的医护人员正确回答了11条知识陈述中的至少5条。然而,在其他重要的医院感染控制措施方面,知识明显不足。在7条态度陈述中,只有较小比例(61.9%)的医护人员在至少4条陈述上得分,其余3个方面的态度不可接受。对实践相关问题的回答表明,护士往往比医生表现更好(p值 = 0.204),但两组在严格或近乎严格遵守医院感染控制实践方面的依从性各不相同。总之,需要对医护人员进行培训,以提高他们在感染控制方面的KAP。