Saleem Taimur, Khalid Umair, Ishaque Sidra, Zafar Afia
Aga Khan University, Karachi, Pakistan.
J Pak Med Assoc. 2010 Feb;60(2):151-6.
To ascertain knowledge, attitude and practices of medical students regarding needle stick injuries.
A cross sectional survey was conducted among the consenting medical students of 3rd, 4th and 5th years at a teaching hospital of Karachi, Pakistan. Convenience sampling was used. Pre-tested questionnaires were administered to approximately 70% of each class. Data was analyzed using SPSS version 16.0. Associations were assessed using chi-square test and Fisher's exact test. A p-value of <0.05 was considered as significant.
The response rate of the survey was 85.7%. Sixty one students (33.9%) were from 3rd and 4th year each while 58 students (32.2%) were from 5th year. More than 85% students from each class were aware of the possibility of acquisition of Hepatitis B, Hepatitis C and HIV from needle stick injuries. Only 16.4% 3rd year students, 29.5% 4th year students and 36.2% final year students knew the full details of needle stick injury prevention protocols. Curriculum was cited as an important source of information regarding needle stick injuries. Forty seven (26.1%) students had received a needle stick injury in the past; however, only 14 students (29.7%) had reported the incident either to their consultant or the Infection Control Office.
Overall knowledge of medical students regarding various aspects of needle stick injuries improved with seniority in medical college. However, the domains of attitude and practices need to be improved as the frequency of needle stick injuries was also observed to increase with the increasing year of medical education.
确定医学生对针刺伤的知识、态度和行为。
在巴基斯坦卡拉奇一家教学医院,对三、四、五年级同意参与的医学生进行横断面调查。采用便利抽样法。对每个班级约70%的学生发放经过预测试的问卷。使用SPSS 16.0版软件进行数据分析。采用卡方检验和Fisher精确检验评估相关性。p值<0.05被视为具有显著性。
调查的回复率为85.7%。三年级和四年级各有61名学生(33.9%),五年级有58名学生(32.2%)。每个班级超过85%的学生知晓针刺伤可能导致感染乙肝、丙肝和艾滋病毒。只有16.4%的三年级学生、29.5%的四年级学生和36.2%的五年级学生了解针刺伤预防方案的全部细节。课程被认为是针刺伤相关信息的重要来源。47名(26.1%)学生过去曾有过针刺伤;然而,只有14名学生(29.7%)向其指导教师或感染控制办公室报告了该事件。
随着医学院学习年限的增加,医学生对针刺伤各方面的总体知识有所提高。然而,态度和行为方面仍需改进,因为随着医学教育年限的增加,针刺伤的发生率也呈上升趋势。