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沙特一所大学的标准预防措施与感染控制、医学生的知识和行为:变革的必要性。

Standard precautions and infection control, medical students' knowledge and behavior at a Saudi university: the need for change.

作者信息

Amin Tarek Tawfik, Al Noaim Khalid Ibrahim, Bu Saad Mohammed Ahmed, Al Malhm Turki Ahmed, Al Mulhim Abdullah Abdulaziz, Al Awas Marwah Abdulaziz

机构信息

Faculty of Medicine, Cairo University, Cairo, Egypt.

出版信息

Glob J Health Sci. 2013 Apr 21;5(4):114-25. doi: 10.5539/gjhs.v5n4p114.

DOI:10.5539/gjhs.v5n4p114
PMID:23777728
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4776810/
Abstract

BACKGROUND

No previous studies have reported the knowledge of Saudi medical students about Standard Precautions (SPs) and infection control.

OBJECTIVES

The objectives of this study were to assess medical students' knowledge in clinical years at King Faisal University, Saudi Arabia about SPs' and to explore their attitudes toward the current curricular/training in providing them with effective knowledge and necessary skills with regard to SPs.

SUBJECTS AND METHODS

This cross sectional study targeted students in clinical stage at College of Medicine, King Faisal University, Saudi Arabia. A pre-tested anonymous self administered data collection form was used. Inquires about students' characteristics, general concepts of infection control/SPs, hand hygiene, personal protective equipment, sharp injuries and disposal, and care of health providers were included. The main source of information for each domain was also inquired. The second part dedicated to explore the attitudes toward the curricular and teaching relevant to SPs.

RESULTS

A total of 251 students were included. Knowledge scores in all domains were considerably low, 67 (26.7%) students scored ? 24 (out of 41points) which was considered as an acceptable level of knowledge, 22.2% in 4th year, 20.5% in 5th year and 36.8% in 6th year. Sharp injuries, personal protective equipment and health care of the providers showed the least knowledge scores. The main sources of knowledge were self learning, and informal bed side practices The majority of students' believed that the current teaching and training are insufficient in providing them with the necessary knowledge and skills regarding SPs.

CONCLUSION

The overall knowledge scores for SPs were low especially in the domains of hand hygiene, sharp management, and personal protective equipment reflecting insufficient and ineffective instructions received by medical students through the current curriculum posing them vulnerable to health facilities related infections. Proper curricular reform and training are required to protect students and their patients.

摘要

背景

此前尚无研究报道沙特医学生对标准预防措施(SPs)和感染控制的了解情况。

目的

本研究旨在评估沙特阿拉伯费萨尔国王大学临床阶段医学生对标准预防措施的知识掌握情况,并探讨他们对当前课程/培训在为其提供有关标准预防措施的有效知识和必要技能方面的态度。

对象与方法

这项横断面研究的对象是沙特阿拉伯费萨尔国王大学医学院临床阶段的学生。使用了一份经过预测试的匿名自填式数据收集表。询问了学生的特征、感染控制/标准预防措施的一般概念、手卫生、个人防护装备、锐器伤与处理以及医护人员护理等方面的问题。还询问了每个领域的主要信息来源。第二部分专门探讨对与标准预防措施相关的课程和教学的态度。

结果

共纳入251名学生。所有领域的知识得分都相当低,67名(26.7%)学生得分≥24分(满分41分),这被视为可接受的知识水平,四年级学生中占22.2%,五年级学生中占20.5%,六年级学生中占36.8%。锐器伤、个人防护装备和医护人员护理方面的知识得分最低。知识的主要来源是自主学习和非正式的床边实践。大多数学生认为当前的教学和培训在为他们提供有关标准预防措施的必要知识和技能方面不足。

结论

标准预防措施的总体知识得分较低,尤其是在手卫生、锐器管理和个人防护装备领域,这反映出医学生通过当前课程所接受的指导不足且无效,使他们易受医疗设施相关感染的影响。需要进行适当的课程改革和培训以保护学生及其患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25dd/4776810/3b56b572619c/GJHS-5-114-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25dd/4776810/986636d8e3d4/GJHS-5-114-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25dd/4776810/3b56b572619c/GJHS-5-114-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25dd/4776810/986636d8e3d4/GJHS-5-114-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25dd/4776810/3b56b572619c/GJHS-5-114-g002.jpg

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