Acharya Anita Shankar, Khandekar Jyoti, Bachani Damodar
Department of Community Medicine, Lady Hardinge Medical College, New Delhi 110001, India.
Int Sch Res Notices. 2014 Oct 28;2014:670861. doi: 10.1155/2014/670861. eCollection 2014.
Injuries caused by needle sticks and sharps due to unsafe injection practices are the most common occupational hazard amongst health care personnel. The objectives of our study were to determine the existing knowledge and practices of interns and change in their level following an information education and communication (IEC) package regarding safe injection practices and related biomedical waste management and to determine the status of hepatitis B vaccination. We conducted a follow-up study among all (106) interns in a tertiary care teaching hospital, Delhi. A predesigned semistructured questionnaire was used. IEC package in the form of hands-on workshop and power point presentation was used. A highly significant (P < 0.001) improvement in the knowledge of interns was observed after intervention with respect to the "three criteria of a safe injection" and cleaning of injection site. Thus, the baseline knowledge of interns was good in certain aspects of injection safety, namely, diseases transmitted by unsafe injections and their prevention. We conclude that IEC intervention package was effective in significantly improving the interns' knowledge regarding safe injection practices and biomedical waste management. Almost two-thirds of interns were immunised against hepatitis B before the intervention and this proportion rose significantly after the intervention.
不安全注射操作导致的针刺伤和锐器伤是医护人员中最常见的职业危害。我们研究的目的是确定实习生关于安全注射操作及相关生物医学废物管理的现有知识和实践情况，以及在接受有关安全注射操作和相关生物医学废物管理的信息教育与交流（IEC）套餐后他们知识水平的变化，并确定乙肝疫苗接种状况。我们在德里一家三级护理教学医院的所有106名实习生中进行了一项随访研究。使用了预先设计的半结构化问卷。采用了实践工作坊和幻灯片演示形式的IEC套餐。在干预后，实习生在“安全注射的三个标准”和注射部位清洁方面的知识有了高度显著（P < 0.001）的提高。因此，实习生在注射安全的某些方面，即不安全注射传播的疾病及其预防方面的基线知识良好。我们得出结论，IEC干预套餐有效地显著提高了实习生关于安全注射操作和生物医学废物管理的知识。干预前几乎三分之二的实习生接种了乙肝疫苗，干预后这一比例显著上升。
