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医护人员表示对加纳阿散蒂地区埃博拉病毒病疫情准备不足。

Health care workers indicate ill preparedness for Ebola Virus Disease outbreak in Ashanti Region of Ghana.

作者信息

Annan Augustina Angelina, Yar Denis Dekugmen, Owusu Michael, Biney Eno Akua, Forson Paa Kobina, Okyere Portia Boakye, Gyimah Akosua Adumea, Owusu-Dabo Ellis

机构信息

Kumasi Centre for Collaborative Research in Tropical Medicine, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.

Department of Theoretical and Applied Biology, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.

出版信息

BMC Public Health. 2017 Jun 6;17(1):546. doi: 10.1186/s12889-017-4474-6.

Abstract

BACKGROUND

The recent Ebola Virus Disease (EVD) epidemic that hit some countries in West Africa underscores the need to train front line high-risk health workers on disease prevention skills. Although Ghana did not record (and is yet to) any case, and several health workers have received numerous training schemes, there is no record of any study that assessed preparedness of healthcare workers (HCWS) regarding EVD and any emergency prone disease in Ghana. We therefore conducted a hospital based cross sectional study involving 101 HCWs from two facilities in Kumasi, Ghana to assess the level of preparedness of HCWs to respond to any possible EVD.

METHODS

We administered a face-to-face questionnaire using an adapted WHO (2015) and CDC (2014) Checklist for Ebola Preparedness and assessed overall knowledge gaps, and preparedness of the Ghanaian HCWs in selected health facilities of the Ashanti Region of Ghana from October to December 2015.

RESULTS

A total 92 (91.09%) HCWs indicated they were not adequately trained to handle an EVD suspected case. Only 25.74% (n = 26) considered their facilities sufficiently equipped to handle and manage EVD patients. When asked which disinfectant to use after attending to and caring for a suspected patient with EVD, only 8.91% (n = 9) could correctly identify the right disinfectant (χ = 28.52, p = 0.001).

CONCLUSION

Our study demonstrates poor knowledge and ill preparedness and unwillingness of many HCWs to attend to EVD. Beyond knowledge acquisition, there is the need for more training from time to time to fully prepare HCWs to handle any possible EVD case.

摘要

背景

近期席卷西非一些国家的埃博拉病毒病(EVD)疫情凸显了对一线高风险医护人员进行疾病预防技能培训的必要性。尽管加纳尚未记录到(且目前仍未出现)任何病例,并且数名医护人员已接受了众多培训项目,但尚无研究记录评估加纳医护人员对埃博拉病毒病及任何易引发紧急情况疾病的应对准备情况。因此,我们在加纳库马西的两家医疗机构开展了一项基于医院的横断面研究,涉及101名医护人员,以评估医护人员应对任何可能出现的埃博拉病毒病的准备水平。

方法

我们使用经改编的世界卫生组织(2015年)和美国疾病控制与预防中心(2014年)埃博拉准备情况清单进行面对面问卷调查,并评估了总体知识差距以及2015年10月至12月加纳阿散蒂地区选定医疗机构中加纳医护人员的准备情况。

结果

共有92名(91.09%)医护人员表示他们未接受过充分培训以处理埃博拉病毒病疑似病例。只有25.74%(n = 26)的人认为其所在机构有足够设备来处理和管理埃博拉病毒病患者。当被问及在照料和护理埃博拉病毒病疑似患者后应使用哪种消毒剂时,只有8.91%(n = 9)的人能够正确识别正确的消毒剂(χ = 28.52,p = 0.001)。

结论

我们的研究表明,许多医护人员对埃博拉病毒病的知识匮乏、准备不足且不愿处理此类病例。除了获取知识外,还需要不时进行更多培训,以使医护人员充分准备好应对任何可能出现的埃博拉病毒病病例。

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