手术室人员手术期间针刺伤预防行为的预测：健康信念模型的应用
Prediction of Preventive Behaviors of the Needlestick Injuries during Surgery among Operating Room Personnel: Application of the Health Belief Model.
作者信息
Fathi Yadollah, Barati Majid, Zandiyeh Mitra, Bashirian Saeed
机构信息
Department of Public Health, School of Health, Hamadan University of Medical Sciences, Hamadan, Iran.
Research Center for Behavioral Disorders and Substances Abuse, Hamadan University of Medical Sciences, Hamadan, Iran.
出版信息
Int J Occup Environ Med. 2017 Oct;8(4):232-240. doi: 10.15171/ijoem.2017.1051.
BACKGROUND
Operating room personnel are at high risk of needlestick injuries (NSIs) and exposure to blood and body fluids.
OBJECTIVE
To investigate the predictors of NSIs preventive behaviors during surgery among operating room personnel based on a health belief model (HBM).
METHODS
This cross-sectional study was conducted on 128 operating room personnel in Hamadan, western Iran. Participants were selected, by census sampling, from teaching hospitals, completed a self-reported questionnaire including demographic characteristics, knowledge and HBM constructs.
RESULTS
The levels of knowledge and perceived self-efficacy for the NSIs preventive behaviors among operating room personnel were not satisfactory. However, the levels of perceived benefits, susceptibility and severity were reported to be relatively good. The results showed that the perceived susceptibility (β ‑0.627) and cues to action (β 0.695) were the most important predictors of the NSIs preventive behaviors.
CONCLUSION
The framework of the HBM is useful to predict the NSIs preventive behaviors among operating room personnel.
背景
手术室工作人员面临针刺伤（NSIs）以及接触血液和体液的高风险。
目的
基于健康信念模型（HBM）调查手术室工作人员手术期间NSIs预防行为的预测因素。
方法
这项横断面研究在伊朗西部哈马丹的128名手术室工作人员中进行。通过普查抽样从教学医院选取参与者，他们完成了一份自我报告问卷，内容包括人口统计学特征、知识和HBM结构。
结果
手术室工作人员对NSIs预防行为的知识水平和自我效能感水平不尽人意。然而，感知到的益处、易感性和严重性水平据报告相对较好。结果表明，感知易感性（β -0.627）和行动线索（β 0.695）是NSIs预防行为的最重要预测因素。
结论
HBM框架有助于预测手术室工作人员的NSIs预防行为。
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