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在埃塞俄比亚西北部德布雷马科斯转诊医院中,医护人员的感染预防知识、实践及其相关因素。

Knowledge, practice and associated factors of infection prevention among healthcare workers in Debre Markos referral hospital, Northwest Ethiopia.

机构信息

Department of Midwifery, College of Health Science, Debre Markos University, PO. Box: 269, Debre Markos, Ethiopia.

Department of Nursing, College of Health Science, Debre Markos University, Debre Markos, Ethiopia.

出版信息

BMC Health Serv Res. 2018 Jun 18;18(1):465. doi: 10.1186/s12913-018-3277-5.

Abstract

BACKGROUND

Healthcare-associated infections are a major global public health agenda. Health care workers are front line of protecting themselves and clients from infection. This study examined the knowledge and practice of healthcare workers on infection prevention and its associated factors among health professionals working at Debre Markos Referral Hospital.

METHODS

A Hospital-based cross-sectional study was conducted with a structured pre-tested questionnaire among 150 participants. The healthcare workers were selected through systematic random sampling technique. Multivariate logistic regressions were computed to identify associated factors of knowledge and practice of infection prevention and variables with a p-value < 0.05 were considered statistically significant.

RESULTS

More than two thirds (84.7%) of healthcare workers were found to be knowledgeable but only 86 (57.3%) of respondents demonstrated a good practice on infection prevention. Older age, lengthy work experience and higher educational status were significantly associated with both knowledge and practice of infection prevention. In-service training, availability of infection prevention supplies and adherence to infection prevention guidelines was also associated with the practice of infection prevention.

CONCLUSIONS

The finding of this study revealed a good knowledge of infection prevention on the majority of participants with relatively minimal practice rate. Sociodemographic factors and health facility factors were associated with knowledge and practice of infection prevention. Hospitals and other concerned stakeholders should ensure constant availability of guidelines and the provision of training to health providers. Moreover, developing professionals' educational level, introducing infection prevention standard of practice and continuous mentorship was recommended.

摘要

背景

医疗保健相关感染是全球主要的公共卫生议程之一。医护人员是保护自己和患者免受感染的第一线。本研究调查了在德布雷马科斯转诊医院工作的卫生专业人员对感染预防的知识和实践及其相关因素。

方法

采用基于医院的横断面研究,对 150 名参与者进行了结构化的预测试问卷。医护人员通过系统随机抽样技术选择。采用多变量逻辑回归来确定感染预防知识和实践的相关因素,具有 p 值 < 0.05 的变量被认为具有统计学意义。

结果

超过三分之二(84.7%)的医护人员被发现具有知识,但只有 86 名(57.3%)受访者在感染预防方面表现出良好的实践。年龄较大、工作经验较长和教育程度较高与感染预防知识和实践均显著相关。在职培训、感染预防用品的供应以及遵守感染预防指南也与感染预防的实践相关。

结论

本研究的结果表明,大多数参与者对感染预防有较好的了解,但实践率相对较低。社会人口学因素和卫生机构因素与感染预防的知识和实践相关。医院和其他相关利益攸关方应确保指南的持续可用性,并为卫生提供者提供培训。此外,建议提高专业人员的教育水平,引入感染预防标准实践,并进行持续指导。

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