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医护人员对埃塞俄比亚东部公共卫生设施中医疗废物管理的认知和实践。

Knowledge and Practice of Health Workers about Healthcare Waste Management in Public Health Facilities in Eastern Ethiopia.

机构信息

College of Health and Medical Sciences, Haramaya University, P.O.Box 235, Harar, Ethiopia.

College of Health and Medical Sciences, Haramaya University, P.O.Box 1517, Harar, Ethiopia.

出版信息

J Community Health. 2019 Apr;44(2):284-291. doi: 10.1007/s10900-018-0584-z.

Abstract

Healthcare waste management (HWM) problems are growing with an ever-increasing number of hospitals, clinics, diagnostic laboratories, etc in Ethiopia. Health workers are one of the key personnel who are responsible for the proper management of healthcare wastes at any health facilities. However, this performance will depend the level of knowledge and practice regarding waste management. A facility based cross-sectional study design was applied on 400 health workers. All public health institutions inside Jigjiga town were included and the study participants were randomly selected from each health facility. Data were collected using pre-tested and self administered questionnaire. The collected data was analyzed using SPSS version 20. Multivariable logistic regression model was used to identify factors associated with knowledge and practice of health workers. Out of those involved in this study, 47.7% and 42.3% of respondents had good knowledge and good practice on healthcare waste management, respectively. Health workers in the age group of 35-44 years, nurses, midwifes, medical laboratory, were significantly associated with knowledge of health workers. On the other hand, only educational status was significantly associated with practice. In this study, both knowledge and practice of health workers about healthcare waste management was poor. To enhance both the knowledge and practice of health workers, on job training is recommended.

摘要

医疗废物管理(HWM)问题随着埃塞俄比亚越来越多的医院、诊所、诊断实验室等医疗机构的增加而日益严重。卫生工作者是负责任何卫生设施内医疗废物妥善管理的关键人员之一。然而,这种表现将取决于他们在废物管理方面的知识和实践水平。本研究采用基于机构的横断面研究设计,共纳入了 400 名卫生工作者。研究对象包括吉吉加镇的所有公立卫生机构,并从每个卫生机构中随机抽取研究参与者。使用预先测试和自我管理的问卷收集数据。使用 SPSS 版本 20 对收集到的数据进行分析。采用多变量逻辑回归模型确定与卫生工作者知识和实践相关的因素。在参与这项研究的人员中,分别有 47.7%和 42.3%的受访者在医疗废物管理方面具有良好的知识和良好的实践。年龄在 35-44 岁之间的卫生工作者、护士、助产士、医学实验室人员与卫生工作者的知识显著相关。另一方面,只有教育状况与实践显著相关。在这项研究中,卫生工作者在医疗废物管理方面的知识和实践都很差。为了提高卫生工作者的知识和实践水平,建议进行在职培训。

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