沙特阿拉伯西部医学生的手卫生知识与态度
Hand hygiene knowledge and attitude of medical students in western Saudi Arabia.
作者信息
Bakarman Marwan A, Baig Mukhtiar, Malik Ahmad A, Gazzaz Zohair J, Mostafa Mostafa M, Zayed Mohamed A, Balubaid Abdulaziz S, Alzahrani Ahmed K
机构信息
Department of Family and Community Medicine, Faculty of Medicine, Rabigh, King Abdulaziz University, Jeddah, Saudi Arabia.
Department of Clinical Biochemistry, Faculty of Medicine, Rabigh, King Abdulaziz University, Jeddah, Saudi Arabia.
出版信息
PeerJ. 2019 Apr 25;7:e6823. doi: 10.7717/peerj.6823. eCollection 2019.
BACKGROUND
The practice of hand hygiene (HH) has prime importance among Health Care Professionals (HCPs) and non-compliance could cause adverse consequences. By keeping the importance of HH in mind, this study aims at investigating the knowledge and attitudes towards HH among medical students and interns at King Abdulaziz University (KAU), Jeddah, Saudi Arabia (SA).
METHODS
The study includes 453 medical students and interns (189 males & 264 females). This study was completed in three months; from September to November 2017. The World Health Organization (WHO) HH questionnaire was used and data were analyzed on SPSS-21.
RESULTS
Two-third of the participants 292 (64.2%) had formal training in HH in the last three years. Almost half of the participants 254 (56.1%) had correct knowledge regarding the major course of transmission of potentially detrimental microbes among patients in the healthcare premises. Just 124 (27.4%) of the respondents had the correct knowledge about the most common basis of germs accountable for healthcare-related infections. Females had significantly better knowledge than males regarding the type of HH technique needed before palpation of the abdomen (177(54%) Vs. 151(46%); < 0.002), before an injection (175(54.5%) Vs. 146(45.5%); < 0.007), after emptying a bedpan (207(64.7%) Vs. 113(35.3%); < 0.001), following discarding examination gloves (256(60.4% Vs. 168(39.6%); < 0.001] and after exposure to blood (200(64.1%) Vs. 112(35.%); < 0.001). Female participants had better knowledge than males regarding the type of HH actions. Females also had a significantly better attitude towards the importance of HH than males (240(62.5%) Vs. 144(37.5%); < 0.001).
CONCLUSION
The majority of the participants' knowledge regarding HH was not up to the mark; however, female students had better knowledge compared to male students. The medical students and interns' knowledge and positive attitude towards HH can play a pivotal role in preventing HCPs associated infections and it would overall decrease the infection-related burden on the hospital and governmental budgets. It is suggested that multi-dimensional plans are required to change this low compliance to a higher rate.
背景
手部卫生（HH）的实践在医护人员（HCPs）中至关重要，不遵守可能会导致不良后果。牢记HH的重要性，本研究旨在调查沙特阿拉伯吉达阿卜杜勒阿齐兹国王大学（KAU）的医学生和实习生对HH的知识和态度。
方法
该研究包括453名医学生和实习生（189名男性和264名女性）。本研究在三个月内完成；从2017年9月至11月。使用了世界卫生组织（WHO）的HH问卷，并在SPSS - 21上对数据进行了分析。
结果
三分之二的参与者292人（64.2%）在过去三年中接受过HH的正规培训。几乎一半的参与者254人（56.1%）对医疗场所中患者间潜在有害微生物的主要传播途径有正确的认识。只有124名（27.4%）受访者对导致医疗相关感染的最常见病菌来源有正确的认识。在腹部触诊前（177人（54%）对151人（46%）；<0.002）、注射前（175人（54.5%）对146人（45.5%）；<0.007）、倒空便盆后（207人（64.7%）对113人（35.3%）；<0.001）、丢弃检查手套后（256人（60.4%）对168人（39.6%）；<0.001）以及接触血液后（200人（64.1%）对112人（35.%）；<0.001），女性参与者比男性参与者对所需HH技术类型的了解明显更好。女性参与者对HH行动类型的了解也比男性更好。女性对HH重要性的态度也明显比男性更好（240人（62.5%）对144人（3
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