导致马来西亚半岛东北部医疗保健设施中糖尿病患者尖锐废物处置不当的因素。
Factors Contributing to Sharp Waste Disposal at Health Care Facility Among Diabetic Patients in North-East Peninsular Malaysia.
机构信息
Department of Community Medicine, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kota Bharu, Kelantan 16150, Malaysia.
Unit of Biostatistics & Research Methodology, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kota Bharu, Kelantan 16150, Malaysia.
出版信息
Int J Environ Res Public Health. 2019 Jun 26;16(13):2251. doi: 10.3390/ijerph16132251.
BACKGROUND
Type 2 diabetic patients are major users of medical sharps in the community. Proper sharp disposal practice among them, however, was reported to be low. The current study was aimed to determine the factors contributing to sharp waste disposal at a health care facility among Type 2 diabetic patients.
METHODS
In this cross-sectional study, Type 2 diabetic patients who were on insulin therapy attending health clinics were randomly selected and interviewed using a validated questionnaire. Binary logistic regression analysis was applied.
RESULTS
Out of 304 respondents, only 11.5% of them brought their used sharps to be disposed at health care facilities. Previous advice on sharp disposal from health care providers, knowledge score, and duration of diabetes were significant contributing factors for sharp waste disposal at health care facilities: (Adj. OR 6.31; 95% CI: 2.63, 15.12; < 0.001), (Adj. OR 1.05; 95% CI: 1.03, 1.08; < 0.001), and (Adj. OR 2.51; 95% CI: 1.06, 5.93; = 0.036), respectively.
CONCLUSION
Continuous education and a locally adapted safe sharp disposal option must be available to increase awareness and facilitate diabetic patients adopting proper sharp disposal behavior.
背景
2 型糖尿病患者是社区中医疗锐器的主要使用者。然而，据报道，他们正确处理锐器的做法很低。本研究旨在确定 2 型糖尿病患者在医疗机构中导致锐器废物处理的因素。
方法
在这项横断面研究中，随机选择正在接受胰岛素治疗的 2 型糖尿病患者，并使用经过验证的问卷对他们进行访谈。应用二元逻辑回归分析。
结果
在 304 名受访者中，只有 11.5%的人将使用过的锐器带到医疗机构进行处理。来自医疗机构的锐器处理建议、知识得分和糖尿病持续时间是在医疗机构进行锐器废物处理的重要影响因素：（调整后的 OR6.31；95%CI：2.63,15.12； < 0.001）、（调整后的 OR1.05；95%CI：1.03,1.08； < 0.001）和（调整后的 OR2.51；95%CI：1.06,5.93； = 0.036）。
结论
必须提供持续的教育和本地适应的安全锐器处理选择，以提高认识并促进糖尿病患者采取适当的锐器处理行为。
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