La-Rotta Ehideé Isabel Gómez, Garcia Clerison Stelvio, Pertuz Carlos Morales, Miquilin Isabella de Oliveira Campos, Camisão Agnes Raquel, Trevisan Danilo Donizetti, Aoki Francisco Hideo, Correa-Filho Heleno Rodrigues
Faculdade de Ciências Médicas, Universidade Estadual de Campinas. Cidade Universitária Zeferino Vaz, Barão Geraldo. 13083-970, Campinas, SP, Brasil.
Clínica El Country. Bogotá, Colombia.
Cien Saude Colet. 2020 Feb;25(2):715-727. doi: 10.1590/1413-81232020252.04812018. Epub 2018 Jul 5.
This was a cross-sectional study to start a cohort in two University Hospitals of two countries - Brazil and Colombia - for assessing the prevalence of needlestick and sharps injuries (NSI), the level of compliance with standard precautions (SPs), and knowledge on blood borne pathogens and associated factors among health students and professionals, within the framework of the implementation of the NR-32 standard. We created compliance scales based on 12 and 10 questions, for assessing knowledge. We used the Multinomial Poisson-Tweedie Regression to evaluate the relationship between knowledge and compliance with SPs within NSI. We evaluated 965 individuals (348 students and 614 professionals). The mean score points for level of knowledge was 10.98, with a median of 11 (10; 12) and α-Cr of 0,625. Compliance with SP had a mean of 30.74 and median of 31 (28; 34), with a α-Cr coefficient of 0.745, associated with country, group (student) and risk perception. Among the factors associated with the report of NSI, we singled out knowledge and compliance, country of origin, and full vaccination scheme against the Hepatitis B virus. We concluded that the level of knowledge and compliance were adequate among participants, but better among Brazilian participants, and it was associated with NSI reporting.
这是一项横断面研究,在巴西和哥伦比亚两国的两所大学医院启动了一个队列,以评估在实施NR-32标准的框架内,卫生专业学生和专业人员中针刺伤和锐器伤(NSI)的发生率、标准预防措施(SPs)的遵守水平、对血源性病原体的知识以及相关因素。我们基于12个和10个问题创建了用于评估知识的依从性量表。我们使用多项泊松-特威迪回归来评估NSI范围内知识与遵守SPs之间的关系。我们评估了965个人(348名学生和614名专业人员)。知识水平的平均得分是10.98,中位数为11(10;12),α-Cr为0.625。遵守SP的平均得分为30.74,中位数为31(28;34),α-Cr系数为0.745,与国家、群体(学生)和风险认知相关。在与NSI报告相关的因素中,我们特别指出了知识和遵守情况、原籍国以及乙肝病毒全程疫苗接种方案。我们得出结论,参与者的知识水平和遵守情况是足够的,但巴西参与者更好,并且这与NSI报告相关。