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新型冠状病毒肺炎:乌干达马凯雷雷大学教学医院医护人员的知识、态度和实践。

Coronavirus Disease-2019: Knowledge, Attitude, and Practices of Health Care Workers at Makerere University Teaching Hospitals, Uganda.

机构信息

College of Health Sciences, Makerere University, Kampala, Uganda.

Department of Medicine, College of Health Sciences, Makerere University, Kampala, Uganda.

出版信息

Front Public Health. 2020 Apr 30;8:181. doi: 10.3389/fpubh.2020.00181. eCollection 2020.

Abstract

Coronavirus disease-2019 (COVID-19) is an emerging public health problem threatening the life of over 2.4 million people globally. The present study sought to determine knowledge, attitude and practices (KAP) of health care workers (HCWs) toward COVID-19 in Makerere University Teaching Hospitals (MUTHs) in Uganda. An online cross sectional, descriptive study was undertaken through WhatsApp Messenger among HCWs in four MUTHs. HCWs aged 18 years and above constituted the study population. KAP toward COVID-19 was assessed by using a pre-validated questionnaire. Bloom's cut-off of 80% was used to determine sufficient knowledge (≥80%), positive attitude (≥4), and good practice (≥2.4). All analyses were performed using STATA 15.1 and GraphPad Prism 8.3. Of the 581 HCWs approached, 136 (23%) responded. A vast majority of the participants were male ( = 87, = 64%), with a median age of 32 (range: 20-66) years. Eighty-four (62%) were medical doctors and 125 (92%) had at least a bachelor's degree. Overall, 69% ( = 94) had sufficient knowledge, 21% ( = 29) had positive attitude, and 74% ( = 101) had good practices toward COVID-19. Factors associated with knowledge were age >40 years (aOR: 0.3; 95% CI: 0.1-1.0; = 0.047) and news media (aOR: 4.8; 95% CI: 1.4-17.0; = 0.015). Factors associated with good practices were age 40 years or more (aOR: 48.4; 95% CI: 3.1-742.9; = 0.005) and holding a diploma (aOR: 18.4; 95% CI: 1-322.9; = 0.046). Continued professional education is advised among HCWs in Uganda to improve knowledge of HCWs hence averting negative attitudes and promoting positive preventive and therapeutic practices. We recommend follow up studies involving teaching and non-teaching hospitals across the country.

摘要

新型冠状病毒病(COVID-19)是一个新出现的公共卫生问题,威胁着全球超过 240 万人的生命。本研究旨在确定乌干达马凯雷雷大学教学医院(MUTHs)医护人员(HCWs)对 COVID-19 的知识、态度和实践(KAP)。采用横断面描述性研究,通过 WhatsApp Messenger 对四所 MUTHs 的 HCWs 进行调查。18 岁及以上的 HCWs 为研究对象。采用预先验证的问卷评估对 COVID-19 的 KAP。Bloom 的 80%截断值用于确定足够的知识(≥80%)、积极的态度(≥4)和良好的实践(≥2.4)。所有分析均使用 STATA 15.1 和 GraphPad Prism 8.3 进行。在 581 名 HCWs 中,有 136 名(23%)做出回应。大多数参与者是男性(=87,=64%),中位数年龄为 32 岁(范围:20-66 岁)。84 名(62%)为医生,125 名(92%)至少拥有学士学位。总体而言,69%(=94)有足够的知识,21%(=29)有积极的态度,74%(=101)有良好的 COVID-19 实践。与知识相关的因素是年龄>40 岁(OR:0.3;95%CI:0.1-1.0;=0.047)和新闻媒体(OR:4.8;95%CI:1.4-17.0;=0.015)。与良好实践相关的因素是年龄 40 岁或以上(OR:48.4;95%CI:3.1-742.9;=0.005)和持有文凭(OR:18.4;95%CI:1-322.9;=0.046)。建议乌干达 HCWs 继续开展专业教育,以提高 HCWs 的知识水平,从而避免负面态度,促进积极的预防和治疗实践。我们建议进行后续研究,涉及全国的教学和非教学医院。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/411f/7204940/efaf4957ab82/fpubh-08-00181-g0001.jpg

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