Sidama Zone Health Department, Hawassa, Ethiopia.
Department of Environmental Health, Hawassa University, Hawassa, Ethiopia.
PLoS One. 2020 Oct 15;15(10):e0239744. doi: 10.1371/journal.pone.0239744. eCollection 2020.
Globally, health care-associated infections had become serious public health importance. Compliance with standard safety precaution is effective and inexpensive measure to improve quality of healthcare in reducing occurrence of healthcare associated infections. In developing countries, like Ethiopia adherence to recommended standard safety precaution is scanty.
To assess level of compliance with standard safety precaution and associated factors among healthcare workers in Hawassa comprehensive specialized hospital Southern Ethiopia.
An institutional based cross-sectional study was conducted at Hawassa comprehensive specialized hospital. Data were collected by using self-administered questionnaire. Study participants were allocated proportionally based on their profession by using stratified random sampling method. Data were entered and analyzed by using SPSS version 20.0. Bi-variable analysis and multi variable logistic regression model were used to check which variables were associated with dependent variable. P-values ≤ 0.05 were considered statistically significant. In this study the overall compliance with standard safety precaution among healthcare workers were only 56.5%. Being female healthcare worker AOR: 2.76(1.34, 5.54), married healthcare workers AOR: 4.2(2, 9.03), accessibility of safety box AOR: 3.4(1.6, 7.17), HCWs had perceived IP training AOR: 3.99(1.46, 10.9), availability of tape water AOR: 2.68(1.15, 6.2) and healthcare workers had internal infection prevention and control supportive supervision AOR: 5.8(2.54, 13.48) associated with compliance with standard safety precaution.
According to findings of the current study, overall level of compliance with standard SP among HCWs considered to be very low. Factors such as healthcare workers being female, accessibility of safety box, availability of running tape water, training and supportive supervision were independent predictors of compliance with standard safety precaution. Thus ensuring availability and accessibility of safety precaution materials and regular observing and supervising healthcare workers' practices are highly recommended.
在全球范围内,医疗保健相关感染已成为严重的公共卫生问题。遵守标准安全预防措施是一种有效且廉价的措施,可提高医疗保健质量,减少医疗保健相关感染的发生。在发展中国家,如埃塞俄比亚,对推荐的标准安全预防措施的遵守程度很低。
评估埃塞俄比亚南部 Hawassa 综合专科医院医护人员遵守标准安全预防措施的水平及其相关因素。
这是一项在 Hawassa 综合专科医院进行的基于机构的横断面研究。通过使用自我管理问卷收集数据。研究参与者根据其专业按比例分配,使用分层随机抽样方法。使用 SPSS 版本 20.0 输入和分析数据。使用双变量分析和多变量逻辑回归模型检查与因变量相关的变量。P 值≤0.05 被认为具有统计学意义。在这项研究中,医护人员遵守标准安全预防措施的总体比例仅为 56.5%。女性医护人员的 AOR:2.76(1.34,5.54),已婚医护人员的 AOR:4.2(2,9.03),安全箱的可及性 AOR:3.4(1.6,7.17),医护人员感知 IP 培训 AOR:3.99(1.46,10.9),有自来水供应 AOR:2.68(1.15,6.2)和医护人员有内部感染预防和控制支持性监督 AOR:5.8(2.54,13.48)与遵守标准安全预防措施相关。
根据当前研究的结果,医护人员遵守标准 SP 的总体水平被认为非常低。医护人员为女性、安全箱的可及性、自来水供应、培训和支持性监督等因素是遵守标准安全预防措施的独立预测因素。因此,强烈建议确保安全预防措施材料的可用性和可及性,并定期观察和监督医护人员的实践。