尼泊尔一家三级护理医院在 COVID-19 大流行应对期间医护人员的知识、态度和实践。
Healthcare workers' knowledge, attitude and practices during the COVID-19 pandemic response in a tertiary care hospital of Nepal.
机构信息
Deparment of General Practice and Emergency Medicine, Universal College of Medical Sciences, Bhairahawa, Nepal.
Department of Internal Medicine, Universal College of Medical Sciences, Bhairahawa, Nepal.
出版信息
PLoS One. 2020 Nov 6;15(11):e0242126. doi: 10.1371/journal.pone.0242126. eCollection 2020.
BACKGROUND
COVID-19 is an ongoing pandemic, for which appropriate infection prevention and control measures need to be adopted. Healthcare workers' adherence to prevention and control measures is affected by their knowledge, attitudes, and practices (KAP) towards COVID-19. In this study, we assessed the KAP among healthcare workers towards the COVID-19 during the ongoing pandemic.
METHOD
A self-developed piloted KAP questionnaire was administered to the recruited healthcare workers involved in the COVID-19 response at the Universal College of Medical Sciences Teaching Hospital (UCMSTH), in Bhairahawa, Nepal. The knowledge questionnaire consisted of questions regarding the clinical characteristics, prevention, and management of COVID-19. Assessment on attitudes and practices towards COVID-19 included questions on behaviour and change in practices made towards COVID-19 response. Knowledge scores were calculated and compared by demographic characteristics and their attitude and practices towards COVID-19. Data were analysed using bivariate statistics.
RESULTS
A total of 103 healthcare workers participated in the study. The mean age of the participants was 28.24±6.11 years (range: 20-56); 60.2% were females; 61.2% were unmarried; 60.2% had a medical degree, and 39.8% were the nursing staff. The mean knowledge score was 10.59±1.12 (range: 7-13), and it did not vary significantly when adjusted for demographic characteristics. The attitude was positive for 53.4% of the participants with a mean knowledge score of 10.35±1.19 and negative for 46.6% participants with a mean knowledge score of 10.88±0.98 (p = 0.02). The practice was good (≥3 score) for 81.5% participants with a mean knowledge score of 10.73±1.12 and poor for 18.5% participants with a mean knowledge score of 10.46±1.13 (p = 0.24). The attitude of the participants improved with increasing age (29.55±7.17, p = 0.02).
CONCLUSION
There is comparably better knowledge regarding COVID-19 among healthcare workers. Appropriate practice correlates with better knowledge and positive attitude towards COVID-19 infection is seen with increasing age. Hence, training on protection and protective measures for having a positive attitude among healthcare workers is necessary against the fight with COVID-19 infection.
背景
COVID-19 是一场持续的大流行，需要采取适当的感染预防和控制措施。医护人员对 COVID-19 的预防和控制措施的遵守情况受到他们对 COVID-19 的知识、态度和实践（KAP）的影响。在这项研究中，我们评估了在大流行期间参与 COVID-19 应对工作的医护人员对 COVID-19 的 KAP。
方法
在尼泊尔巴海拉瓦的环球医学院教学医院（UCMSTH），我们向参与 COVID-19 应对工作的医护人员发放了自行开发的试点 KAP 问卷。知识问卷包括有关 COVID-19 的临床特征、预防和管理的问题。对 COVID-19 的态度和实践评估包括有关 COVID-19 应对行为和实践变化的问题。根据人口统计学特征和他们对 COVID-19 的态度和实践来计算和比较知识得分。使用双变量统计数据进行数据分析。
结果
共有 103 名医护人员参与了这项研究。参与者的平均年龄为 28.24±6.11 岁（范围：20-56）；60.2%是女性；61.2%未婚；60.2%拥有医学学位，39.8%是护理人员。平均知识得分为 10.59±1.12（范围：7-13），调整人口统计学特征后差异无统计学意义。53.4%的参与者态度积极，平均知识得分为 10.35±1.19，46.6%的参与者态度消极，平均知识得分为 10.88±0.98（p=0.02）。81.5%的参与者实践良好（≥3 分），平均知识得分为 10.73±1.12，18.5%的参与者实践较差，平均知识得分为 10.46±1.13（p=0.24）。参与者的态度随年龄增长而提高（29.55±7.17，p=0.02）。
结论
医护人员对 COVID-19 的知识相对较好。适当的实践与更好的知识和对 COVID-19 感染的积极态度相关，并且随着年龄的增长，感染的态度也更加积极。因此，针对医护人员进行保护和预防措施的培训，以建立对 COVID-19 感染的积极态度是必要的。
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