Ejeh Francis Enenche, Saidu Adamu Saleh, Owoicho Samuel, Maurice Nanven Abraham, Jauro Solomon, Madukaji Laura, Okon Kenneth O
Department of Veterinary Microbiology, Medicine, Faculty of Veterinary Medicine, University of Maiduguri, Nigeria.
Department of Veterinary Public Health & Preventive Medicine, Faculty of Veterinary Medicine, University of Maiduguri, Nigeria.
Heliyon. 2020 Nov;6(11):e05557. doi: 10.1016/j.heliyon.2020.e05557. Epub 2020 Nov 18.
Severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) infection is a global pandemic. Healthcare workers' (HCWs) role in patient management is predisposing and can serve as means of hospitals and community transmission. This study evaluated HCWs' knowledge, attitude, and practice towards COVID-19 in Nigeria.
we carried out a cross-sectional survey among HCWs during the COVID-19 outbreak in Nigeria from March to June 2020. The study assessed 346 HCWs for Knowledge, attitude, and practice by using an online (Google form) self-administered questionnaire, based on a convinience sampling technique Data were retrieved and analyzed using descriptive statistics. Chi-Square and one-way ANOVA were used to measure association and difference among demographic variables. The relationship between knowledge, attitude, and practice was measured using Spearman's rho correlation test.
the mean knowledge score of the HCWs was 7.1 on a scale of 0-8. The correct overall rate of the knowledge questionnaire was 88.75%. Knowledge was gained mainly from television (35.0%) and social media (35.0%). The mean attitude score on a scale of 0-6 was 5.31 ± 0.39. Most (92.5%) participants were confident that Nigerian medical scientists would win the war against COVID-19. The majority (92.2%) of the respondents thought that SARS-CoV-2 was not a biological weapon. About 1 out of 5 respondents held that faith healing or prayer is the only cure for COVID-19. A vast majority of the HCWs were taking precautionary measures such as avoiding crowded places (94.2%), washing of hands (96.0%), and the use of personal protective equipment (91.6%) against SARS-CoV-2 infection. Nevertheless, only 3 out of 5 HCWs used a face mask when leaving home. There was a significant (p = 0.046) positive correlation (0.584) between knowledge and attitude.
our results showed that HCWs in Nigeria had excellent knowledge and possessed a positive attitude and good practice towards COVID-19. However; there were areas where poor knowledge, negative attitudes and unacceptable practices were observed. We recommend continuous public health education of HCWs on SARS-COV-2 infection control and prevention.
严重急性呼吸综合征冠状病毒2（SARS-CoV-2）感染是一场全球大流行。医护人员在患者管理中的作用既可能引发感染，又可能成为医院和社区传播的途径。本研究评估了尼日利亚医护人员对2019冠状病毒病（COVID-19）的知识、态度和实践。
在2020年3月至6月尼日利亚COVID-19疫情期间，我们对医护人员进行了一项横断面调查。该研究采用在线（谷歌表单）自填式问卷，基于便利抽样技术，对346名医护人员的知识、态度和实践进行了评估。使用描述性统计方法检索和分析数据。采用卡方检验和单因素方差分析来衡量人口统计学变量之间的关联和差异。使用斯皮尔曼等级相关检验来衡量知识、态度和实践之间的关系。
医护人员的平均知识得分在0至8分的量表上为7.1分。知识问卷的总体正确率为88.75%。知识主要来源于电视（35.0%）和社交媒体（35.0%）。在0至6分的量表上，平均态度得分为5.31±0.39。大多数（92.5%）参与者相信尼日利亚医学科学家将赢得抗击COVID-19的战争。大多数（92.2%）受访者认为SARS-CoV-2不是生物武器。约五分之一的受访者认为信仰疗法或祈祷是治疗COVID-19的唯一方法。绝大多数医护人员正在采取预防措施，如避免前往拥挤场所（94.2%）、洗手（96.0%）以及使用个人防护装备（91.6%）以预防SARS-CoV-2感染。然而，只有五分之三的医护人员在离家时使用口罩。知识与态度之间存在显著的（p = 0.046）正相关（0.584）。
我们的结果表明，尼日利亚的医护人员对COVID-19有良好的知识水平，持有积极的态度并具备良好的实践。然而，在某些方面仍观察到知识匮乏、态度消极和实践不可接受的情况。我们建议持续对医护人员进行关于SARS-CoV-2感染控制和预防的公共卫生教育。
