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2020年埃塞俄比亚中北部德布雷塔博尔医疗服务提供者对2019冠状病毒病的认知障碍及预防措施

Perceived Barriers and Preventive Measures of COVID-19 Among Healthcare Providers in Debretabor, North Central Ethiopia, 2020.

作者信息

Birihane Binyam Minuye, Bayih Wubet Alebachew, Alemu Abebaw Yeshambel, Belay Demeke Mesfin

机构信息

College Health Sciences, Debretabor University, Debretabor, Ethiopia.

出版信息

Risk Manag Healthc Policy. 2020 Nov 20;13:2699-2706. doi: 10.2147/RMHP.S287772. eCollection 2020.

Abstract

BACKGROUND

Healthcare professionals are at the frontline facing the pandemic. Since the pandemic is new with sophisticated needs of resources, identifying perceived barriers of the healthcare institutions has an important input for the government in slowing the viral spread and prevents healthcare professionals from infection.

OBJECTIVE

The study was aimed to assessperceived barriers and preventive measures of corona virus disease among healthcare providers in Debretabor Town, north central Ethiopia.

METHODS

An institution-based cross-sectional survey was conducted among healthcare providers working in Debretabor town, north central Ethiopia from May 1 to 15, 2020. Data were collected using a self-administered questionnaire. Data were coded, entered, cleaned, and checked using Epi data statistical software version 4.2.0.0 and analysis using STATA Version 14 statistical software. Descriptive statistics of different variables were presented in figures, text, and tables. Chi-square (chi) test of independence was considered to examine the nonparametric association of factors with preventive practice, and association was considered at a -value of less than 0.05.

RESULTS

A total of 183 healthcare providers participated in the survey, of which 67.76% were males, and 80.87% were in the age range of 25-35 years. About 45% of participants were nurses. In the current study, overall preventive practice was 68.3%. Despite recommendations by the World Health Organization, avoidance of outdoor, physical distancing, and avoiding meeting a person with a coughwere not implemented by 32.24%, 24.18%, and 13.11% of healthcare providers, respectively. Insufficient training, lack of policy, less commitment to infection control, and limitations of resources were perceived as major barriers for practicing preventive measures during the pandemic.

CONCLUSION

Preventive measures taken by healthcare providers were poor. Multiple barriers, such as insufficient training related to the pandemic, limitation of resources, and less commitment of healthcare providers to infection prevention measures were reported. So, the government should work on reducing the pandemic propagation by fulfilling the barriers using different means or strategies.

摘要

背景

医疗保健专业人员处于应对疫情的前线。由于这场疫情是新出现的,对资源有复杂的需求,识别医疗机构所察觉到的障碍对于政府减缓病毒传播以及防止医疗保健专业人员感染具有重要意义。

目的

本研究旨在评估埃塞俄比亚中北部德布雷塔博尔镇医疗保健提供者对冠状病毒病的感知障碍和预防措施。

方法

2020年5月1日至15日,在埃塞俄比亚中北部德布雷塔博尔镇工作的医疗保健提供者中进行了一项基于机构的横断面调查。使用自填式问卷收集数据。数据使用Epi数据统计软件4.2.0.0进行编码、录入、清理和检查,并使用STATA 14版统计软件进行分析。不同变量的描述性统计以图表和表格形式呈现。采用卡方独立性检验来检验因素与预防措施的非参数关联,关联度以P值小于0.05为标准。

结果

共有183名医疗保健提供者参与了调查,其中67.76%为男性,80.87%年龄在25至35岁之间。约45%的参与者是护士。在本研究中,总体预防措施的实施率为68.3%。尽管世界卫生组织提出了建议,但分别有32.24%、24.18%和13.11%的医疗保健提供者未采取避免外出、保持身体距离以及避免接触咳嗽患者这些措施。培训不足、缺乏政策、对感染控制的投入不足以及资源限制被视为疫情期间实施预防措施的主要障碍。

结论

医疗保健提供者采取的预防措施不力。报告称存在多种障碍,如与疫情相关的培训不足、资源限制以及医疗保健提供者对感染预防措施的投入不足。因此,政府应通过采用不同手段或策略消除这些障碍来努力减少疫情传播。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3510/7685372/39f7d966e1ec/RMHP-13-2699-g0001.jpg

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