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埃塞俄比亚ALERT医院医护及准医护人员献血知识、态度和行为的水平及相关因素评估

Assessment of the level and factors associated with knowledge, attitude and practice of blood donation among medical and paramedical personnel in ALERT Hospital, Ethiopia.

作者信息

Teferi Malese Yeshambaw, Woldesenbet Simon Genet, Feleke Solomon Asnakew, Abebe Ermias Hundito, Adane Hawult Taye, Alemayehu Chalachew Misganaw

机构信息

Armauer Hansen Research Institute (AHRI), Addis Ababa.

World Health Organization, Addis Ababa, Ethiopia.

出版信息

J Public Health Res. 2021 Jan 14;10(1):1860. doi: 10.4081/jphr.2021.1860.

Abstract

Though there was a high blood supply need in response to high communicable disease and increased emergency conditions; the practice of health professionals and non-health professionals on voluntary blood donation is still unexpectedly low in Ethiopia. Health professionals and non-health professionals working in the health sectors are pivotal in taking the lead to reverse the effect of inadequate blood supply system in the country. Therefore, the study aimed to understand the level and contributing factors of knowledge, attitude and practice of voluntary blood donation among health and non-health professionals in ALERT Hospital, Addis Ababa, Ethiopia. A cross-sectional study design was conducted among health professionals and non-health professionals in ALERT hospital from 5 to 30 June 2018. A total of 394 hospital staffs participated in this study. A well-structured self-administered questionnaire was used to assess the knowledge, attitude, and practice about voluntary blood donation. The statistical analysis was carried out using R. A total of 203 (51.5%) participants were females. Only 142(36%) of the participants had voluntary blood donation practice. Among these, 60 (42.3%) of them were donated blood more than once. Occupation is the only factor significantly associated with blood donation practice; health professionals had almost two-fold donation practice than non-health professionals (AOR=1.62; 5% CI: 1.02, 2.57, p=0.042). Occupation has also a strong relationship with knowledge, health professionals had better knowledge than non-professionals with (AOR=2.39; 95% CI: 1.39, 4.12; p=0.002). The result also showed that the educational status of the participants was strongly associated with the blood donors' attitude with (AOR=3.62; 95%CI: 1.1, 11.93, p=0.035). One hundred and two (72.3%) of the blood donors were motivated to donate blood for charity, 133 (94.3%) individuals were felt good after blood donation and lack of request was the major reason 88.6% that causes the respondents not to donate blood frequently. Low blood donation practice of health professionals and non-health professionals was identified from this study. Occupation had significantly associated with blood donation practice. Therefore, targeted interventions aimed at mobilizing hospital staffs and develop accessible blood donation centers are recommended to reverse the effect of inadequate blood supply system in Ethiopia.

摘要

尽管应对高传染性疾病和日益增加的紧急情况对血液供应的需求很大,但在埃塞俄比亚,卫生专业人员和非卫生专业人员参与自愿献血的比例仍然出人意料地低。在该国,卫生部门工作的卫生专业人员和非卫生专业人员对于带头扭转血液供应系统不足的局面至关重要。因此,本研究旨在了解埃塞俄比亚亚的斯亚贝巴ALERT医院卫生和非卫生专业人员自愿献血的知识、态度和行为水平及其影响因素。2018年6月5日至30日,在ALERT医院的卫生专业人员和非卫生专业人员中开展了一项横断面研究。共有394名医院工作人员参与了本研究。采用一份结构完善的自填式问卷来评估关于自愿献血的知识、态度和行为。使用R软件进行统计分析。共有203名(51.5%)参与者为女性。只有142名(36%)参与者有过自愿献血行为。其中,60名(42.3%)献血超过一次。职业是与献血行为唯一显著相关的因素;卫生专业人员的献血行为几乎是非卫生专业人员的两倍(比值比=1.62;95%置信区间:1.02,2.57,p=0.042)。职业与知识也有很强的关联,卫生专业人员比非专业人员有更好的知识水平(比值比=2.39;95%置信区间:1.39,4.12;p=0.002)。结果还显示,参与者的教育程度与献血者的态度密切相关(比值比=3.62;95%置信区间:1.1,11.93,p=0.035)。102名(72.3%)献血者出于慈善目的而献血,133名(94.3%)个人在献血后感觉良好,88.6%的受访者表示缺乏献血邀请是导致他们不经常献血的主要原因。本研究发现卫生专业人员和非卫生专业人员的献血行为比例较低。职业与献血行为显著相关。因此,建议采取有针对性的干预措施,动员医院工作人员并建立便利的献血中心,以扭转埃塞俄比亚血液供应系统不足的局面。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5983/7816043/d2587853480a/jphr-10-1-1860-g001.jpg

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