埃塞俄比亚西北部贡德尔大学综合专科医院医护人员对医院感染预防的知识、态度和实践及相关因素
Knowledge, Attitude and Practice on Hospital-Acquired Infection Prevention and Associated Factors Among Healthcare Workers at University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia.
作者信息
Bayleyegn Biruk, Mehari Addisu, Damtie Debasu, Negash Markos
机构信息
Department of Clinical Hematology and Immunohematology, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Department of Medical Laboratory Sciences, Debre-Markos University, Debre Markos, Ethiopia.
出版信息
Infect Drug Resist. 2021 Jan 27;14:259-266. doi: 10.2147/IDR.S290992. eCollection 2021.
BACKGROUND
Hospital-acquired infections can be acquired by a patient or develop among hospital staff, as a more serious problem in low- and middle-income hospital settings. Assessing the level of knowledge, attitude and practice towards hospital-acquired infection prevention among healthcare workers and identifying the associated factors has an unquestionable importance of handling and management of these infections. Thus, in this study, we evaluated the knowledge, attitude and practice towards HAIs prevention and associated factors in healthcare workers at the University of Gondar Comprehensive Specialized Hospital, North West Ethiopia.
METHODS
Hospital-based cross-sectional study was conducted among healthcare workers towards HAIs prevention from January to June 2019. Each study participant was selected by simple random sampling. Data were collected using structured self-administered questionnaires. Descriptive analysis was used to present frequency and percentage of the main findings. The association between independent variables and KAP scores on HAI prevention was calculated using Pearson's Chi square and p-values less than 0.05 were considered as statistically significant.
RESULTS
A total of 236 participants were included in this study with a 100% response rate; 90% and 57.2% of the participants had good knowledge and positive attitude towards HAI prevention, respectively. Meanwhile, only 36% of the study participants had good practice towards HAI prevention, suggesting less than satisfactory scores in this study. Level of education and work experience were significantly associated with safe-infection prevention attitude and practice (P value <0.005).
CONCLUSION
Even though the respondents have good knowledge with a sympathetic attitude about HAI preventions, good knowledge did not translate into prudent practices. Level of education and work experience were the independent risk factors towards HAI prevention of attitude and practice. Provision of continual on-job and off-job trainings together with strict implementation of updated standard operational procedures (SOP) may reduce the identified gap.
背景
医院获得性感染可由患者感染，也可在医院工作人员中发生，这在低收入和中等收入国家的医院环境中是一个更严重的问题。评估医护人员对医院获得性感染预防的知识、态度和实践水平，并确定相关因素，对于这些感染的处理和管理具有毋庸置疑的重要性。因此，在本研究中，我们评估了埃塞俄比亚西北部贡德尔大学综合专科医院医护人员对医院获得性感染预防的知识、态度和实践以及相关因素。
方法
2019年1月至6月，对医护人员进行了一项基于医院的横断面研究，以了解其对医院获得性感染预防的情况。每个研究参与者均通过简单随机抽样选取。使用结构化的自填式问卷收集数据。描述性分析用于呈现主要结果的频率和百分比。使用Pearson卡方检验计算自变量与医院获得性感染预防知识、态度和实践得分之间的关联，p值小于0.05被认为具有统计学意义。
结果
本研究共纳入236名参与者，回复率为100%；90%和57.2%的参与者分别对医院获得性感染预防有良好的知识和积极的态度。同时，只有36%的研究参与者对医院获得性感染预防有良好的实践，表明本研究中的得分不尽人意。教育水平和工作经验与安全感染预防态度和实践显著相关（P值<0.005）。
结论
尽管受访者对医院获得性感染预防有良好的知识和积极的态度，但良好的知识并未转化为谨慎的实践。教育水平和工作经验是医院获得性感染预防态度和实践的独立风险因素。提供持续的在职和非在职培训以及严格执行更新的标准操作程序（SOP）可能会缩小已发现的差距。
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