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新型冠状病毒肺炎:尼日利亚北部医护人员的知识、态度及预防措施评估

COVID 19: Evaluating the Knowledge, Attitude and Preventive Practices of Healthcare Workers in Northern Nigeria.

作者信息

Tsiga-Ahmed Fatimah Isma'il, Amole Taiwo Gboluwaga, Musa Baba Maiyaki, Nalado Aishatu Muhammad, Agoyi Omeiza Baba, Galadanci Hadiza Shehu, Salihu Hamisu M

机构信息

Department of Community Medicine, College of Health Sciences, Bayero University Kano/Aminu Kano Teaching Hospital, Kano, Nigeria.

African Center of Excellence for Population Health and Policy, Bayero University, Kano, Nigeria.

出版信息

Int J MCH AIDS. 2021;10(1):88-97. doi: 10.21106/ijma.418. Epub 2021 Feb 19.

Abstract

BACKGROUND

Although much is known about the rapidly spreading COVID-19 disease, a lot of knowledge is still evolving. The knowledge, attitude and practice (KAP) of healthcare workers (HCWs) towards COVID-19 remain key in protecting themselves and in fighting the "war" against the disease. This study assessed the KAP of HCWs in Kano, northern Nigeria.

METHODOLOGY

A cross-section of different cadre of healthcare workers was recruited online via google forms. Using a link, the participants completed an adapted from a similar study, pre-tested questionnaire on KAP regarding COVID-19. Predictors of KAP were assessed using logistic regression modelling.

RESULTS

Among the 651 HCWs invited to participate, 233 respondents responded giving a response rate of 35.8%. Of these, 195 (83.7%) had good knowledge, 183 (78.9%) had a positive attitude and 180 (77.6%) had good practice towards prevention of COVID-19. The odds of having good knowledge were significantly lower among Community Health Officers/Community Health Extension workers (aOR=0.2, 95% CI: 0.1-0.6;<0.001) and other health workers compared to doctors. Positive attitude was predicted by good knowledge (aOR=4.8, 95% CI:1.7-010.2;=0.003), being in the fifth decade of life (aOR=5.5, 95% CI: 1.1-29.3, =0.04), female gender (aOR=3.0, 95% CI: 1.1-8.3;0.04, Christian faith (aOR=7.0, 95% CI: 1.3-40.4; 0.03, and having a bachelors' or medical degree (aOR=4.6, 95% CI: 1.3-16.5).The only predictor of good practice was good knowledge on COVID-19 (aOR=7.8, 95% CI 2.8-12.4;<0.001).

CONCLUSION AND GLOBAL HEALTH IMPLICATIONS

Majority of the HCWs at the study site have good knowledge, attitude and practice regarding COVID-19. Continuous dissemination of information on prevention of spread of COVID-19 to all HCWs will strengthen the health workforce in the fight against it.

摘要

背景

尽管人们对迅速传播的新冠肺炎疾病已有很多了解,但仍有许多知识在不断发展。医护人员对新冠肺炎的知识、态度和实践在保护自身以及抗击该疾病的“战斗”中仍然至关重要。本研究评估了尼日利亚北部卡诺州医护人员的知识、态度和实践情况。

方法

通过谷歌表单在线招募了不同层级的医护人员。参与者通过一个链接完成了一份根据类似研究改编、预先测试过的关于新冠肺炎知识、态度和实践的问卷。使用逻辑回归模型评估知识、态度和实践的预测因素。

结果

在受邀参与的651名医护人员中,233名受访者做出回应,回应率为35.8%。其中,195人(83.7%)有良好的知识水平,183人(78.9%)态度积极,180人(77.6%)在预防新冠肺炎方面有良好的实践。与医生相比,社区卫生官员/社区卫生推广工作者及其他医护人员具备良好知识的几率显著较低(调整后比值比[aOR]=0.2,95%置信区间[CI]:0.1 - 0.6;<0.001)。良好的知识水平(aOR = 4.8,95% CI:1.7 - 10.2;= 0.003)、处于五十岁年龄段(aOR = 5.5,95% CI:1.1 - 29.3,= 0.04)、女性(aOR = 3.0,95% CI:1.1 - 8.3;0.04)、基督教信仰(aOR = 7.0,95% CI:1.3 - 40.4;0.03)以及拥有学士或医学学位(aOR = 4.6,95% CI:1.3 - 16.5)可预测积极态度。良好实践的唯一预测因素是对新冠肺炎的良好知识水平(aOR = 7.8,95% CI 2.8 - 12.4;<0.001)。

结论及全球健康意义

研究地点的大多数医护人员在新冠肺炎方面有良好的知识、态度和实践。持续向所有医护人员传播关于预防新冠肺炎传播的信息将加强卫生人力在抗击该疾病中的力量。

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