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卫生专业人员在埃塞俄比亚南部嘎莫地区公共卫生机构针对 COVID-19 大流行采取预防措施的实践情况及相关因素:一项横断面研究。

Health professionals practice and associated factors towards precautionary measures for COVID-19 pandemic in public health facilities of Gamo zone, southern Ethiopia: A cross-sectional study.

机构信息

School of Nursing, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia.

School of Public Health, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia.

出版信息

PLoS One. 2021 Mar 9;16(3):e0248272. doi: 10.1371/journal.pone.0248272. eCollection 2021.

Abstract

INTRODUCTION

Coronavirus disease-2019 (COVID-19) is a highly contagious acute respiratory disease, which caused by a novel coronavirus. The disease disrupts health systems and resulting in social, political, and economic crises. Health professionals are in front of this pandemic and always work in a high-risk environment. The best prevention for COVID-19 is avoiding exposure to the virus. Some studies reported health professional's practice of precautionary measures for COVID-19. Nevertheless, a few have identified factors affecting. As such, this study aimed to fill those research gaps in the study setting.

METHODS

In this cross-sectional study, 428 health professionals involved from the public health facilities of the Gamo zone, southern Ethiopia. A simple random sampling method employed, and the data collected by the interviewer-administered Open Data Kit survey tool and observational checklist. The data analyzed in Stata version 15, and a binary logistic regression model used to identify factors. In this study, a statistically significant association declared at P< 0.05.

RESULTS

In this study, 35.3% (95%CI: 30.7%, 39.8%) of health professionals' had a good practice on precautionary measures for the COVID-19 pandemic. Use hand sanitizer or wash hands continuously with soap and water (68.9%), cover nose and mouth with a tissue during sneezing or coughing (67.3%), and use facemask in crowds (56.8%) were the most common practice reported by study participants. Marital status, being married (AOR = 1.84, 95%CI: 1.06, 3.18), good knowledge on the COVID-19 pandemic (AOR = 2.02, 95%CI: 1.02, 3.18), and positive attitude towards precautionary measures for the COVID-19 were factors showed significant association with the practice.

CONCLUSIONS

The magnitude of good practice of precautionary measures for the COVID-19 pandemic among health professionals was low. As such, different interventions to improve the knowledge and attitude of health professionals in the health care system are highly needed to boost the practice and to advance service delivery.

摘要

引言

新型冠状病毒引发的 2019 年冠状病毒病(COVID-19)是一种高度传染性的急性呼吸道疾病。该疾病扰乱了卫生系统,导致了社会、政治和经济危机。卫生专业人员站在这场大流行的前线,始终在高风险环境中工作。预防 COVID-19 的最佳方法是避免接触该病毒。一些研究报告了卫生专业人员针对 COVID-19 采取的预防措施。然而,很少有研究确定影响因素。因此,本研究旨在填补该研究环境中的研究空白。

方法

在这项横断面研究中,我们从埃塞俄比亚南部嘎莫地区的公共卫生机构中招募了 428 名卫生专业人员。采用简单随机抽样法,通过访谈者管理的开放式数据工具包和观察检查表收集数据。数据使用 Stata 版本 15 进行分析,并采用二项逻辑回归模型来确定因素。在这项研究中,具有统计学意义的关联定义为 P<0.05。

结果

在这项研究中,35.3%(95%CI:30.7%,39.8%)的卫生专业人员在预防 COVID-19 大流行方面采取了良好的措施。经常使用洗手液或肥皂洗手(68.9%)、打喷嚏或咳嗽时用纸巾捂住口鼻(67.3%)、在人群中戴口罩(56.8%)是研究参与者报告的最常见做法。婚姻状况,已婚(AOR = 1.84,95%CI:1.06,3.18)、对 COVID-19 大流行有良好的知识(AOR = 2.02,95%CI:1.02,3.18)和对 COVID-19 预防措施的积极态度与预防措施的实践呈显著相关。

结论

卫生专业人员预防 COVID-19 大流行的良好措施实施程度较低。因此,在卫生保健系统中,需要采取不同的干预措施来提高卫生专业人员的知识和态度,以提高实践水平,推进服务提供。

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