Abuduxike Gulifeiya, Acar Vaizoglu Songul, Asut Ozen, Cali Sanda
Department of Public Health, Faculty of Medicine, Near East University, Cyprus.
Saf Health Work. 2021 Mar;12(1):66-73. doi: 10.1016/j.shaw.2020.09.003. Epub 2020 Sep 11.
The objective was to assess the knowledge level, attitude, and practice of health care workers towards standard precautions, and to identify the related factors. Furthermore, it was attempted to identify the proportion of having the experience of needle stick injuries (NSIs) and associated factors among participants.
A cross-sectional study was conducted in a teaching hospital among 233 health workers using a self-administrated questionnaire. The questionnaire included eight knowledge items, seven practice items, and five attitude items. Based on the mean score of each category, responses were grouped into "satisfactory" and "unsatisfactory". Univariate, bivariate, and multivariable logistic regression analyses were done.
The mean age of the participants 32.95 (SD ± 9.70) and 62.2% of them were women. 57.5% of the staff had a satisfactory level of correct knowledge (>5 correct answers), 37.3% had a satisfactory positive attitude (>3 correct answers), and 30.9% had a satisfactory practice (>3 correct answers) towards standard precautions. The occupation was one of the predictors as doctors were less likely to have satisfactory knowledge and practice compared to nurses (OR = 0.269, 95% CI: 0.10-0.70 and OR = 0.248, 95% CI: 0.08-0.77, respectively). Out of 174 participants, 31.6% of them reported experiencing NSIs and support staff were 71% less likely to experience NSIs compared to nurses & paramedics.
The findings revealed a substandard adherence of standard precautions among participants, which highlighted the necessity of the provision of a periodic, tailored training program based on the occupation and risk exposure.
目的是评估医护人员对标准预防措施的知识水平、态度和实践情况,并确定相关因素。此外,试图确定参与者中发生针刺伤(NSIs)的比例及其相关因素。
在一家教学医院对233名医护人员进行了一项横断面研究,采用自填式问卷。问卷包括8个知识项目、7个实践项目和5个态度项目。根据每个类别的平均得分,将回答分为“满意”和“不满意”。进行了单变量、双变量和多变量逻辑回归分析。
参与者的平均年龄为32.95岁(标准差±9.70),其中62.2%为女性。57.5%的工作人员对标准预防措施的正确知识水平令人满意(答对>5题),37.3%的人态度令人满意(答对>3题),30.9%的人实践令人满意(答对>3题)。职业是预测因素之一,因为与护士相比,医生获得满意知识和实践的可能性较小(OR分别为0.269,95%CI:0.10 - 0.70和OR为0.248,95%CI:0.08 - 0.77)。在174名参与者中,31.6%的人报告有针刺伤经历,与护士和护理人员相比,辅助人员发生针刺伤的可能性低71%。
研究结果显示参与者对标准预防措施的遵守情况未达标准,这突出了根据职业和风险暴露情况提供定期、量身定制培训计划的必要性。