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埃塞俄比亚奥罗米亚州北绍阿地区新冠疫情期间卫生专业人员的职业健康安全及相关因素

Occupational Health Safety of Health Professionals and Associated Factors During COVID-19 Pandemics at North Showa Zone, Oromia Regional State, Ethiopia.

作者信息

Hailu Dejene, Benayew Mengistu, Liknaw Tiliksew, Ayenew Muluken, Ayalew Agumas Fentahun, Ayano Bizuneh, Adera Addis, Tesema Mengistu, Gezahegn Andualem, Birhanu Tadesse, Wendimu Eshetu

机构信息

Department of Nursing, College of Health Sciences, Salale University, Fitche, Ethiopia.

Department of Public Health, College of Health Sciences, Salale University, Fitche, Ethiopia.

出版信息

Risk Manag Healthc Policy. 2021 Mar 25;14:1299-1310. doi: 10.2147/RMHP.S292830. eCollection 2021.

Abstract

BACKGROUND

Coronavirus disease 19 was observed as a pandemic and caused many community health problems that resulted in Global issues. It causes death for many individuals including health professionals. This study aimed to determine the occupational health safety of health professionals and associated factors during COVID-19 pandemic at North Showa.

METHODS

Institutions-based Cross-sectional study was conducted using a simple random sampling technique from May 10 to June 15, 2020. Interviewer-administered questioners were used, and data were entered into Epi-data version 3.1 and exported to SPSS 23 for analysis. Bi-variable logistic regression was carried out to select candidate variables with a cutoff point < 0.2. Finally, multivariable logistic regression was conducted to identify significant variables. An adjusted odds ratio with 95% CI at a 5% level of significance was used to measure the strength of association. P-value <0.05 indicated a significant association between variables.

RESULTS

A total of 280 health professionals participated with a 92.72% response rate. Of which 57.9% (n=162) were males while 42.1% (n=118) females. Of total 48.9% (n=137) (95% CI: 43.2, 55.0) health professionals had poor occupational health and safety. Availability of soap and bleach (AOR=2.50; 1.439, 4.356), Possibility of isolate COVID-19 suspected clients (AOR=2.525; 1.690, 5.062), Availability of infections prevention and control program standards and policy (AOR=2.329; 1.325, 4.092), Availability of policy and procedure to prevent COVID-19 (AOR= 2.427; 1.389, 4.240) were significantly associated.

CONCLUSION

The result suggested that occupational health safety was generally low in the study area. Therefore, a preventive measure such as the use of personal protective equipment and adherence to hand hygiene practice and Infection prevention policy could reduce the spread of COVID-19 and further study should be conducted to generate more evidence on determinants of occupational health safety.

摘要

背景

新型冠状病毒肺炎被视为一种大流行病,引发了许多社区卫生问题,进而导致全球性问题。它致使包括卫生专业人员在内的许多人死亡。本研究旨在确定在绍阿北部地区新冠疫情期间卫生专业人员的职业健康安全状况及相关因素。

方法

采用简单随机抽样技术,于2020年5月10日至6月15日进行了基于机构的横断面研究。使用由访谈员管理的问卷,数据录入Epi - data 3.1版本,并导出至SPSS 23进行分析。进行双变量逻辑回归以筛选截断点<0.2的候选变量。最后,进行多变量逻辑回归以确定显著变量。使用在5%显著性水平下的调整比值比及95%置信区间来衡量关联强度。P值<0.05表明变量之间存在显著关联。

结果

共有280名卫生专业人员参与,应答率为92.72%。其中,57.9%(n = 162)为男性,42.1%(n = 118)为女性。在所有卫生专业人员中,48.9%(n = 137)(95%置信区间:43.2,55.0)的职业健康与安全状况较差。肥皂和漂白剂的可获得性(调整比值比=2.50;1.439,4.356)、隔离新冠疑似患者的可能性(调整比值比=2.525;1.690,5.062)、感染预防与控制计划标准及政策的可获得性(调整比值比=2.329;1.325,4.092)、预防新冠的政策与程序的可获得性(调整比值比=2.427;1.389,4.240)均存在显著关联。

结论

结果表明,研究区域内的职业健康安全总体水平较低。因此,诸如使用个人防护装备、坚持手部卫生习惯及感染预防政策等预防措施可减少新冠病毒的传播,且应开展进一步研究以获取更多关于职业健康安全决定因素的证据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f0e/8006958/7d717c5c3fb1/RMHP-14-1299-g0001.jpg

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