埃塞俄比亚东南部公立医院医护人员对感染预防措施的依从性：一项对预防2019冠状病毒病有启示意义的横断面研究
Compliance towards infection prevention measures among health professionals in public hospitals, southeast Ethiopia: a cross-sectional study with implications of COVID-19 prevention.
作者信息
Zenbaba Demisu, Sahiledengle Biniyam, Takele Abulie, Tekalegn Yohannes, Yassin Ahmed, Tura Birhanu, Abdulkadir Adem, Tesa Edao, Tasew Alelign, Ganfure Gemechu, Fikadu Genet, Seyoum Kenbon, Abduku Mohammedawel, Assefa Tesfaye, Morka Garoma, Kemal Makida, Gemechu Adisu, Bekele Kebebe, Tessema Abdi, Haji Safi, Haile Gebisa, Girma Alemu, Mama Mohammedaman, Negero Asfaw, Nigussie Eshetu, Gezahegn Habtamu, Atlaw Daniel, Regasa Tadele, Usman Heyder, Esmael Adem
机构信息
Department of Public Health, School of Health Sciences, Madda Walabu University Goba Referral Hospital, Bale, Goba, Ethiopia.
Department of Midwifery, School of Health Science, Madda Walabu University Goba Referral Hospital, Bale, Goba, Ethiopia.
出版信息
Trop Med Health. 2021 Apr 16;49(1):30. doi: 10.1186/s41182-021-00318-y.
INTRODUCTION
The new coronavirus disease 2019 is an emerging respiratory disease caused by the highly contagious novel coronavirus which has currently overwhelmed the world. Realizing a comprehensive set of infection prevention measures is a key to minimize the spread of this virus and its impacts in all healthcare settings. Therefore, this study was aimed to assess the compliance towards COVID-19 preventive measures and associated factors among health professionals in selected public hospitals, southeast Ethiopia.
METHODS
A descriptive hospital-based cross-sectional study was conducted among 660 health professionals in public hospitals of southeast Ethiopia from October 1 to 31, 2020. A multistage sampling technique was used to select the study participants. Data were collected by interview using structured and pretested questionnaires. Ordinary logistic regression modeling was used to estimate the crude and adjusted odds ratio. To declare the statistical significance of factors associated with the outcome variable, P-value < 0.05 and 95% confidence interval were used.
RESULTS
A total of 654 health professionals were involved in the study; of whom, 313 participants were nurses. The overall good compliance and knowledge of health professionals regarding COVID-19 preventive measures were 21.6 and 25.5%, respectively. Working in the general hospital (AOR = 0.55; 95% CI 0.38, 0.79), service year (AOR = 2.10; 95% CI 1.35, 3.21), knowledge (AOR = 1.80; 95% CI 1.14, 2.89), and water availability (AOR = 3.26; 95% CI 2.25, 4.72) were some of the factors found to have a statistically significant association to compliance of health professionals regarding COVID-19 preventive measures.
CONCLUSION
In this study, nearly one fifth of health professionals had good compliance towards COVID-19 prevention practices. Thus, a consistent supply of COVID-19 prevention materials, facilities, and improving the knowledge of health professionals through on and off-job training are crucial.
引言
2019年新型冠状病毒病是一种由具有高度传染性的新型冠状病毒引起的新发呼吸道疾病，目前已席卷全球。实施一套全面的感染预防措施是在所有医疗环境中尽量减少这种病毒传播及其影响的关键。因此，本研究旨在评估埃塞俄比亚东南部选定公立医院的卫生专业人员对COVID-19预防措施的依从性及相关因素。
方法
2020年10月1日至31日，在埃塞俄比亚东南部公立医院的660名卫生专业人员中开展了一项基于医院的描述性横断面研究。采用多阶段抽样技术选择研究参与者。通过使用结构化且经过预测试的问卷进行访谈来收集数据。采用普通逻辑回归模型估计粗比值比和调整后的比值比。为了说明与结果变量相关因素的统计学显著性，使用P值<0.05和95%置信区间。
结果
共有654名卫生专业人员参与了该研究；其中，313名参与者为护士。卫生专业人员对COVID-19预防措施的总体良好依从性和知识知晓率分别为21.6%和25.5%。在综合医院工作（调整后的比值比=0.55；95%置信区间0.38，0.79）、工作年限（调整后的比值比=2.10；95%置信区间1.35，3.21）、知识知晓率（调整后的比值比=1.80；95%置信区间1.14，2.89）以及是否有水供应（调整后的比值比=3.26；95%置信区间2.25，4.72）是发现与卫生专业人员对COVID-19预防措施的依从性具有统计学显著关联的部分因素。
结论
在本研究中，近五分之一的卫生专业人员对COVID-19预防措施有良好的依从性。因此，持续供应COVID-19预防物资、设施，并通过在职和非在职培训提高卫生专业人员的知识水平至关重要。
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