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印度抗击新冠疫情的医护人员:新冠疫情爆发期间的知识、态度和做法

Corona health-care warriors in India: knowledge, attitude, and practices during COVID-19 outbreak.

作者信息

Kumar Rajesh, Singh Vanya, Mohanty Aroop, Bahurupi Yogesh, Gupta Puneet Kumar

机构信息

Department of Nursing, All India Institute of Medical Sciences (AIIMS), Rishikesh, Uttarakhand, India.

Department of Microbiology, All India Institute of Medical Sciences (AIIMS), Rishikesh, Uttarakhand, India.

出版信息

J Educ Health Promot. 2021 Feb 27;10:44. doi: 10.4103/jehp.jehp_524_20. eCollection 2021.

Abstract

BACKGROUND

COVID-19 has become a global health emergency after its first case in Wuhan city, China. An increasing number of cases and deaths are challenging the health-care system globally. This study aims to assess knowledge, attitude, and practice toward COVID-19 disease among health personnel in rapid outbreak in India.

MATERIALS AND METHODS

A cross-sectional survey was conducted using Google Forms through Google platform on-line. A total of 713 health personal allied health-care staff, working in different public and private health-care facilities, was conducted in the mid of April 2020. A structured knowledge, attitude, and practice questionnaire used to assess health personnel's knowledge, attitude, and practice toward COVID-19. All instruments were validated and pretested before use. Chi-square test, followed by binary logistic and multivariate regression, was applied to determine factors associated with knowledge scores.

RESULTS

Seven hundred and thirteen health personnel participated, and 703 (98.6%) participants responded were analyzed for final results. 95.9% of the health personnel were aware about route of transmission and clinical symptoms (95.3%) of COVID-19. 63.7% believed that virus outbreak would be controlled globally and followed standard precautions (81.8%), including wearing the mask. Further, majority (98.3%) of the participants avoided social contact by not going to crowded places and not calling people to their homes (82.2%) during the advisory of the government. In binary logistic regression analyses, the adequate knowledge score found significantly associated with MBBS/bachelor's degree (odds ratio [OR]: 2.309, confidence interval [CI]: 1.232-4.324, < 0.009) and master's degree (OR: 2.944, CI: 1.485-5.835, < 0.002), working with government health-care facility (OR: 3.662, CI: 1.624-8.285, < 0.002), and holding a post of a physician (OR: 7.735, CI: 2.210-27.091, < 0.001) during outbreak.

CONCLUSIONS

The level of education is associated with adequate knowledge scores among the health personnel. Type of health-care facility and post held in a health-care facility are significant predictors of adequacy of knowledge.

摘要

背景

自中国武汉市出现首例新型冠状病毒肺炎(COVID-19)病例后,它已成为全球卫生突发事件。病例和死亡人数不断增加,对全球医疗系统构成挑战。本研究旨在评估印度快速爆发疫情期间卫生人员对COVID-19疾病的知识、态度和实践情况。

材料与方法

于2020年4月中旬通过谷歌平台使用谷歌表单进行了一项横断面调查。共对713名在不同公立和私立医疗机构工作的卫生保健相关人员进行了调查。使用一份结构化的知识、态度和实践问卷来评估卫生人员对COVID-19的知识、态度和实践情况。所有工具在使用前均经过验证和预测试。应用卡方检验,随后进行二元逻辑回归和多变量回归,以确定与知识得分相关的因素。

结果

713名卫生人员参与调查,对703名(98.6%)做出回应的参与者进行了最终结果分析。95.9%的卫生人员知晓COVID-19的传播途径和临床症状(95.3%)。63.7%的人认为全球病毒爆发将得到控制,并遵循标准预防措施(81.8%),包括佩戴口罩。此外,在政府发布相关建议期间,大多数参与者(98.3%)通过不去拥挤场所和不邀请他人到家中(82.2%)来避免社交接触。在二元逻辑回归分析中,发现足够的知识得分与医学学士/学士学位(优势比[OR]:2.309,置信区间[CI]:1.232 - 4.324,P < 0.009)和硕士学位(OR:2.944,CI:1.485 - 5.835,P < 0.002)、在政府医疗机构工作(OR:3.662,CI:1.624 - 8.285,P < 0.002)以及在疫情爆发期间担任医生职位(OR:7.735,CI:2.210 - 27.091,P < 0.001)显著相关。

结论

卫生人员的教育水平与足够的知识得分相关。医疗机构类型和在医疗机构担任的职位是知识充足程度的重要预测因素。

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