Afolaranmi Tolulope O, Hassan Zuwaira I, Pam Obadiah S, Ugwu Lotanna M, Oyegoke Temidayo I, Bello Kayode K, Miner Chundung A, Ogbeyi Gabriel O
Department of Community Medicine, University of Jos and Jos University Teaching Hospital, Jos Plateau State, Nigeria.
Department of Community Medicine, Abubakar Tafawa Balewa University, Bauchi, Bauchi State, Nigeria.
J Med Trop. 2021 Jan-Jun;23(1):76-83. doi: 10.4103/jomt.jomt_24_20. Epub 2021 Apr 28.
Standard safety precautions are essential in health care delivery regardless of the presumed infectious state of the patients. Safe handling practices as detailed in the universal safety precaution guidelines are available to health care workers globally. However, there have been documentation of suboptimal adherence to it especially in the developing countries including Nigeria. Hence, this study was conducted to assess the level of safe handling practices and its determinants among resident doctors in Jos University Teaching Hospital, Plateau state, Nigeria.
This was a cross sectional study conducted among 192 resident doctors using quantitative method of data collection in 2018.SPSS version 20 was used for data analysis with chi square test used to identify the determinants of safe handling practices. Crude odds ratio as well as 95% confidence interval were used with a p-value of < 0.05 considered statistically significant.
The mean age of the respondents in the study was 33 ± 3 years with 119 (62.0%) of the respondents being males. Good knowledge of infection, prevention and control was reported among 120 (62.5%) while 137 (71.3%) were found to have engaged in safe handling practices. Sex (OR = 4.5; 95% CI = 2.05-9.85) and level of knowledge (OR = 1.97; 95% CI = 1.05-3.72) were found as the determinants of safe handling practice.
This study has brought to light the need for improvement in the level of compliance with safe handling practices as it is far from the optimum.
无论患者假定的感染状态如何，标准安全预防措施在医疗服务中都是必不可少的。全球医护人员均可获取通用安全预防指南中详细说明的安全操作规范。然而，尤其是在包括尼日利亚在内的发展中国家，有记录表明对其遵守情况欠佳。因此，本研究旨在评估尼日利亚高原州乔斯大学教学医院住院医生的安全操作规范水平及其决定因素。
这是一项于2018年对192名住院医生进行的横断面研究，采用定量数据收集方法。使用SPSS 20版进行数据分析，采用卡方检验来确定安全操作规范的决定因素。使用粗比值比以及95%置信区间，p值<0.05被认为具有统计学意义。
研究中受访者的平均年龄为33±3岁，其中119名（62.0%）受访者为男性。120名（62.5%）受访者报告对感染、预防和控制有良好的了解，而137名（71.3%）被发现有安全操作行为。性别（OR = 4.5；95% CI = 2.05 - 9.85）和知识水平（OR = 1.97；95% CI = 1.05 - 3.72）被确定为安全操作规范的决定因素。
本研究揭示了提高安全操作规范遵守水平的必要性，因为目前的遵守情况远未达到最佳状态。
