Birhanu Abdi, Balis Bikila, Assebe Yadeta Tesfaye, Bayu Miesso
School of Medicine, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
School of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
SAGE Open Med. 2021 Oct 10;9:20503121211051925. doi: 10.1177/20503121211051925. eCollection 2021.
Effective implementation of prevention and control actions by health professionals is substantial to contain the deadly COVID-19 pandemic. Thus, this study aimed to assess health care worker's practice of using personal protective equipment and psychological preparedness against the COVID-19 pandemic in Eastern Ethiopia.
A facility-based cross-sectional study design was used. The health care workers (HCW) who were working in the selected health facilities were randomly selected. Variables that had p-value of < 0.15 were transformed to multivariable logistic regression model. Finally, the significance level was declared at the p-value < 0.05 with a 95% confidence interval (CI).
A total of 418 HCWs were randomly selected and included in this study. The study participants mean age was 27.96 years with a ±5.6SD. HCWs who were male (adjusted odds ratio(AOR) = 2.21, 95% CI: 1.29-3.79), regularly using sanitizer, accessing COVID-19 management guideline (AOR = 2.83, 95% CI: 1.46-5.47), trained on COVID-19 prevention methods (AOR = 2.6, 95% CI: 1.4-4.7), hopeless of eventually getting COVID-19 at workplace (AOR = 1.9, 95% CI: 1.13-3.28), and feeling unsafe at work when using standard precautions (AOR = 0.46, 95% CI: 0.27-0.79) were associated with good PPE using compared to their counterparts. Moreover, nursing/midwifery professionals practiced good personal protective equipment compared to physicians (AOR = 3.7, 95% CI: 1.8-7.7).
The study demonstrated that being a male, being a nurse/midwifery, regularly sanitizing hands/medical equipment, having COVID-19 management guidelines, trained on COVID-19, and feeling of eventually getting COVID-19 at workplace had a positive association with PPE utilization. Besides, the study revealed that not feeling safe at work when using standard precautions was negatively associated with PPE utilization of HCWs. Therefore, the prevention priorities should be given to frontline HCWs by providing all possible support and strictly implementing the prevention and control guidelines of COVID-19 to prevent the health system from collapse.
卫生专业人员有效实施防控行动对于遏制致命的新冠疫情至关重要。因此，本研究旨在评估埃塞俄比亚东部医护人员使用个人防护装备的情况以及针对新冠疫情的心理准备。
采用基于机构的横断面研究设计。从选定卫生机构工作的医护人员中随机选取。将p值<0.15的变量纳入多变量逻辑回归模型。最后，显著性水平设定为p值<0.05，置信区间为95%。
共随机选取418名医护人员纳入本研究。研究参与者的平均年龄为27.96岁，标准差为±5.6。男性医护人员（调整比值比[AOR]=2.21，95%置信区间：1.29 - 3.79）、经常使用消毒剂、获取新冠疫情管理指南（AOR = 2.83，95%置信区间：1.46 - 5.47）、接受过新冠疫情预防方法培训（AOR = 2.6，95%置信区间：1.4 - 4.7）、对最终在工作场所感染新冠疫情感到绝望（AOR = 1.9，95%置信区间：1.13 - 3.28）以及在使用标准预防措施时感觉工作不安全（AOR = 0.46，95%置信区间：0.27 - 0.79）的医护人员与使用个人防护装备良好相关。此外，与医生相比，护理/助产专业人员在个人防护装备使用方面表现更好（AOR = 3.7，95%置信区间：1.8 - 7.7）。
研究表明，男性、护理/助产专业人员、经常对手部/医疗设备进行消毒、拥有新冠疫情管理指南、接受过新冠疫情培训以及对最终在工作场所感染新冠疫情的感觉与个人防护装备的使用呈正相关。此外，研究还表明，在使用标准预防措施时感觉工作不安全与医护人员个人防护装备的使用呈负相关。因此，应通过提供一切可能的支持并严格执行新冠疫情防控指南，将预防重点放在一线医护人员身上，以防止卫生系统崩溃。
