Clinical Research Centre (CRC), Hospital Tuanku Fauziah, Ministry of Health Malaysia, Perlis, Malaysia.
Occupational Safety and Health Unit, Hospital Tuanku Fauziah, Ministry of Health Malaysia, Perlis, Malaysia.
Curr Med Res Opin. 2022 Feb;38(2):327-338. doi: 10.1080/03007995.2021.2000738. Epub 2021 Nov 12.
This study aimed to assess COVID-19 knowledge, attitude and practice (KAP) among healthcare workers (HCWs) in northwest Malaysia and recognize the challenges faced working during the Movement Control Order (MCO). Commonly referred to as ", this order enforcement is a series of national quarantine and cordon sanitaire measures implemented by the federal government of Malaysia in response to the COVID-19 pandemic as of 18th March 2020. It is akin to a national lockdown.
A multi-centric cross-sectional web-based study was conducted from 29th May to 27th July 2020 among HCWs in Perlis, Malaysia using a 19-item validated questionnaire [Cronbach's alpha: 0.61 (knowledge domain), 0.74 (attitude domain), and 0.72 (practice domain)]. Challenges when working during MCO were identified from a self-rated five-point Likert scale of 14-item.
There were a total of 373 respondents (response rate more than 40%); 48.0% were nurses, 14.7% were medical doctors, and 12.9% were administrative and technical support staffs. Majority of HCWs (90.1%, = 336) had good knowledge, optimistic attitude (54.7%, = 204) and good COVID-19 preventive measure practices (90.9%, = 339). Multiple logistic regression demonstrated that profession was the single significant factor for good COVID-19 KAP. Though having lesser odds of good knowledge (aOR 0.07, 95% CI:0.01-0.36, = .009), nurses showed greater odds of good attitude (aOR 3.14, 95% CI: 1.71-5.76, = .011) and practice (aOR 10.69, 95% CI:2.25-50.86, = .022) as compared to doctors and dentists. Main challenges identified when working during MCO were increased workload (44.5%, = 166), difficulty going out shopping (48.3%, = 180), to exercise (40.2%, = 150) and meet with family members (64.3%, = 240).
Generally, HCWs in Perlis had good KAP with regards to COVID-19 infection and its preventive measures. Challenges underlined by HCWs while working during the MCO were increased workload, difficulty to shop for daily essentials, exercise and meet with family members. Should good COVID-19 KAP be sustained, they might contribute to success in combating this disease.
本研究旨在评估马来西亚西北部医护人员（HCWs）对 COVID-19 的知识、态度和实践（KAP），并认识在行动管制令（MCO）期间工作所面临的挑战。通常被称为“行动管制令”，这一命令的执行是马来西亚联邦政府为应对 2020 年 3 月 18 日 COVID-19 大流行而实施的一系列国家检疫和隔离措施。这类似于全国封锁。
本研究于 2020 年 5 月 29 日至 7 月 27 日期间，采用经过验证的 19 项问卷（克朗巴赫 α系数：知识领域 0.61，态度领域 0.74，实践领域 0.72），在马来西亚霹雳州开展了一项多中心横断面网络研究。工作期间的挑战是根据 14 项自评五分制 Likert 量表确定的。
共收到 373 份回复（回复率超过 40%）；48.0%为护士，14.7%为医生，12.9%为行政和技术支持人员。大多数 HCWs（90.1%，=336）具有良好的知识、乐观的态度（54.7%，=204）和良好的 COVID-19 预防措施实践（90.9%，=339）。多变量逻辑回归表明，职业是良好 COVID-19 KAP 的唯一显著因素。尽管护士获得良好知识的可能性较小（优势比 0.07，95%CI：0.01-0.36，=0.009），但与医生和牙医相比，护士具有更大的获得良好态度（优势比 3.14，95%CI：1.71-5.76，=0.011）和实践（优势比 10.69，95%CI：2.25-50.86，=0.022）的可能性。MCO 期间工作时发现的主要挑战是工作量增加（44.5%，=166）、购物困难（48.3%，=180）、锻炼（40.2%，=150）和与家人见面（64.3%，=240）。
总体而言，霹雳州的 HCWs 对 COVID-19 感染及其预防措施具有良好的 KAP。HCWs 在 MCO 期间工作时强调的挑战是工作量增加、日常必需品购买困难、锻炼和与家人见面。如果保持良好的 COVID-19 KAP，他们可能有助于抗击这种疾病。
