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尼日利亚东南部阿南布拉州三级医疗机构护士对冠状病毒病预防措施的认知及影响其实施的因素

Perception and factors affecting practice of preventive measures of coronavirus disease among nurses in tertiary health institutions in Anambra state, southeast Nigeria.

作者信息

Odikpo Linda C, Onyekaonwu Vera I, Afonne Anulika J

机构信息

Department of Nursing Science, Nnamdi Azikiwe University, Awka, Nnewi Campus, Nigeria.

出版信息

J Educ Health Promot. 2021 Dec 31;10:444. doi: 10.4103/jehp.jehp_1639_20. eCollection 2021.

Abstract

BACKGROUND

COVID-19 is a contagious disease without any treatment, vaccine, or immunity, which the only way out is the practice of preventive measures. This article assessed the perception and factors influencing the practice of preventive measures to COVID-19 among nurses in Anambra State, Nigeria. The study objectives include to determine the perception of nurses toward COVID-19 and to determine factors that influence the practice of preventive measures to COVID-19 among nurses in tertiary hospitals in Anambra State.

MATERIALS AND METHODS

The design for the study was descriptive cross-sectional survey conducted among 344 nurses in the two tertiary institutions.

RESULTS

Three hundred and three (88.1%) nurses had no formal training on COVID-19 protocol. They have a good perception of the disease as, among others, they (165 [48.0%]) see it to be highly contagious, 207 (60.2%) can recognize symptoms easily, 168 (48.8%) believed that COVID-19 could be handled professionally based on their experience, 155 (45.1%) responded that there is no vaccine yet for the disease, and 200 (58.1%) responded that patients should not hide their symptoms and travel history to avoid infecting other people. The result on the false benefits has 323 (93.9%) who responded that COVID-19 preventive measures will predispose one to the disease, 319 (92.7%) who responded that the preventive measures will not slow the spread of the disease, 288 (83.7) who responded that it is independent of normalcy returning to areas affected, and 327 (95.1%) who responded that COVID-19 preventive measures are among the effective ways to mitigate the disease and enhance life sustainability. Some work-related/institutional and disease-specific factors influence their practice of preventive measures to COVID-19. Such factors include the time to use personal protective equipment (PPE) in an emergency (170 [49.4%]), remembering to use PPE (158 [45.9%]), insufficient nursing staff during a shift (158 [43.0%]), and too many responsibilities during a shift (178 [51.7%]).

CONCLUSION

With the increasing death as a result of COVID-19, of which health workers are not immune to, it is essential to annihilate all negative factors that may impede the accurate practices of the preventive measures and also support the nurses with the necessary tools and knowledge to mitigate their exposure to the disease.

摘要

背景

新冠病毒病是一种尚无任何治疗方法、疫苗或免疫力的传染病,唯一的出路是采取预防措施。本文评估了尼日利亚阿南布拉州护士对新冠病毒病预防措施的认知及影响其采取预防措施的因素。研究目的包括确定护士对新冠病毒病的认知,以及确定影响阿南布拉州三级医院护士采取新冠病毒病预防措施的因素。

材料与方法

本研究采用描述性横断面调查设计,对两家三级医疗机构的344名护士进行了调查。

结果

303名(88.1%)护士未接受过关于新冠病毒病防控方案的正规培训。他们对该疾病有较好的认知,比如,他们中165名(48.0%)认为其传染性很强,207名(60.2%)能轻易识别症状,168名(48.8%)认为基于他们的经验新冠病毒病可以得到专业处理,155名(45.1%)回答该疾病尚无疫苗,200名(58.1%)回答患者不应隐瞒症状和旅行史以避免感染他人。关于错误认知方面的结果显示,323名(93.9%)回答新冠病毒病预防措施会使人易感染该疾病,319名(92.7%)回答预防措施不会减缓疾病传播,288名(83.7%)回答这与受影响地区恢复正常无关,327名(95.1%)回答新冠病毒病预防措施是减轻该疾病和增强生命可持续性的有效方法之一。一些与工作相关/机构相关以及特定疾病的因素影响他们采取新冠病毒病预防措施。这些因素包括在紧急情况下使用个人防护装备(PPE)的时机(170名[49.4%])、记得使用PPE(158名[45.9%])、轮班期间护理人员不足(158名[43.0%])以及轮班期间职责过多(178名[51.7%])。

结论

随着新冠病毒病导致的死亡人数不断增加,医护人员也不能幸免,消除所有可能阻碍准确实施预防措施的负面因素,并为护士提供必要的工具和知识以减少他们接触该疾病的机会至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f0c/8826789/35e81b69cf5f/JEHP-10-444-g001.jpg

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