埃塞俄比亚亚的斯亚贝巴埃卡科特贝综合医院医护人员的手卫生依从性水平及其相关因素
Level of Hand Hygiene Compliance and Its Associated Factors Among Health Care Workers at Eka Kotebe General Hospital, Addis Ababa, Ethiopia.
作者信息
Tadesse Muluken, Shimelash Alebachew, Tegegne Eniyew
机构信息
Eka Kotebe General Hospital, Addis Ababa, Ethiopia.
Department of Environmental Health, Debre Markos University, Debre Markos, Ethiopia.
出版信息
Environ Health Insights. 2022 Jul 20;16:11786302221113673. doi: 10.1177/11786302221113673. eCollection 2022.
BACKGROUND
Poor hand hygiene is an important source of infection, but maintaining hand hygiene is the most important measure to prevent infections. Hand hygiene compliance and its associated factors are not well recognized in Ethiopia. Therefore, this study was intended to determine hand hygiene compliance and its associated factors among health care workers in Eka Kotebe General Hospital.
METHODS
A cross-sectional study was conducted among health care workers at Eka Kotebe General Hospital. A self-administered questionnaire supplemented by a World Health Organization Hand Hygiene Technical Reference Manual was used to collect data. Data was entered using Epi Info 7.2.0.1 and exported to SPSS 23 for analysis. The data were analyzed using descriptive and inferential statistics. Statistical significance was determined using a -value of ⩽.05 with a 95% confidence interval.
RESULTS
Hand hygiene compliance among healthcare workers was 22.2%. Hand hygiene training (AOR = 2.9, 95% CI: 1.13-7.52), presence of hand hygiene indication poster (AOR = 3.38, 95% CI: 1.18-9.66), hand hygiene promotion by IPC team (AOR = 4.2, 95% CI: 2.53-8.58)), working experience ⩾5 years of a health care providers (AOR = 3.96, 95% CI: 1.12-13.9), being midwife (AOR = 17.1, 95% CI: 2.8-10), being nurse (AOR = 5.3, 95% CI: 2.09-7.8) by profession, and presence of water (AOR = 2.50, 95% CI: 2.20-11.78) were significantly associated factors to hand hygiene compliance.
CONCLUSION
The level of hand hygiene compliance among health care providers was found to be low. Training about hand hygiene, the presence of hand hygiene indication posters, hand hygiene promotion by the IPC team, working experience of health care providers, being a nurse and midwife, and the presence of water were independent predictors of hand hygiene compliance. Health care workers need to be given training on hand hygiene as well as hand hygiene facilities shall be installed and supplied by the hospital in a sustained manner.
背景
手部卫生不良是感染的重要来源，但保持手部卫生是预防感染的最重要措施。在埃塞俄比亚，手部卫生依从性及其相关因素尚未得到充分认识。因此，本研究旨在确定埃卡·科特贝综合医院医护人员的手部卫生依从性及其相关因素。
方法
在埃卡·科特贝综合医院的医护人员中进行了一项横断面研究。使用一份由世界卫生组织手部卫生技术参考手册补充的自填式问卷来收集数据。数据使用Epi Info 7.2.0.1录入，并导出到SPSS 23进行分析。使用描述性和推断性统计方法对数据进行分析。使用p值≤0.05和95%置信区间确定统计学显著性。
结果
医护人员的手部卫生依从率为22.2%。手部卫生培训（调整后比值比[AOR]=2.9，95%置信区间：1.13-7.52）、手部卫生指示海报的存在（AOR=3.38，95%置信区间：1.18-9.66）、感染预防与控制（IPC）团队对手部卫生的推广（AOR=4.2，95%置信区间：2.53-8.58）、医护人员工作经验≥5年（AOR=3.96，95%置信区间：1.12-13.9）、职业为助产士（AOR=17.1，95%置信区间：2.8-10）、职业为护士（AOR=5.3，95%置信区间：2.09-7.8）以及有水供应（AOR=2.50，95%置信区间：2.20-11.78）是与手部卫生依从性显著相关的因素。
结论
发现医护人员的手部卫生依从水平较低。手部卫生培训、手部卫生指示海报的存在、IPC团队对手部卫生的推广、医护人员的工作经验、职业为护士和助产士以及有水供应是手部卫生依从性的独立预测因素。需要对医护人员进行手部卫生培训，医院还应持续安装和提供手部卫生设施。
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