医护人员对生物医学废物管理的知识、态度和实践：沙特北部的一项研究。

Knowledge, attitude and practice towards bio-medical waste management among healthcare workers: a northern Saudi study.

机构信息

Department of Community and Family Medicine, College of Medicine, Jouf University, Sakaka, Aljouf, Saudi Arabia.

Medical Student, College of Medicine, Jouf University, Sakaka, Aljouf, Saudi Arabia.

出版信息

PeerJ. 2022 Jul 20;10:e13773. doi: 10.7717/peerj.13773. eCollection 2022.

DOI:10.7717/peerj.13773

PMID:35880221

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9308458/

Abstract

BACKGROUND

Health care workers (HCWs) involved in day-to-day care and other healthcare activities play a significant role in biomedical waste (BMW) management. The World Health Organization stated some of the causes for the failure of BMW management, namely, lack of awareness of the health hazards related to BMW and inadequate trained HCWs in BMW management. The present study assessed knowledge, attitude, and practice (KAP) towards BMW management among the HCWs in northern Saudi Arabia.

METHODOLOGY

The present study assessed KAP through a self-administered and validated questionnaire. Using a multistage probability sampling method, 384 HCWs from different healthcare facilities participated in this survey. We performed binomial logistic regression analysis to find association between KAP subscales and sociodemographic characteristics. Spearman's correlation test was performed to find the strength and direction of correlation () between KAP scores.

RESULTS

Of the population studied, high knowledge, attitude, and practice scores were found in 47.1%, 65.1%, and 49.5% of the HCWs, respectively. The present study found that knowledge score was significantly higher among the age group from 30 to 39 years (ref: age less than 30 years: AOR = 2.25, 95% CI [1.05-4.85], = 0.04) and non- Saudi nationals (ref: Saudi: AOR = 2.84, 95% CI [1.63-4.94], < 0.001) The attitude score towards BMW management was significantly lower among the HCWs working in tertiary care settings (ref: PHC: AOR = 0.38, 95% CI [0.12-0.69], = 0.01). Regarding the practice score, the male categories had a significantly higher score (ref: female: AOR = 1.82, 95% CI [1.19 -2.99], = 0.02), while pharmacist (ref: physicians: AOR = 0.39, 95% CI [0.18-0.58], = 0.02) and lab technicians (ref: physicians: AOR = 0.31, 95% CI [0.11-0.53], = 0.02) had a significant lower practice score. The test results revealed a weak positive correlation of knowledge with the attitude scores (rho = 0.249, = 0.001), and a moderately strong positive correlation was found between attitude and practice scores (rho = 0.432, = 0.001).

CONCLUSION

This study suggests that a regular training program for the HCWs on BMW management is necessary through symposiums, role play, interactive lectures, and other feasible training methods. Furthermore, a multicentric prospective exploratory study is to be conducted in other regions of the KSA to understand the region-specific training needs of HCWs.

摘要

背景

参与日常护理和其他医疗保健活动的医护人员在生物医学废物（BMW）管理方面发挥着重要作用。世界卫生组织指出了 BMW 管理失败的一些原因，即医护人员对与 BMW 相关的健康危害缺乏认识以及在 BMW 管理方面缺乏受过培训的医护人员。本研究评估了沙特阿拉伯北部医护人员对 BMW 管理的知识、态度和实践（KAP）。

方法

本研究通过自我管理和验证问卷评估 KAP。使用多阶段概率抽样方法，来自不同医疗机构的 384 名医护人员参与了这项调查。我们进行了二项逻辑回归分析，以发现 KAP 亚量表与社会人口统计学特征之间的关联。使用 Spearman 相关检验来发现 KAP 分数之间的强度和方向相关性（）。

结果

在所研究的人群中，分别有 47.1%、65.1%和 49.5%的医护人员具有较高的知识、态度和实践得分。本研究发现，年龄在 30 至 39 岁之间的医护人员的知识得分显著更高（参考：年龄小于 30 岁：AOR=2.25，95%CI[1.05-4.85]，=0.04）和非沙特国民（参考：沙特：AOR=2.84，95%CI[1.63-4.94]，<0.001）。BMW 管理态度评分在三级保健机构工作的医护人员中明显较低（参考：PHC：AOR=0.38，95%CI[0.12-0.69]，=0.01）。关于实践分数，男性类别具有明显更高的分数（参考：女性：AOR=1.82，95%CI[1.19-2.99]，=0.02），而药剂师（参考：医生：AOR=0.39，95%CI[0.18-0.58]，=0.02）和实验室技术人员（参考：医生：AOR=0.31，95%CI[0.11-0.53]，=0.02）的实践分数明显较低。测试结果显示，知识与态度得分呈弱正相关（rho=0.249，=0.001），态度与实践得分呈中度正相关（rho=0.432，=0.001）。