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班古拉镇公共卫生机构卫生工作者工作相关健康危害及相关因素的流行状况:横断面调查。

Prevalence of Work-Related Health Hazard and Associated Factors among Health Workers in Public Health Institutions of Gambella Town, Western Ethiopia: Cross-Sectional Survey.

机构信息

Gambella Town Health Office, Gambela, Gambella, Ethiopia.

Department of Health Policy and Management, Faculty of Public Health, Institute of Health, Jimma University, Jimma, Oromia, Ethiopia.

出版信息

J Environ Public Health. 2022 Aug 29;2022:6224280. doi: 10.1155/2022/6224280. eCollection 2022.

DOI:10.1155/2022/6224280
PMID:36072494
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9444462/
Abstract

BACKGROUND

Many health-related occupational hazards confront healthcare workers. Examining the prevalence of hazards enables to search for better risk management for healthcare workers because these workers are often the first point of interaction, particularly in resource-limited settings like Ethiopia. Therefore, this study assessed the prevalence of work-related occupational hazards and identified related factors among healthcare workers in public health facilities of Gambella town, Western Ethiopia.

METHODS

Institution-based cross-sectional study was conducted among 260 randomly selected healthcare workers from June 1-21, 2021. A semi structured tool was used to collect data and data analysis was performed using SPSS version 25. Multivariable logistic regression was used to identify the predictors of outcome variable and the significance of associations was declared by using a 95% CI and a -value of <0.05.

RESULTS

The prevalence of occupational health hazards among healthcare workers was 36.5% (95% CI: 31, 42). The absence of immediate treatments for injured health workers (AOR = 8.86, 95% CI: 2.5, 31.4), lack of personal protective equipment (AOR = 3.6, 95% CI: 1.5, 8.4), working greater than eight hours per day (AOR = 7.9, 95% CI: 3.1, 19.7), working in the night shifts (AOR = 8.1, 95% CI: 2.5, 26.1), and absence of effective leadership in the health facility (AOR = 5.2, 95% CI: 1.9, 14.5) were factors associated with the prevalence of occupational hazards.

CONCLUSIONS

There was a relatively high degree of occupational health hazard exposure among health workers in the study area compared to kinds of literature from other settings. Health workers were exposed to a wide range of occupational hazards, and risk reduction mechanisms and safety actions were inadequately implemented. Therefore, the health workers' occupational health and safety needs should be prioritized and appropriate measures should be taken to mitigate the problems.

摘要

背景

许多与健康相关的职业危害都存在于医护人员身上。研究危害的普遍性有助于为医护人员寻找更好的风险管理方法,因为这些工作人员通常是首先接触的人,特别是在资源有限的环境中,如埃塞俄比亚。因此,本研究评估了公共卫生设施中医疗保健工作者的工作相关职业危害的流行情况,并确定了相关因素。

方法

2021 年 6 月 1 日至 21 日,在 Gambella 镇的 260 名随机选择的医护人员中进行了基于机构的横断面研究。使用半结构式工具收集数据,使用 SPSS 版本 25 进行数据分析。多变量逻辑回归用于确定结果变量的预测因素,关联的显著性通过 95%置信区间和 -值<0.05 来表示。

结果

医护人员职业健康危害的患病率为 36.5%(95%CI:31,42)。受伤医护人员没有立即治疗(AOR=8.86,95%CI:2.5,31.4)、缺乏个人防护设备(AOR=3.6,95%CI:1.5,8.4)、每天工作超过 8 小时(AOR=7.9,95%CI:3.1,19.7)、上夜班(AOR=8.1,95%CI:2.5,26.1)和医疗机构缺乏有效领导(AOR=5.2,95%CI:1.9,14.5)是与职业危害流行相关的因素。

结论

与其他环境下的文献相比,研究区域的卫生工作者暴露于职业健康危害的程度相对较高。卫生工作者面临着广泛的职业危害,风险降低机制和安全措施没有得到充分实施。因此,应优先考虑卫生工作者的职业健康和安全需求,并采取适当措施来缓解这些问题。

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