Tesfaye Tamene, Dheresa Merga, Worku Teshager, Dechasa Deribe Bekele, Asfaw Henock, Bune Abera Jambo
Department of Nursing, Mizan Tepi University Teaching Hospital, Mizan Tepi, Ethiopia.
School of Nursing and Midwifery, College of Health and Medical Science, Haramaya University, Dire Dawa, Ethiopia.
Front Surg. 2022 Nov 14;9:1013726. doi: 10.3389/fsurg.2022.1013726. eCollection 2022.
Surgical site infection is a major hazard for surgical patients and compromises their quality of life. Its effect is higher in developing countries compared to developed countries. Most of the studies done in Ethiopia regarding surgical site infection prevention practice on nurses who were not directly exposed to wound care, thus it produces less reliable results. Therefore, we aimed to assess surgical wound infection prevention practice among nurses who are directly involved in the care.
To assess surgical site infection prevention practice and associated factors among nurses working at public hospitals in the western part of the southern nation, nationalities, and peoples' regions from March 1-31, 2020.
An institutional-based cross-sectional study design was conducted from March 1-31, 2020 among randomly selected 402 study participants. A structured and pretested questionnaire was used. EpiData Version 3.1 and Statistical Package for Social Science Version 20 were used for analysis. Bivariable and multivariable analysis was undertaken and -value less than 0.05 at a 95% confidence interval was considered statistically significant.
The overall good self-reported surgical site infection prevention practice of nurses was 46% (95% CI: 41.3, 50.7). Nurses who were BSc degree (AOR = 2.04; 95% CI: 1.31, 3.18), working in the units having surgical site infection prevention guidelines (AOR = 2.45; 95% CI: 1.34, 4.47), had ever taken infection prevention training (AOR = 2.23; 95% CI: 1.42, 3.49), had good knowledge (AOR = 1.82;95% CI: 1.13, 2.90) and had good attitude (AOR = 2.61;95% CI: 1.67, 4.10) performed good surgical site infection prevention activities as compared to their counterparts.
Nurses' surgical site infection prevention practice was found to be low. To upgrade nurses' practice the hospitals should develop their surgical site infection prevention guidelines based on WHO recommendations and provide training on it.
手术部位感染是手术患者面临的主要风险，会影响他们的生活质量。与发达国家相比，其在发展中国家的影响更大。埃塞俄比亚针对未直接参与伤口护理的护士开展的手术部位感染预防实践的大多数研究，结果可靠性较低。因此，我们旨在评估直接参与护理工作的护士的手术伤口感染预防实践情况。
评估2020年3月1日至31日在南部民族、国籍和人民地区西部的公立医院工作的护士的手术部位感染预防实践及相关因素。
2020年3月1日至31日，对随机选取的402名研究参与者进行了一项基于机构的横断面研究设计。使用了一份经过结构化和预测试的问卷。采用EpiData 3.1版和社会科学统计软件包20版进行分析。进行了双变量和多变量分析，在95%置信区间内p值小于0.05被认为具有统计学意义。
护士自我报告的手术部位感染预防总体良好实践率为46%（95%置信区间：41.3，50.7）。拥有理学学士学位的护士（调整后比值比[AOR]=2.04；95%置信区间：1.31，3.18）、在有手术部位感染预防指南的科室工作的护士（AOR=2.45；95%置信区间：1.34，4.47）、曾接受过感染预防培训的护士（AOR=2.23；95%置信区间：1.42，3.49）、具备良好知识的护士（AOR=1.82；95%置信区间：1.13，2.90）以及态度良好的护士（AOR=2.61；95%置信区间：1.67，4.10）与同行相比，进行了更好的手术部位感染预防活动。
发现护士的手术部位感染预防实践情况较差。为了提升护士的实践水平，医院应根据世界卫生组织的建议制定手术部位感染预防指南，并提供相关培训。
