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埃塞俄米亚奥罗米亚州东沃拉加区公立医院卫生专业人员对标准预防措施的依从性及其相关因素

Compliance with Standard Precautions and Associated Factors Among Health Professionals in Public Hospitals of East Wallaga Zone, Oromia Regional State, Ethiopia.

作者信息

Feyisa Bikila Regassa, Demisie Wubitu, Tesfaye Edosa

机构信息

Department of Public Health, Institute of Health Sciences, Wallaga University, Nekemte, Ethiopia.

Department of Epidemiology, Faculty of Public Health, Jimma University, Jimma, Ethiopia.

出版信息

Risk Manag Healthc Policy. 2022 Nov 24;15:2197-2206. doi: 10.2147/RMHP.S388890. eCollection 2022.

Abstract

PURPOSE

Health care workers are potentially exposed to infections through contact with blood and bodily fluids while performing their duties. Compliance with the standard precautions reduces the risks of health care workers' exposure to blood and bodily fluids. However, the compliance level among health care workers is not well studied in the study area. Therefore, this study aimed to assess the level of compliance with standard precautions and its associated factors among health care workers in all public hospitals of East Wallaga Zone, Western Ethiopia.

MATERIALS AND METHODS

Multi-facility-based cross-sectional study was conducted among 392 health care workers, from January to February, 2022. Simple random sampling technique was used to select study participants. Logistic regression model was fitted to determine presence of statistically significant associations. A p-value of less than or equal to 0.05 along with the adjusted odds ratio of 95% confidence interval was used to declare statistical significance.

RESULTS

The proportion of health care workers who comply with standard precautions was found to be 51.6% [95% CI; 46.9-56.7%]. Having positive attitude towards standard precautions (AOR=2.71; 95% C.I: 1.68-4.39), having training on standard precautions (AOR=3.27; 95% C.I: 2.019-5.29), and working in referral hospitals (AOR=1.83; 95% C.I: 1.13-2.96) were the associated factors of good compliance with standard precautions.

CONCLUSION

In this study, half of the health care workers comply with standard precautions. Positive attitude, training, and level of hospitals were factors for compliance with the standard precautions. As a result, to sustain and improve compliance of health care workers on standard precautions, periodic in-service training is needed to bring about behavioral changes among health care workers, particularly for those working in other settings than referral hospitals.

摘要

目的

医护人员在履行职责时可能通过接触血液和体液而面临感染风险。遵守标准预防措施可降低医护人员接触血液和体液的风险。然而,在研究区域内,医护人员的遵守程度尚未得到充分研究。因此,本研究旨在评估埃塞俄比亚西部东瓦拉加地区所有公立医院医护人员对标准预防措施的遵守程度及其相关因素。

材料与方法

2022年1月至2月,对392名医护人员进行了基于多机构的横断面研究。采用简单随机抽样技术选取研究参与者。采用逻辑回归模型确定是否存在具有统计学意义的关联。p值小于或等于0.05以及95%置信区间的调整比值比用于判定统计学显著性。

结果

发现遵守标准预防措施的医护人员比例为51.6%[95%置信区间;46.9 - 56.7%]。对标准预防措施持积极态度(调整后比值比=2.71;95%置信区间:1.68 - 4.39)、接受过标准预防措施培训(调整后比值比=3.27;95%置信区间:2.019 - 5.29)以及在转诊医院工作(调整后比值比=1.83;95%置信区间:1.13 - 2.96)是与良好遵守标准预防措施相关的因素。

结论

在本研究中,一半医护人员遵守标准预防措施。积极态度、培训和医院级别是遵守标准预防措施的因素。因此,为了维持和提高医护人员对标准预防措施的遵守程度,需要定期进行在职培训,以促使医护人员,特别是那些在转诊医院以外的机构工作的人员改变行为。

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本文引用的文献

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Hand washing practice among health care workers in Ethiopia: systemic review and meta-analysis, 2020.
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