Al-Khaldi Yahia M, AlAsmari Bandar Abdullah, Al-Mosa Khalid Mohammed, Falqi Tariq A, Aldawood Kasim Mohammed, AlAseeri Khaled Abdulatef Zayed, Asiri Mohammed Yahya
Department of Research and Studies, Health Affairs, Aseer, Saudi Arabia.
Program of Family Medicine-Abha, Aseereregion, MOH, Saudi Arabia.
J Family Med Prim Care. 2022 Oct;11(10):6303-6309. doi: 10.4103/jfmpc.jfmpc_707_22. Epub 2022 Oct 31.
The objective of this study is to assesses the preparedness of primary care centers (PHCs) in Aseer region, KSA, for the coronavirus disease 2019 (COVID-19) pandemic.
This survey was conducted during April 2020 in PHCs. The questionnaire was developed by the investigators and sent via e-mail to health care providers of primary health care centers (PHCCs). The questionnaire consisted of five parts to assesses readiness of PHCs, knowledge, attitude, and practice of health care providers (HCPs) concerning the COVID-19 pandemic. Data entry and analysis were managed by SPSS version 20.
Three hundred and seventy-one HCPs participated in this study. Most of them were males (58%), doctors or nurses (81%). Almost all PHCCs have adequate infection control resources, with some shortage in sterilization rooms. Most of participants received on-job training (85%) and had good knowledge about COVID-19. Attitudes of participants showed variation toward COVID-19; 74% were afraid to be infected, 54% were afraid to care for infected patients, 58% were ready for vaccination, and 80% thought that COVID-19 has a huge negative impact on the health care system. Compliance with preventive measures ranged from 66% for keeping social distance to 90% for using personal protective equipment. Most of the participants had positive contributions regarding health education of individuals and communities using different methods including the new social media (80%).
This study revealed that PHCCs in Aseer region were well equipped and HCPs were well prepared to deal with the COVID-19 pandemic. There are some shortage in a few items of infection control at PHCCs and gaps in knowledge and practice among HCPs which need continuous assessment and monitoring to overcome such barriers.
本研究旨在评估沙特阿拉伯王国阿西尔地区基层医疗中心应对2019年冠状病毒病（COVID-19）大流行的准备情况。
本调查于2020年4月在基层医疗中心开展。问卷由调查人员编制，并通过电子邮件发送给基层医疗保健中心（PHCCs）的医疗服务提供者。问卷包括五个部分，以评估基层医疗中心的准备情况、医疗服务提供者（HCPs）对COVID-19大流行的知识、态度和实践。数据录入和分析由SPSS 20版软件管理。
371名医疗服务提供者参与了本研究。其中大多数为男性（58%），医生或护士占81%。几乎所有基层医疗保健中心都有足够的感染控制资源，但消毒室存在一些短缺。大多数参与者接受了在职培训（85%），对COVID-19有较好的了解。参与者对COVID-19的态度存在差异；74%的人害怕被感染，54%的人害怕护理感染患者，58%的人愿意接种疫苗，80%的人认为COVID-19对医疗保健系统有巨大负面影响。预防措施的依从性从保持社交距离的66%到使用个人防护设备的90%不等。大多数参与者通过包括新社交媒体在内的不同方法，在个人和社区健康教育方面做出了积极贡献（80%）。
本研究表明，阿西尔地区的基层医疗保健中心装备良好，医疗服务提供者为应对COVID-19大流行做好了充分准备。基层医疗保健中心在一些感染控制项目上存在短缺，医疗服务提供者在知识和实践方面存在差距，需要持续评估和监测以克服这些障碍。
