埃塞俄比亚东部德雷达瓦市公立和私立医院医护人员的医疗废物分类实践及相关因素
Healthcare Waste Segregation Practice and Associated Factors among Healthcare Professionals Working in Public and Private Hospitals, Dire Dawa, Eastern Ethiopia.
机构信息
Dire Dawa Regional Health Bureau, Dire Dawa, Ethiopia.
Department of Public Health, College of Medicine and Health Sciences, Dire Dawa University, Dire Dawa, Ethiopia.
出版信息
J Environ Public Health. 2023 Jan 28;2023:8015856. doi: 10.1155/2023/8015856. eCollection 2023.
BACKGROUND
The key to the effective management of healthcare wastes is the segregation of the waste at the point of generation; no matter what final strategy for the treatment and disposal of wastes is selected, it is critical that waste streams are separated.
OBJECTIVE
The aim of the study is to assess the practice of healthcare waste segregation and associated factors among healthcare workers at public and private hospitals in Dire Dawa, Eastern Ethiopia.
METHODS
An institution-based cross-sectional study was conducted among 280 healthcare workers from public and private hospitals. Data were collected through self-administered structured questionnaires and observation checklists. Bivariate and multivariable logistic regression were used to identify factors associated with the practice of healthcare workers using SPSS (Statistical Package for Social Sciences) version 25.
RESULTS
This study showed that 56.4% (95% CI: 43.7-60.2) study participants had good healthcare waste segregation practices. Working in a public hospital (AOR = 0.09, 95% CI: (0.03-0.23)), working less than 40 hours a week (AOR = 4.28, 95% CI: (2.11-8.68)), adequate knowledge on healthcare waste management (AOR = 2.42, 95% CI: (1.27-4.61)), ever trained on waste management ((AOR = 2.74, 95% CI: (1.15-6.53)), the presence of guidelines, instructive posters on healthcare waste segregation ((AOR = 8.21, 95% CI: (3.84-17.55)), and availability of color-coded waste bins ((AOR = 9.53, 95% CI: (4.52-20.10)) were factors significantly associated with healthcare waste segregation practices.
CONCLUSION
The study revealed that healthcare waste segregation practices were unacceptably poor. It is very crucial to address the identified factors through ongoing enforcement of healthcare waste management rules and regulations, by providing training, instructive posters around the work area, and making color-coded bins available.
背景
有效管理医疗废物的关键在于在产生点对废物进行分类；无论选择何种最终处理和处置废物的策略，对废物流进行分类都是至关重要的。
目的
本研究旨在评估埃塞俄比亚迪雷达瓦市公立和私立医院医护人员的医疗废物分类实践及其相关因素。
方法
本研究采用基于机构的横断面研究，对来自公立和私立医院的 280 名医护人员进行了研究。通过自填式结构化问卷和观察检查表收集数据。采用 SPSS（社会科学统计软件包）版本 25 进行二变量和多变量逻辑回归，以确定与医护人员实践相关的因素。
结果
本研究显示，56.4%（95%CI：43.7-60.2）的研究参与者有良好的医疗废物分类实践。在公立医院工作（AOR=0.09，95%CI：（0.03-0.23））、每周工作时间少于 40 小时（AOR=4.28，95%CI：（2.11-8.68））、有足够的医疗废物管理知识（AOR=2.42，95%CI：（1.27-4.61））、曾接受过废物管理培训（AOR=2.74，95%CI：（1.15-6.53））、有关于医疗废物分类的指南、说明性海报（AOR=8.21，95%CI：（3.84-17.55））和有彩色垃圾桶（AOR=9.53，95%CI：（4.52-20.10））是与医疗废物分类实践显著相关的因素。
结论
研究表明，医疗废物分类实践很差。通过持续执行医疗废物管理规则和条例，提供培训、在工作区域周围张贴说明性海报以及提供彩色垃圾桶，可以解决已确定的因素。
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