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加沙地带政府医院放射技师的感染控制知识和实践:一项横断面研究。

Infection control knowledge and practices among radiographers at government hospitals in the Gaza Strip-Palestine: A cross-sectional study.

机构信息

Medical Imaging Department, European Gaza Hospital, Gaza Strip, Palestine.

Nursing Supervisor, Nasser Medical Complex, Gaza Strip, Palestine.

出版信息

Radiography (Lond). 2023 May;29(3):509-513. doi: 10.1016/j.radi.2023.02.023. Epub 2023 Mar 8.

Abstract

INTRODUCTION

Infections acquired in hospitals are a major concern for patients, professionals and policymakers. They have an impact on the morbidity and mortality rates, length of stay, and microbial resistance. Radiology departments are at high risk for nosocomial infections, and radiographers must adhere to infection control protocols to avoid contracting illnesses and the spread of pathogens. The purpose of this study was to assess radiographers' knowledge and practise of infection control and standard precautions in the Gaza Strip-Palestine government hospitals and to identify the factors that impede radiographers' implementation of infection control.

METHODS

A hospital-based descriptive cross-sectional study design was applied. A self-administered questionnaire survey with 24 items was developed and distributed to examine radiographers' knowledge and practise of nosocomial infections control and standard precautions from September 2019 to February 2020. Descriptive and inferential statistics were generated using SPSS version 20.

RESULTS

With a response rate of 86.6%, 73 males and 37 females out of a total of 127 radiographers participated in this study. The vast majority of radiographers, 86 (78.2%), have never been trained in infection control. Total levels of knowledge and practise were 74.4% and 65.2%, respectively which corresponded to moderate levels. Age had a statistically significant impact on both knowledge and practise scores (P = 0.002 and p = 0.019, respectively). In addition, the differences between radiographers' years of work experience and their ratings on knowledge and practise were statistically significant (P = 0.001 and p = 0.011, respectively). A heavy workload, insufficient time, and a lack of training were the main barriers to implementing infection control measures in hospitals.

CONCLUSION

Palestinian radiographers reported a moderate level of knowledge and practise of infection control. The majority of radiographers have never had formal infection control training.

IMPLICATIONS FOR PRACTICE

This paper has highlighted the need for a continuing education and training programme for practising radiographers to improve their performance in infection control measures.

摘要

简介

医院获得性感染是患者、专业人员和政策制定者关注的主要问题。它们会影响发病率和死亡率、住院时间和微生物耐药性。放射科部门存在发生医院感染的高风险,放射技师必须遵守感染控制方案,以避免感染疾病和传播病原体。本研究旨在评估加沙地带-巴勒斯坦政府医院放射技师对感染控制和标准预防措施的知识和实践情况,并确定阻碍放射技师实施感染控制的因素。

方法

采用基于医院的描述性横断面研究设计。自 2019 年 9 月至 2020 年 2 月,开发并分发了一份包含 24 个项目的自我管理式问卷调查,以检查放射技师对医院内感染控制和标准预防措施的知识和实践情况。使用 SPSS 版本 20 生成描述性和推断性统计数据。

结果

在总共 127 名放射技师中,有 73 名男性和 37 名女性的回复率为 86.6%。绝大多数放射技师(86 名,78.2%)从未接受过感染控制培训。他们的知识和实践总得分分别为 74.4%和 65.2%,处于中等水平。年龄对知识和实践评分均有统计学显著影响(P=0.002 和 p=0.019)。此外,放射技师的工作年限与其知识和实践评分之间存在统计学显著差异(P=0.001 和 p=0.011)。工作量大、时间不足和缺乏培训是医院实施感染控制措施的主要障碍。

结论

巴勒斯坦放射技师报告称其对感染控制的知识和实践水平处于中等水平。大多数放射技师从未接受过正规的感染控制培训。

意义

本文强调需要为在职放射技师提供继续教育和培训计划,以提高他们在感染控制措施方面的表现。

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