George Jisa, Shafqat Naseema, Verma Ranjana, Patidar Anurag Bhai
Medical Surgical Nursing (Oncology Nursing), All India Institute of Medical Sciences, Bhopal, Bhopal, IND.
Obstetrics & Gynaecology, All India Institute of Medical Sciences, Bhopal, Bhopal, IND.
Cureus. 2023 Feb 21;15(2):e35269. doi: 10.7759/cureus.35269. eCollection 2023 Feb.
Introduction Accurate and appropriate use of personal protective equipment (PPE) is an integral component in infection prevention and control policy to ensure healthcare workers' safety. Poor compliance with personal protective behaviours and inconsistent use of PPE has been identified as the main cause of transmission of nosocomial infections in healthcare settings and this reduced compliance is linked to many individual, environmental, and organizational factors. Therefore, the current study was carried out to identify various factors influencing PPE use among healthcare workers. Materials and methods A descriptive cross-sectional survey has been carried out among healthcare workers selected from two selected tertiary care hospitals in central India. Data on compliance with PPE and factors influencing compliance were collected using a three-point rating scale and structured questionnaire. Quantile regression was performed to identify the factors associated with adherence to PPE use among healthcare workers. Results The median score for compliance with PPE use among healthcare workers was found to be 22 with an interquartile range (IQR) of 16-24. The multiple quantile regression found that variables such as occupation (p<0.001), institutional policy (p=0.003), quality of PPE (p=0.002), availability of PPE (p<0.001), and improper size (p=0.042) were significantly associated with PPE compliance by healthcare workers. Conclusion The current study highlights the importance of taking adequate measures by the government and healthcare organizations to eliminate various factors hindering PPE compliance levels among healthcare workers to ensure consistent use of PPE by healthcare workers to safeguard themselves and patients.
引言 准确且恰当地使用个人防护装备(PPE)是感染预防与控制策略的一个重要组成部分,以确保医护人员的安全。个人防护行为依从性差以及个人防护装备使用不一致已被确定为医疗机构中医院内感染传播的主要原因,而这种依从性降低与许多个人、环境和组织因素有关。因此,开展了本研究以确定影响医护人员使用个人防护装备的各种因素。
材料与方法 对从印度中部两家选定的三级护理医院选取的医护人员进行了描述性横断面调查。使用三点量表和结构化问卷收集了关于个人防护装备依从性及影响依从性因素的数据。进行分位数回归以确定与医护人员坚持使用个人防护装备相关的因素。
结果 医护人员使用个人防护装备的依从性中位数得分为22,四分位间距(IQR)为16 - 24。多元分位数回归发现,职业(p<0.001)、机构政策(p = 0.003)、个人防护装备质量(p = 0.002)、个人防护装备的可及性(p<0.001)和尺寸不合适(p = 0.042)等变量与医护人员的个人防护装备依从性显著相关。
结论 本研究强调了政府和医疗机构采取适当措施消除阻碍医护人员个人防护装备依从性水平的各种因素的重要性,以确保医护人员持续使用个人防护装备来保护自己和患者。