Department of Infectious Diseases and Clinical Microbiology, Medicine School, University of Suleyman Demirel, Isparta, Turkey.
Department of Public Health, Medicine School, University of Suleyman Demirel, Isparta, Turkey.
Libyan J Med. 2023 Dec;18(1):2198744. doi: 10.1080/19932820.2023.2198744.
The importance of doctors' knowledge and awareness of infectious diseases was felt worldwide during the COVID-19 pandemic. With this study, we aimed to evaluate the effect of the long and dynamic pandemic process on resident physicians' knowledge and protective behaviors for infection control in a tertiary hospital setting and protective behaviors for infection control in a tertiary hospital setting. The population of this cross-sectional study consisted of assistant physicians working at Suleyman Demirel University Faculty of Medicine Training and Research Hospital. A questionnaire evaluating information and protective practices for COVID-19 was applied to the participants through face-to-face interviews using the convenience sampling method, with an interval of one year. In the second year of the pandemic, resident physicians' awareness of the correct use of personal protective equipment decreased ( = 0.001). Despite the continuous training, it was determined that the residents preferred masks with high protection at a lower rate when they encountered patients who received oxygen support of 5 lt/min and above ( < 0.001). To prevent the spread of COVID-19 infection in the hospital as the pandemic progresses, it has been determined that resident physicians are less prone to evaluate possible infection symptoms in patients hospitalized for non-COVID-19 reasons ( = 0.013). As a result, the data we obtained showed that despite the regular training during the pandemic and the death of many health workers, the residents' adherence to infection control and prevention practices, which also protect them, decreased significantly in the second year of the pandemic. These valuable data showed us that good knowledge does not predict good infection control and prevention practices. Our findings show that physicians need a new education system that motivates them. In addition, psychosocial determinants, physical and mental fatigue, and institutional control factors contributing to these results and affecting individual risk perception should be recognized and prevented.
在 COVID-19 大流行期间，全世界都感受到了医生对传染病知识和意识的重要性。通过这项研究，我们旨在评估长期而动态的大流行过程对三级医院环境中住院医师的知识和感染控制保护行为的影响。这项横断面研究的对象是在苏莱曼德米雷尔大学医学院培训和研究医院工作的助理医师。通过便利抽样法，通过面对面访谈向参与者应用了一份评估 COVID-19 信息和保护措施的问卷，间隔一年。在大流行的第二年，住院医师对正确使用个人防护设备的意识下降（ = 0.001）。尽管进行了持续培训，但当遇到接受 5 lt/min 及以上氧气支持的患者时，居民更倾向于选择防护等级较低的口罩（ < 0.001）。为了防止 COVID-19 感染在医院内传播，随着大流行的发展，已经确定住院医师不太可能评估因非 COVID-19 原因住院的患者的可能感染症状（ = 0.013）。因此，我们获得的数据表明，尽管在大流行期间进行了定期培训，并且许多卫生工作者死亡，但在大流行的第二年，居民对感染控制和预防措施的遵守程度显著下降，这些措施也保护了他们。这些有价值的数据表明，良好的知识并不能预测良好的感染控制和预防措施。我们的研究结果表明，医生需要一个新的激励他们的教育系统。此外，应该认识和预防导致这些结果并影响个体风险感知的心理社会决定因素、身心疲劳和机构控制因素。
