埃塞俄比亚东北部政府医院医护人员标准预防措施的实施程度及其相关因素。
The magnitude of standard precautions practice and its associated factors among healthcare workers in governmental hospitals of northeastern Ethiopia.
作者信息
Keleb Awoke, Lingerew Mistir, Ademas Ayechew, Berihun Gete, Sisay Tadesse, Adane Metadel
机构信息
Department of Environmental Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.
出版信息
Front Health Serv. 2023 Mar 22;3:1071517. doi: 10.3389/frhs.2023.1071517. eCollection 2023.
BACKGROUND
Non-compliance with infection control guidelines of healthcare workers may increase their risk of exposure to infectious diseases but can be prevented through adherence to standard precautionary practices in healthcare settings.
OBJECTIVE
This study aimed to assess the magnitude of standard precautions practice and its associated factors among healthcare workers in government hospitals of South Wollo Zone, northeastern Ethiopia.
METHODS
An institutional-based cross-sectional study was conducted among 1,100 healthcare workers. Proportional sample size allocation for each selected government hospital was conducted followed by simple random sampling to select study participants using human resource records from each hospital. Data were collected using structured and self-administered pretested questionnaires. The data were analyzed using descriptive statistics, bivariable binary, and multivariable logistic regression models. Variables with a -value <0.05 with a 95% CI were considered as having statistical significance.
RESULTS
The overall magnitude of compliance with standard precautions among healthcare workers was 19.2%. The result indicated that work experience of <5 years (AOR = 2.51; 95% CI: 1.07-5.89), absence of continuous water supply (AOR = 2.24; 95% CI: 1.95-5.29), and negative attitude (AOR = 2.37; 95% CI: 1.17-4.79) were significantly associated with poor compliance of standard precautions practice.
CONCLUSION
The overall magnitude of compliance with standard precautions among healthcare workers was low compared to the national magnitude of infection prevention practice. Interventions including consistent and effective training on infection prevention healthcare workers should be given regularly. Providing continuous water supply and building a positive attitude toward infection prevention practices among healthcare workers are also required.
背景
医护人员不遵守感染控制指南可能会增加他们接触传染病的风险，但可以通过在医疗机构中坚持标准预防措施来预防。
目的
本研究旨在评估埃塞俄比亚东北部南沃洛州政府医院医护人员标准预防措施的实施程度及其相关因素。
方法
对1100名医护人员进行了一项基于机构的横断面研究。对每家选定的政府医院进行比例样本量分配，然后采用简单随机抽样，利用每家医院的人力资源记录来选择研究参与者。使用结构化且经过预测试的自填式问卷收集数据。采用描述性统计、双变量二元和多变量逻辑回归模型对数据进行分析。P值<0.05且95%置信区间的变量被认为具有统计学意义。
结果
医护人员对标准预防措施的总体遵守程度为19.2%。结果表明工作经验少于5年（调整后比值比[AOR]=2.51；95%置信区间：1.07 - 5.89）、没有持续供水（AOR = 2.24；95%置信区间：1.95 - 5.29）以及态度消极（AOR = 2.37；95%置信区间：1.17 - 4.79）与标准预防措施实施的不良遵守显著相关。
结论
与全国感染预防实践程度相比，医护人员对标准预防措施的总体遵守程度较低。应定期对医护人员进行包括一致且有效的感染预防培训在内的干预措施。还需要提供持续供水，并在医护人员中树立对感染预防实践的积极态度。
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