Afework Abel, Tamene Aiggan, Tafa Abera, Tesfaye Amanuel, Gemede Sisay
Infection Prevention and Control Department, Dilla University, Dilla, Ethiopia.
Department of Environmental Health Sciences, Wachemo University, Wachemo, Ethiopia.
Risk Manag Healthc Policy. 2023 Aug 11;16:1499-1507. doi: 10.2147/RMHP.S425313. eCollection 2023.
The healthcare industry is widely regarded as a high-risk environment for workers' occupational health and safety. As a result, healthcare workers are constantly exposed to a wide range of hazards, including biological, chemical, physical, ergonomic, and psychosocial hazards. Consequently, janitorial staff are the most vulnerable section of the healthcare workforce to occupational injuries when compared to others due to the nature of their work. Therefore, this study aims at assessing the magnitude of occupational accidents and associated factors among Janitorial staff at Dilla University Teaching Hospital.
This cross-sectional institutional-based study was conducted from August to September 2022 at a University Teaching Hospital in South Ethiopia. A total of 105 janitorial staff were included in the study with a response rate of 93.8%. The data were collected using a structured interviewer-administered questionnaire. Data were entered using Epi Info version 7.2.5 and exported to IBM SPSS statistics 22 for further cleaning and analysis. The binary logistic regression model was used to identify predictors of occupational accidents and variables with a -value of <0.05 during the multivariable analysis were considered statistically significant.
The prevalence of occupational accidents is 61% (95% CI: 51.4, 70.5). Of the total study participants, 52 (45.5%) and 33 (31.4%) of the participants had reported that they have experienced chemical splash and needle stick injury, respectively. The age of participants was one of the factors for occupational accidents. The participants who did not receive training were 3 times [AOR=2.9, 95% CI (1.04, 8.02)] more likely exposed. Having good practice was protective against occupational injuries.
The study highlights the high prevalence of occupational accidents, particularly chemical splashes, and needle stick injuries, among janitors in the study settings. The study emphasizes the importance of age, training, awareness, and adherence to infection prevention and control strategies as factors influencing the likelihood of experiencing occupational injuries.
医疗行业被广泛认为是对工人职业健康与安全而言的高风险环境。因此，医护人员持续暴露于各种各样的危害之中，包括生物、化学、物理、人体工程学和社会心理危害。所以，与其他人员相比，由于工作性质，清洁人员是医疗行业劳动力中最易遭受职业伤害的群体。因此，本研究旨在评估迪拉大学教学医院清洁人员职业事故的严重程度及相关因素。
本横断面机构研究于2022年8月至9月在埃塞俄比亚南部的一所大学教学医院开展。共有105名清洁人员纳入研究，应答率为93.8%。数据通过结构化访谈式问卷收集。数据使用Epi Info 7.2.5版本录入，并导出至IBM SPSS Statistics 22进行进一步清理和分析。二元逻辑回归模型用于识别职业事故的预测因素，多变量分析中P值<0.05的变量被视为具有统计学意义。
职业事故的患病率为61%（95%置信区间：51.4, 70.5）。在所有研究参与者中，分别有52名（45.5%）和33名（31.4%）参与者报告称他们曾经历过化学飞溅和针刺伤。参与者的年龄是职业事故的因素之一。未接受培训的参与者暴露的可能性高3倍[AOR=2.9, 95%置信区间(1.04, 8.02)]。良好的操作习惯可预防职业伤害。
该研究凸显了研究环境中清洁人员职业事故的高患病率，尤其是化学飞溅和针刺伤。该研究强调了年龄、培训、意识以及坚持感染预防与控制策略作为影响遭受职业伤害可能性的因素的重要性。
