尼日利亚医院患者对医院感染的认知和感知。
Knowledge and perception of nosocomial infections among patients in a Nigerian hospital.
机构信息
Department of Public Health, College of Medicine and Health Sciences, Afe Babalola University, Ado-Ekiti, Ekiti State, Nigeria.
Department of Clinical Pharmacy and Public Health, College of Pharmacy, Afe Babalola University, Ado-Ekiti, Ekiti State, Nigeria.
出版信息
Sci Rep. 2023 Nov 18;13(1):20204. doi: 10.1038/s41598-023-47661-0.
Nosocomial infections are infections that are a leading cause of morbidity and mortality among hospitalized patients, and can lead to higher healthcare costs and longer hospital stays in both developed and developing countries. The objectives of the study were to identify the level of knowledge and perception of patients on nosocomial infection, and to determine the factors affecting the knowledge and perception of patients on nosocomial infection in Federal Medical Centre, Ebute-Metta, Lagos (FMC). A cross-sectional research design was used in carrying out the research among in-patients of FMC where an interview-based semi-structured questionnaire was used for data collection. Patients' knowledge was categorised as good (≥ 70% score), fair (50-69%) and poor (< 50% score) while perception was grouped as positive and negative. Independent sample T-test and One-way Analysis of Variance was used to assess statistical difference in knowledge scores between categorical variables with 2 and 3 groups respectively. A total of 102 patients gave consent to participate in this study of which 46.1% were male, 27.5% were aged between 38 and 47 years and 69.6% were married. About 24% did not know what is meant by nosocomial infections while 53.9% stated that all hospital-acquired infections are preventable. Less than 19% strongly disagreed that making alcohol rubs mandatory for all visitors would decrease the incidence of nosocomial infections while all strongly agreed that if left untreated, such infections can become life-threatening. Overall, 15.7% showed good knowledge while most patients showed fair knowledge (71.6%) and a negative perception (51%) of nosocomial infections. There was a significant difference in patients' knowledge of nosocomial infections based on age (0.012). There was also a statistically significant association between age and perception of patients towards nosocomial infections (p = 0.031). This study showed that most patients had fair knowledge as well as negative perception towards nosocomial infections. Age, had an influence on patients' perception and knowledge of nosocomial infection.
医院获得性感染是住院患者发病率和死亡率的主要原因，可导致发达国家和发展中国家的医疗保健成本增加和住院时间延长。本研究的目的是确定患者对医院获得性感染的知识和认知水平，并确定影响患者对联邦医疗中心，埃布特 - 梅塔，拉各斯（FMC）医院获得性感染的知识和认知的因素。采用横断面研究设计在 FMC 的住院患者中进行研究，其中使用基于访谈的半结构式问卷进行数据收集。患者的知识被分为良好（得分≥70％），中等（50-69％）和差（得分<50％），而感知被分为阳性和阴性。独立样本 T 检验和单因素方差分析用于评估知识得分在两个和三个组之间的分类变量之间的统计差异。共有 102 名患者同意参加这项研究，其中 46.1％是男性，27.5％年龄在 38 至 47 岁之间，69.6％已婚。约 24％的人不知道什么是医院获得性感染，而 53.9％的人表示所有医院获得性感染都是可预防的。不到 19％的人强烈不同意强制所有访客使用酒精擦剂会降低医院获得性感染的发生率，而所有人都强烈同意，如果不治疗，此类感染可能会危及生命。总体而言，15.7％的人表现出良好的知识，而大多数患者表现出中等的知识（71.6％）和对医院获得性感染的负面看法（51％）。患者对医院获得性感染的知识根据年龄存在显著差异（0.012）。年龄与患者对医院获得性感染的看法之间也存在统计学上的显著关联（p = 0.031）。这项研究表明，大多数患者对医院获得性感染有中等的知识和负面的看法。年龄影响患者对医院获得性感染的看法和知识。
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