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医护人员对医院感染性医疗废物管理隔离流程的认知

Healthcare Workers' Knowledge about the Segregation Process of Infectious Medical Waste Management in a Hospital.

作者信息

Miamiliotis Andreas S, Talias Michael A

机构信息

Healthcare Management Postgraduate Program, Open University Cyprus, P.O. Box 12794, Nicosia 2252, Cyprus.

出版信息

Healthcare (Basel). 2023 Dec 31;12(1):94. doi: 10.3390/healthcare12010094.

Abstract

Any hospital's primary goal is to restore human health and save lives through health services provided to patients, but at the same time, hazardous wastes are produced. Inconsistent management of unsafe wastes might cause adverse effects and other issues for workers, the environment, and public health. Segregation is considered the critical stage in successful medical waste management. Mixing hazardous medical waste with non-hazardous medical waste will be avoided by correctly applying practices at the segregation stage. This study aimed to assess personnel's knowledge about infectious medical waste and segregation practices used at six wards in Nicosia General Hospital. An analytical cross-sectional study was conducted, and data were collected through a structured self-administered questionnaire. The Statistical Package of Social Science (SPPS) version 25 was used with a minimum statistical significance of α = 0.05. The study population was nurses, nurse assistants, ward assistants, and cleaners working at the study wards. Out of 191 questionnaires, 82 were received, with a response rate of 42.93%. Most participants were female (72%) and nurses (85.4%). Participants had moderate knowledge about infectious medical waste management and good knowledge regarding segregation practices applied in their ward. Segregation was not carried out as it should have been, since most participants stated that infectious medical waste was mixed with non-hazardous medical waste. The number of correct answers the participants gave regarding the colour-coding of different medical waste categories was 67.5%, and only four answered correctly to all questions. Although participants knew segregation practices and the colour-coding process applied to medical waste, they did not use them satisfactorily. They applied methods regarding segregation without specific training, knowledge and guidance. Due to the issue's importance, training programs must be implemented and performed.

摘要

任何医院的首要目标都是通过为患者提供医疗服务来恢复人类健康并挽救生命,但与此同时,也会产生有害废物。对不安全废物管理不当可能会对工人、环境和公众健康造成不利影响及其他问题。分类被认为是医疗废物成功管理的关键阶段。通过在分类阶段正确应用相关做法,可以避免危险医疗废物与非危险医疗废物混合。本研究旨在评估尼科西亚综合医院六个病房的工作人员对感染性医疗废物及分类做法的了解情况。进行了一项分析性横断面研究,并通过结构化自填问卷收集数据。使用社会科学统计软件包(SPSS)第25版,最小统计显著性水平为α = 0.05。研究人群为在研究病房工作的护士、护士助理、病房助理和清洁工。在191份问卷中,回收了82份,回复率为42.93%。大多数参与者为女性(72%)且是护士(85.4%)。参与者对感染性医疗废物管理有一定了解,对其所在病房应用的分类做法有较好了解。但分类并未按应有的方式进行,因为大多数参与者表示感染性医疗废物与非危险医疗废物混合在一起。参与者对不同医疗废物类别颜色编码给出正确答案的比例为67.5%,只有四人全部回答正确。尽管参与者了解医疗废物的分类做法和颜色编码过程,但他们并未令人满意地运用这些知识。他们在没有接受特定培训、知识和指导的情况下应用分类方法。鉴于该问题的重要性,必须实施并开展培训项目。

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