Babore Getachew Ossabo, Eyesu Yaregal, Mengistu Daniel, Foga Sisay, Heliso Asnakech Zekiwos, Ashine Taye Mezgebu
Department of Comprehensive Nursing, School of Nursing, College of Medicine and Health Science, Wachemo University, Hossana, Ethiopia.
Department of Adult, Health Nursing, Addis Ababa Medical and Business College, Addis Ababa, Ethiopia.
Glob J Qual Saf Healthc. 2024 May 2;7(2):50-58. doi: 10.36401/JQSH-23-14. eCollection 2024 May.
Healthcare-associated infection affects more than 100 million patients annually. Healthcare workers' poor adherence to standard infection prevention and control procedures can result in many negative consequences, ranging from disability to death.
A facility-based, cross-sectional study was conducted in June 2021 among 379 healthcare workers selected using a stratified random sampling technique. All types of healthcare providers except pharmacy professionals were included in the study. Standardization and validation of the study tool were performed ahead of data collection. Multivariable regression was used to assess the variables associated with adherence.
The study found that 60.2% of healthcare workers (95% CI, 55.1-65.2) had good adherence to infection prevention practices, and 68.7% and good knowledge of infection prevention practices. Training on infection prevention methods (adjusted odds ratio [AOR] = 1.68; 95% CI, 1.04-2.72), availability of water supply at hand washing station (AOR = 2.90; 95% CI, 1.62-5.31), and attitude toward infection prevention (AOR = 2.64; 95% CI, 1.65-4.24) were identified as predictors of adherence to infection prevention and control procedures.
More than half of the participants had good adherence to infection prevention guideline practices. In-service infection prevention training, a consistent water supply at the hand washing station, and a positive attitude of participants were associated with good adherence to infection prevention practices.
医疗保健相关感染每年影响超过1亿患者。医护人员对标准感染预防和控制程序的依从性差会导致许多负面后果，从残疾到死亡不等。
2021年6月，采用分层随机抽样技术对379名医护人员进行了一项基于机构的横断面研究。研究纳入了除药剂专业人员外的所有类型的医疗保健提供者。在数据收集之前对研究工具进行了标准化和验证。使用多变量回归来评估与依从性相关的变量。
研究发现，60.2%的医护人员（95%置信区间，55.1 - 65.2）对感染预防措施有良好的依从性，68.7%的医护人员对感染预防措施有良好的认知。感染预防方法培训（调整后的优势比[AOR]=1.68；95%置信区间，1.04 - 2.72）、洗手站有供水（AOR = 2.90；95%置信区间，1.62 - 5.31）以及对感染预防的态度（AOR = 2.64；95%置信区间，1.65 - 4.24）被确定为感染预防和控制程序依从性的预测因素。
超过一半的参与者对感染预防指南措施有良好的依从性。在职感染预防培训、洗手站持续供水以及参与者的积极态度与良好的感染预防措施依从性相关。
