Naser Athraa S, Abo Arisheh Tamer, Acunin Rommel, Cabanalan Harold C, Alkhawaja Safa, Salman Azhar M, Khamdan Zainab T, Durazi Fatima A
Infection Prevention and Control, Government Hospitals Bahrain, Manama, BHR.
Cureus. 2024 Sep 10;16(9):e69106. doi: 10.7759/cureus.69106. eCollection 2024 Sep.
Introduction Contact precautions or the use of personal protective equipment (PPE), specifically gowns and gloves, has become a common practice in intensive care units (ICUs) as part of robust infection prevention and control efforts. Hence, a positive attitude toward PPE used among healthcare workers (HCWs) is critical to prevent healthcare-associated infections (HAIs). Aim This study aimed to determine the perception and compliance of HCWs working at critical care units regarding PPE used at government hospitals (GHs) in Bahrain. Subject and methods A cross-sectional study was conducted among HCWs working in critical units at GHs, Bahrain. A self-administered questionnaire consisting of three sections was sent to the targeted HCWs. The questionnaire consisted of socio-demographic characteristics (i.e., age, gender, job category, etc.), previous participation in PPE training, and a 15-item questionnaire to assess the perception and compliance of HCWs regarding PPE use. Results Among the 119 HCWs enrolled, 73.1% were females, and 48.7% were between 31 and 40 years old. The results of this study suggested that although 95.8% of participants received education about PPE use, only 48.7% had a good perception of PPE, and an even smaller percentage (12.6%) demonstrated good compliance. A positive, highly statistically significant correlation was found between perception and compliance scores (p<0.001). Increased perception and compliance scores were associated with increasing age, non-Bahrainis, and years of experience. Interestingly, doctors were more likely to demonstrate lower perception and compliance scores toward PPE use. Conclusion The perception of HCWs regarding PPE use was adequate, but their actual adherence was unsatisfactory. However, doctors' perceptions and compliance with PPE use were significantly lower than other HCWs. Further larger studies are required to establish the level of perception and compliance among HCWs in our region.
引言
接触预防措施或个人防护装备（PPE）的使用，特别是隔离衣和手套，已成为重症监护病房（ICU）中强有力的感染预防与控制措施的一部分。因此，医护人员（HCW）对所使用的个人防护装备持有积极态度对于预防医疗相关感染（HAI）至关重要。
目的
本研究旨在确定巴林政府医院（GH）重症监护病房的医护人员对所使用的个人防护装备的认知和依从性。
对象与方法
在巴林政府医院重症监护病房工作的医护人员中开展了一项横断面研究。向目标医护人员发送了一份包含三个部分的自填式问卷。问卷包括社会人口学特征（即年龄、性别、工作类别等）、之前参与个人防护装备培训的情况，以及一份由15个项目组成的问卷，用于评估医护人员对个人防护装备使用的认知和依从性。
结果
在纳入的119名医护人员中，73.1%为女性，48.7%年龄在31至40岁之间。本研究结果表明，尽管95.8%的参与者接受了个人防护装备使用方面的教育，但只有48.7%的人对个人防护装备有良好认知，而表现出良好依从性的比例更小（12.6%）。在认知得分与依从性得分之间发现了具有高度统计学意义的正相关（p<0.001）。认知得分和依从性得分的提高与年龄增长、非巴林人以及工作年限相关。有趣的是，医生对个人防护装备使用的认知和依从性得分更有可能较低。
结论
医护人员对个人防护装备使用的认知是足够的，但他们的实际依从性并不理想。然而，医生对个人防护装备使用的认知和依从性明显低于其他医护人员。需要进一步开展更大规模的研究来确定我们地区医护人员的认知水平和依从性。
