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牙买加医护人员在医院感染控制方面的知识、态度和做法。

Knowledge, attitudes, and practices of Jamaican healthcare workers on nosocomial infection control.

作者信息

Jolly Pauline E, Li Yihong, Thomas Avanelle, Braun Andrew, Padilla Luz A, Thompson Symone, Aung Maung

机构信息

Department of Epidemiology, School of Public Health, The University of Alabama at Birmingham, Birmingham, AL, USA.

Master of Public Health Program, Department of Public and Ecosystem Health, Cornell University, Ithaca, NY, USA.

出版信息

J Infect Prev. 2024 Nov;25(6):214-224. doi: 10.1177/17571774241245430. Epub 2024 Apr 8.

Abstract

OBJECTIVES

The emergence of deadly infections such as methicillin-resistant and COVID-19 () highlights the need for effective infection control (IC) procedures in healthcare facilities. The aim of the study was to assess the knowledge, attitudes, and practices (KAP) of healthcare workers (HCWs) on IC procedures.

METHODS

A cross-sectional survey was conducted among HCWs in western Jamaica from May to August 2015. A questionnaire based on the Jamaican Health Facilities Infection and Control Policies and Procedures Manual was used to collect data on staff training in IC, and their KAP of IC. Summary statistics, ANOVA, and multiple linear regression were applied for data analyses.

RESULTS

Among 227 participants, the mean knowledge scores were statistically higher among the younger HCWs, Physicians/Nurses, and those in clinical units. Older HCWs, non-physicians/nurses, non-clinical unit workers, HCWs at Western Regional Hospital A, and those who received ongoing IC training scored higher on attitude. The practice scores were significantly correlated with the attitude scores but not the knowledge scores. The attitude score was a significant predictor for IC practices.

CONCLUSIONS

Six knowledge and three attitude variables were significant predictors of IC practices that the Western Regional Health Authority Officials can use to implement measures to improve IC practices among HCWs.

摘要

目的

耐甲氧西林感染和新型冠状病毒肺炎(COVID-19)等致命感染的出现凸显了医疗机构中有效感染控制(IC)程序的必要性。本研究的目的是评估医护人员(HCWs)对IC程序的知识、态度和实践(KAP)。

方法

2015年5月至8月在牙买加西部的医护人员中进行了一项横断面调查。基于《牙买加卫生设施感染与控制政策及程序手册》的问卷用于收集关于IC方面的员工培训数据以及他们的IC知识、态度和实践情况。采用描述性统计、方差分析和多元线性回归进行数据分析。

结果

在227名参与者中,年轻的医护人员、医生/护士以及临床科室的人员平均知识得分在统计学上更高。年长的医护人员、非医生/护士、非临床科室工作人员、西区A医院的医护人员以及接受过持续IC培训的人员态度得分更高。实践得分与态度得分显著相关,但与知识得分无关。态度得分是IC实践的一个重要预测因素。

结论

六个知识变量和三个态度变量是IC实践的重要预测因素,西区卫生当局官员可据此采取措施来改善医护人员的IC实践。

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Am J Lifestyle Med. 2017 Dec 9;12(2):113-116. doi: 10.1177/1559827617745479. eCollection 2018 Mar-Apr.
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Guidelines for prevention of hospital acquired infections.医院获得性感染预防指南。
Indian J Crit Care Med. 2014 Mar;18(3):149-63. doi: 10.4103/0972-5229.128705.

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