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一项教育计划对糖尿病患者在家中锐器废物处理知识及实践的影响。

The effect of an educational program on the knowledge and practices of diabetic patients regarding sharps waste disposal at home.

作者信息

Soliman Hossam Mohamed Hassan, El-Zoka Aleya Hanafy, Fetohy Ebtisam Mohamed, Hussein Mohamed Fakhry

机构信息

Department of Occupational Health and Industrial Medicine, High Institute of Public Health, Alexandria University, Alexandria, Egypt.

Health Administration and Behavioural Sciences Department, High Institute of Public Health, Alexandria University, Alexandria, Egypt.

出版信息

Sci Rep. 2024 Dec 23;14(1):30590. doi: 10.1038/s41598-024-81308-y.

DOI:10.1038/s41598-024-81308-y
PMID:39715819
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11666584/
Abstract

The disposal of sharp waste generated at home by diabetic patients poses a major public health problem. This study evaluated an educational program designed to improve patients' knowledge and practices around sharps disposal. A non-equivalent quasi-experimental study was performed at a main diabetic center in Egypt on 100 participants divided into intervention and non-intervention groups. The effect of the interventional program was tested by the evaluation of the improvement in participants' knowledge and practice after two and four months of the program. Initially, there were no differences in knowledge or practice scores between the groups. After the implementation of the program, there was a noticeable difference in subjects' knowledge levels and scores between the two groups, with the intervention group significantly outperforming the non-intervention group (p < 0.001). There was a significant improvement in overall practice scores in the intervention group across post-intervention visits, and they registered a score of 14/16, which matches a good practice level, while in the non-intervention group, the score remained unchanged at 4.4/16, which corresponds to a poor practice level (p < 0.001). These findings suggest that educational programs can effectively increase diabetic patients' knowledge and improve their sharps waste disposal practices.Clinical trial registration number: PACTR202310841894237. Date: 05 October 2023, "retrospectively registered".

摘要

糖尿病患者在家中产生的锐器废物处理构成了一个重大的公共卫生问题。本研究评估了一项旨在提高患者关于锐器处理的知识和实践的教育项目。在埃及的一个主要糖尿病中心对100名参与者进行了一项非等效准实验研究,这些参与者被分为干预组和非干预组。通过评估项目实施两个月和四个月后参与者知识和实践的改善情况来测试干预项目的效果。最初,两组之间在知识或实践得分上没有差异。项目实施后,两组受试者的知识水平和得分出现了显著差异,干预组明显优于非干预组(p < 0.001)。干预组在干预后的各次访视中总体实践得分有显著提高,他们的得分为14/16,达到了良好实践水平,而非干预组的得分保持在4.4/16不变,这对应于较差的实践水平(p < 0.001)。这些发现表明,教育项目可以有效增加糖尿病患者的知识并改善他们的锐器废物处理实践。临床试验注册号:PACTR202310841894237。日期:2023年10月5日,“追溯注册”。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f391/11666584/51cd6746ea15/41598_2024_81308_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f391/11666584/4d41a448f67f/41598_2024_81308_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f391/11666584/ab3d6209d644/41598_2024_81308_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f391/11666584/8c217ff0d2f3/41598_2024_81308_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f391/11666584/51cd6746ea15/41598_2024_81308_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f391/11666584/4d41a448f67f/41598_2024_81308_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f391/11666584/ab3d6209d644/41598_2024_81308_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f391/11666584/8c217ff0d2f3/41598_2024_81308_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f391/11666584/51cd6746ea15/41598_2024_81308_Fig4_HTML.jpg

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本文引用的文献

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2
Status of waste disposal of sharps outside medical institutions for patients with diabetes: A systematic review.医疗机构外糖尿病患者使用后的锐器废物处置现状:系统评价。
PLoS One. 2023 Nov 17;18(11):e0288993. doi: 10.1371/journal.pone.0288993. eCollection 2023.
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Interventions to prevent HIV and Hepatitis C among people who inject drugs: Latest evidence of effectiveness from a systematic review (2011 to 2020).
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Int J Drug Policy. 2022 Nov;109:103872. doi: 10.1016/j.drugpo.2022.103872. Epub 2022 Oct 3.
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Prevalence of hypertension among type 2 diabetes mellitus patients in Ethiopia: a systematic review and meta-analysis.埃塞俄比亚 2 型糖尿病患者高血压患病率:系统评价和荟萃分析。
Int Health. 2023 May 2;15(3):235-241. doi: 10.1093/inthealth/ihac060.
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Unsafe Sharps Disposal Among Insulin-Using Patients With Diabetes Mellitus: An Emerging Global Crisis.糖尿病患者中不安全的锐器处理:一个正在出现的全球危机。
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