冈比亚北岸东区影响医护人员对感染预防与控制标准认知依从性的因素：一项横断面研究
Factors influencing healthcare workers' perceived compliance with infection prevention and control standards, North Bank East region, The Gambia, a cross-sectional study.
作者信息
Darboe Sheriffo M K, Darfour-Oduro Sandra A, Kpene Godsway Edem, Kebbeh Abou, Fofana Nuha, Ndow Manjally, Sanyang Kawsu, Duah Dwomoh, Yawson Alfred Edwin, Kenu Ernest, Bonful Harriet Affran
机构信息
Field Epidemiology and Laboratory Training Program, University of Ghana, Accra, Ghana.
Ministry of Health, The Gambia, Banjul, The Gambia.
出版信息
BMC Res Notes. 2025 Jan 30;18(1):43. doi: 10.1186/s13104-025-07101-w.
BACKGROUND
This study evaluated Health Care Workers' (HCWs) knowledge, attitude, perceived compliance, and potential influencing factors related to Infection Prevention and Control (IPC) standards in the North Bank East region of The Gambia.
METHOD
The study was an analytic cross-sectional study, conducted in 2021 using a multistage sampling technique. Thirteen health facilities were sampled from the North Bank East Region of The Gambia. The sample size was calculated using the Cochrane formula, based on a healthcare worker population of 408, with a 95% confidence interval. Adjustments were made for a 10% non-response rate and a compliance level of 50%. A final sample size of 218 was used for the study. Descriptive statistics, chi-square, and logistic regression were done at a 95% confidence limit and an alpha level of 0.05. A p-value of 0.05 was considered statistically significant.
RESULTS
Among the 218 healthcare workers, the majority demonstrated adequate knowledge (86.24%) and a positive attitude (78.4%) toward Infection Prevention and Control (IPC). About half (50.5%) of the HCWs did not comply with IPC standards. Good attitude of HCWs [aOR = 3.13, 95%CI: 1.17-8.41, p-value = 0.023], accessibility of Personal Protective Equipment [aOR = 2.34, 95%CI: 1.01-5.38; p-value = 0.046], and monitoring of IPC practice [aOR = 3.95, 95%CI: 1.84-8.45; p-value = < 0.001] were independently associated with HCWs perceived compliance with IPC standards.
CONCLUSION
Although 188 (86.24%) HCWs displayed adequate knowledge of IPC standards, perceived compliance remains insufficient in Gambian healthcare facilities. To address this, the Ministry of Health should prioritize educational campaigns, and regular training to reinforce HCW knowledge, ensure Personal Protective Equipment (PPE) accessibility, and implement ongoing IPC practice monitoring among healthcare workers.
背景
本研究评估了冈比亚北岸东区医护人员关于感染预防与控制（IPC）标准的知识、态度、感知到的合规情况以及潜在影响因素。
方法
该研究为分析性横断面研究，于2021年采用多阶段抽样技术进行。从冈比亚北岸东区抽取了13家医疗机构。样本量根据Cochrane公式计算，基于408名医护人员的总体，置信区间为95%。针对10%的无应答率和50%的合规水平进行了调整。最终样本量为218用于本研究。描述性统计、卡方检验和逻辑回归在95%置信限和α水平为0.05的情况下进行。p值为0.05被认为具有统计学意义。
结果
在218名医护人员中，大多数人对感染预防与控制（IPC）表现出足够的知识（86.24%）和积极的态度（78.4%）。约一半（50.5%）的医护人员未遵守IPC标准。医护人员的良好态度[aOR = 3.13，95%CI：1.17 - 8.41，p值 = 0.023]、个人防护装备的可及性[aOR = 2.34，95%CI：1.01 - 5.38；p值 = 0.046]以及IPC实践的监测[aOR = 3.95，95%CI：1.84 - 8.45；p值 = < 0.001]与医护人员对IPC标准的感知合规性独立相关。
结论
尽管188名（86.24%）医护人员对IPC标准表现出足够的知识，但冈比亚医疗机构中感知到的合规性仍然不足。为解决这一问题，卫生部应优先开展教育活动，并定期进行培训以强化医护人员的知识，确保个人防护装备（PPE）的可及性，并对医护人员实施持续的IPC实践监测。
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