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埃塞俄比亚西南部伊卢阿巴博尔和布诺贝代勒地区公立医院医护人员对足分支菌病管理的知识、态度和实践及相关因素:一项横断面研究

Healthcare professionals' knowledge, attitudes, and practice of podoconiosis management and associated factors in public hospitals in Ilu Ababor and Buno Bedelle zones, Southwest Ethiopia: a cross-sectional study.

作者信息

Tamiru Sanbato, Lulu Yohanis, Bidira Kebebe, Amsalu Bonsa, Duguma Abdissa, Nigusu Yared, Gezimu Wubishet

机构信息

Department of Nursing, College of Health Science, Mattu University, Mattu, Ethiopia.

Armauer Hansen Research Institute, Addis Ababa, Ethiopia.

出版信息

Front Public Health. 2025 Feb 24;13:1454979. doi: 10.3389/fpubh.2025.1454979. eCollection 2025.

Abstract

BACKGROUND

Podoconiosis is non-filarial lymphoedema of the lower extremities. It impairs individuals' overall lives, including their health, economy, psychology, and social interactions. Podoconiosis is a preventable and effectively manageable disease. The insights and skills of healthcare professionals are vital for the prevention and management of podoconiosis. However, healthcare professionals' knowledge, attitudes, and practices of podoconiosis management have been poorly studied in Ethiopia.

OBJECTIVE

The study aimed to assess the healthcare professionals' knowledge, attitudes, and practices toward podoconiosis management and associated factors in public hospitals in the Ilu Ababor and Buno Bedelle Zones.

METHODS

A facility-based cross-sectional study was conducted from December 1, 2022, to January 1, 2023. The data were collected from systematically selected health professionals using a self-administered structured questionnaire. Epi-data and SPSS were used for data entry and analysis, respectively. A binary logistic regression analysis was used to identify factors influencing the outcome variables. In the multivariable analysis, a -value of ≤0.05 was used to pronounce statistical significance at a 95% confidence interval.

RESULTS

From the total of 399 participants involved, 262 (65.7%) had poor knowledge, 213 (54.3%) had unfavorable attitudes, and 308 (77.2%) had never practiced podoconiosis management. Years of experience, level of education, type of qualification, podoconiosis training, taking courses in education curricula, and attitudes were identified as factors influencing knowledge. The participants' attitudes were influenced by age, podoconiosis training, receiving technical support, and knowledge. Their practices were significantly affected by age, education level, podoconiosis training, taking podoconiosis courses in educational curricula, and knowledge.

CONCLUSION

The current study found poor healthcare professionals' insights and skills in podoconiosis management in the study area. Therefore, concerned bodies need to set up capacity-building training and guidelines for healthcare professionals in the area to boost their knowledge, attitudes, and practice toward podoconiosis management.

摘要

背景

地方性丝虫病性下肢淋巴水肿是一种非丝虫性下肢淋巴水肿。它会损害个人的整体生活,包括健康、经济、心理和社交互动。地方性丝虫病性下肢淋巴水肿是一种可预防且能有效控制的疾病。医疗保健专业人员的见解和技能对于地方性丝虫病性下肢淋巴水肿的预防和管理至关重要。然而,在埃塞俄比亚,对医疗保健专业人员关于地方性丝虫病性下肢淋巴水肿管理的知识、态度和实践的研究较少。

目的

本研究旨在评估伊卢阿巴博尔和布诺贝代勒地区公立医院医疗保健专业人员对地方性丝虫病性下肢淋巴水肿管理的知识、态度和实践以及相关因素。

方法

于2022年12月1日至2023年1月1日进行了一项基于机构的横断面研究。通过自行填写的结构化问卷,从系统选取的卫生专业人员中收集数据。分别使用Epi-data和SPSS进行数据录入和分析。采用二元逻辑回归分析来确定影响结果变量的因素。在多变量分析中,在95%置信区间内,P值≤0.05被视为具有统计学意义。

结果

在总共399名参与研究的人员中,262人(65.7%)知识水平较差,213人(54.3%)态度不积极,308人(77.2%)从未进行过地方性丝虫病性下肢淋巴水肿的管理。工作年限、教育程度、资格类型、地方性丝虫病性下肢淋巴水肿培训、教育课程中的相关课程以及态度被确定为影响知识水平的因素。参与者的态度受年龄、地方性丝虫病性下肢淋巴水肿培训、获得技术支持和知识水平的影响。他们的实践受到年龄、教育程度、地方性丝虫病性下肢淋巴水肿培训、教育课程中的地方性丝虫病性下肢淋巴水肿相关课程以及知识水平的显著影响。

结论

当前研究发现,研究区域内医疗保健专业人员在地方性丝虫病性下肢淋巴水肿管理方面的见解和技能较差。因此,相关机构需要为该地区的医疗保健专业人员制定能力建设培训和指导方针,以提高他们对地方性丝虫病性下肢淋巴水肿管理的知识、态度和实践水平。

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