突尼斯医科学生对血液暴露事故的认知、态度和行为以及电子健康素养：一项横断面研究。

Knowledge, attitudes, and practices regarding blood exposure accidents and eHealth literacy among Tunisian medical students: a cross-sectional study.

作者信息

Chelly Souhir, Omri Nihel, Saadallah Zeineb, Ammar Asma, Ezzi Olfa, Njah Mansour, Mahjoub Mohamed

机构信息

Infection Prevention and Control Department, Farhat Hached University Hospital of Sousse, Faculty of Medicine of Sousse, University of Sousse, Sousse, Tunisia.

出版信息

BMC Med Educ. 2025 Mar 11;25(1):366. doi: 10.1186/s12909-024-06544-2.

DOI:10.1186/s12909-024-06544-2

PMID:40069684

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11895171/

Abstract

BACKGROUND

Good knowledge, attitudes and practices towards Blood Exposure Accidents (BEA) are essential for their prevention with a significant correlation found between e-health literacy and KAP levels. We aimed to assess the knowledge, attitudes and practices (KAP) and e-health literacy levels towards BEA and their potential associations among medical students at a Tunisian medical school.

METHODS

We conducted a comprehensive cross-sectional study among undergraduate medical students at Ibn Al Jazzar Medical School in Sousse, Tunisia, using an anonymous, self-administered questionnaire. Students' e-health literacy was assessed using the validated French version of the Electronic Health Literacy Scale (eHEALS).

RESULTS

A total of 580 medical students were enrolled with a mean age of 21.6 ± 1.2 years and female predominance (sex ratio = 0.36). Most respondents (70%) had received no BEA training, and almost the quarter (24.3%; CI 95%:20.7-27.9%) reported having been victims of BEA. Overall, the mean score of medical students' KAP was 19.98 with almost half (49.1%, CI95%:45-53.2%) achieving a good score. The mean eHEALS score was 28.22 ± 6.85. More than half (55.7%, CI95%:51.7-59.7%) achieved a high level of e-health literacy. Being enrolled in the second cycle of medical studies (AOR = 2.50, 95%CI: 1.40-4.30), and having inadequate knowledge of standard precautions (AOR = 1.58, 95%CI: 1.04-2.39) were the predictors of BEA, while having good KAP regarding BEA was a negative determinant (AOR = 0.59, 95% CI: 0.39-0.89). In addition, having adequate knowledge of standard precautions (AOR = 1.57, 95% CI: 1.10-2.23) and having good knowledge of BEA (AOR = 1.63, 95% CI: 1.17-2.27) were the determinants of high levels of e-health literacy on BEA. Similarly, being adequately informed about the risks of BEA (AOR = 1.44, 95% CI: 1.01-2.06) was a positive determinant, whereas having a history of BEA (AOR = 0.63, 95% CI: 0.43-0.93) was a negative determinant of high levels of KAP.

CONCLUSION

Medical students showed good levels of e-heath literacy and KAP. E-health literacy appears to play a critical role in preventing BEA by understanding standard precautions and follow-up protocols.

摘要

背景

对血液暴露事故（BEA）具备良好的知识、态度和实践能力对于预防此类事故至关重要，且电子健康素养与知识、态度和实践水平之间存在显著相关性。我们旨在评估突尼斯一所医学院校医学生对BEA的知识、态度和实践（KAP）以及电子健康素养水平，及其潜在关联。

方法

我们在突尼斯苏塞的伊本·阿尔·贾扎尔医学院对本科医学生开展了一项全面的横断面研究，采用匿名的自填式问卷。使用经过验证的法语版电子健康素养量表（eHEALS）评估学生的电子健康素养。

结果

共纳入580名医学生，平均年龄为21.6±1.2岁，以女性为主（性别比=0.36）。大多数受访者（70%）未接受过BEA培训，近四分之一（24.3%；95%置信区间：20.7 - 27.9%）报告曾是BEA受害者。总体而言，医学生KAP的平均得分为19.98，近半数（49.1%，95%置信区间：45 - 53.2%）获得良好分数。eHEALS平均得分为28.22±6.85。超过半数（55.7%，95%置信区间：51.7 - 59.7%）达到较高水平的电子健康素养。就读医学学习的第二阶段（调整后比值比[AOR]=2.50，95%置信区间：1.40 - 4.30）以及对标准预防措施知识不足（AOR=1.58，95%置信区间：1.04 - 2.39）是BEA的预测因素，而对BEA具备良好的KAP是一个负向决定因素（AOR=0.59，95%置信区间：0.39 - 0.89）。此外，对标准预防措施有足够的了解（AOR=1.57，95%置信区间：1.10 - 2.23）以及对BEA有良好的了解（AOR=1.63，95%置信区间：1.17 - 2.27）是BEA方面高水平电子健康素养的决定因素。同样，充分了解BEA的风险（AOR=1.44，95%置信区间：1.01 - 2.06）是一个正向决定因素，而有BEA病史（AOR=0.63，95%置信区间：0.43 - 0.93）是高水平KAP的负向决定因素。