Tạp chí Y tế Công cộng最新文献

{"title":"Depression, anxiety, stress of clinical nurses during the COVID-19 pandemic and some related factors at Hanoi Medical University Hospital in 2022","authors":"Ly Le Thi Thao, Tuan Ngo Tri, D. Le Minh, Anh Mai Kim, Anh Luu Nguyen Lan, Hóa Nguyễn Văn","doi":"10.53522/ytcc.vi63.03","DOIUrl":"https://doi.org/10.53522/ytcc.vi63.03","url":null,"abstract":"Background: The fight against the COVID-19 pandemic is a big challenge, impacting the mental health of nurses, and affecting health and work efficiency. To serve as a basis for hospital quality improvement activities, we conducted a study to describe the current state of clinical nurses' symptoms of depression, anxiety, and stress during the COVID-19 epidemic and identify some relevant factors at Hanoi Medical University Hospital in 2022. Methodology: A cross-sectional study was conducted on 225 nurses from clinical departments - at Hanoi Medical University Hospital from February 28, 2022, to April 14, 2022. The DASS-21 scale was applied in this study. Result: The rate of symptoms of depression, anxiety, and stress was 48.4%, 42.2%; 8.4%, respectively. Community response and lack of patient cooperation were risk factors for all three disorders. In addition, the frequency of duty and treatment affected the manifestations of depression; marital status, and isolation affected anxiety expression; protection, relationships at the hospital, and reasons for participating in epidemic prevention and control were factors affecting stress expression. Recommendation: For nursing staff who go directly to fight against the epidemic, the hospital's union has a policy of taking care of their families and providing timely support so that employees can work with peace of mind.","PeriodicalId":170809,"journal":{"name":"Tạp chí Y tế Công cộng","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131020710","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of compliance with surgical hand hygiene procedures of medical staff at the central obstetrics and gynecology hospital in 2022 and some related factors","authors":"Thuy Pham Thu, Xuan Le Thi Thanh, Len Tran Thi, Lua Nguyen Thi, Anh Ha Cong, Thien Dang Thi Hong","doi":"10.53522/ytcc.vi63.05","DOIUrl":"https://doi.org/10.53522/ytcc.vi63.05","url":null,"abstract":"Backgroud: The study aimed to determine the prevalence and analysis of some factors related to medical staff's adherence to surgical hand hygiene. Methods: A cross-sectional descriptive study was performed on 316 surgical hand hygiene visits of medical staff participating in surgery at the Anesthesia and Resuscitation Department of the National Hospital of Obstetrics and Gynecology in 2022. Results: 100% of surgical hand hygiene using antibacterial soap. The compliance rate for surgical hand hygiene is 61.7%; Compared with the surgical hand hygiene session of the emergency surgery, the compliance with surgical hand hygiene during the session surgery was 3.0 times higher; Hygiene times of surgical assistant medical staff are 2.2 times more likely to comply than staff in charge of instruments. Conclusion: The hospital needs solutions to improve the medical staff's surgical hand hygiene compliance rate, especially for staff participating in emergency surgery.","PeriodicalId":170809,"journal":{"name":"Tạp chí Y tế Công cộng","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114302273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The prevalence of children aged 1-5 years adequately vaccinated against diphtheria and its associated factors in mountainous communes, Vinh Linh district, Quang Tri province in 2022","authors":"Trang Do Thi Hanh, Nam Nguyen Thanh","doi":"10.53522/ytcc.vi63.02","DOIUrl":"https://doi.org/10.53522/ytcc.vi63.02","url":null,"abstract":"Aim: The study aims to estimate the prevalence of children aged 1-5 years adequately vaccinated against diphtheria and associated factors in mountainous communes in Vinh Linh district, Quang Tri province in 2022. Methods: A mixed method design was used, combining quantitative research (survey with principal carer of 492 children aged 1-5 years) and qualitative research (in-depth interviews with 6 district and commune health workers in charge of vaccination management). Results: The prevalence of children aged 1-5 years adequately vaccinated against diphtheria was 92,9%. Factors associated with diphtheria vaccination included the children’s ethnicity; the principal carer’s educational level and occupation; the distance to the nearest commune health center/vaccination center; diphtheria vaccine availability and the instability of local human resource in charge of vaccination management. Conclusion: There is a need for improvement of local capacity in organizing and managing vaccination services in remote and disadvantageous areas","PeriodicalId":170809,"journal":{"name":"Tạp chí Y tế Công cộng","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126380273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge and attitudes of medical staff on infection control at Bac Ninh Obstetric and Pediatric Hospital 2022","authors":"Huong Dang Thi Thu, Ngai Le Kien, Hien Pham Duy, Khue Le Nho, Hung Dao Khac, Tuong Phan Van","doi":"10.53522/ytcc.vi62.02","DOIUrl":"https://doi.org/10.53522/ytcc.vi62.02","url":null,"abstract":"Objective: To evaluate the knowledge and attitudes of healthcare workers toward standard precautions, prevention of Central Line-Associated Bloodstream Infections (CLABSI), and ventilator Associated Pneumonia (VAP) at Bac Ninh Obstetrics and Children’s Hospital in 2022. Methods: A descriptive cross-sectional study was conducted between November and December 2022 at Bac Ninh Obstetrics and Children’s Hospital. The survey on standard prevention was participated by 120 health workers, who were from 6 pediatric clinical departments. On the other hand, the prevention of hospital-acquired infections related to pulmonary health care survey had the participation of 47 health workers from 2 intensive care units. Results: The study revealed that the medical staff had good knowledge regarding the examination room content, ranging from 70.8% to 97.5%, however, they exhibited negative attitudes towards some infection control measures. The healthcare workers’ knowledge regarding the prevention of Central Line-Associated Bloodstream Infections (CLABSI) was inadequate, and they lacked knowledge about ventilator Associated Pneumonia. Nevertheless, the healthcare workers had a positive attitude toward implementing measures to prevent pneumonia in ventilator-supported patients, with 100%. Conclusion: The study showed that the knowledge and attitudes of healthcare workers regarding infection control were limited. Therefore, appropriate training programs must be planned and organized to improve their knowledge and attitudes toward infection control.","PeriodicalId":170809,"journal":{"name":"Tạp chí Y tế Công cộng","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123604522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors associated with the Severity of COVID-19 patients in Bac Ninh and Nghe An Provinces: A Hospital-based Case-control Study in 2022","authors":"Hieu Nguyen Ngoc, Huong Dang Thi, Giang Tran Van, Giang Le Minh","doi":"10.53522/ytcc.vi62.01","DOIUrl":"https://doi.org/10.53522/ytcc.vi62.01","url":null,"abstract":"Background: It is crucial to study characteristics and determine associated factors with the severity of COVID-19 while the pandemic has been complicated yet. We aimed to describe the characteristics and determine associated factors with the severe state of disease among COVID-19 hospitalized patients within six first months in 2022. Methods: A case – control study was conducted among 3.242 COVID-19 patients in two provincial hospitals in Bac Ninh and Nghe An from January to June 2022. Cases were defined as severe or critical COVID-19 patients and controls were COVID-19 patients who were classified into the mild group during 24-first-hour admission. We used an online research health record to collect patient’s information. Multivariable logistic regression was utilized to explore and decide associated factors with the severity of COVID-19 among participants. Results: The percentage of patients who were classified into the severe disease group at admission time was 20.0%. Respiratory symptoms (70.3%) and fatigue (30.6%) were the most common ones recorded when patients were admitted to the ward. Older age, male, pre-comorbidities such as diabetes, chronic cardiovascular or pulmonary disease increased the likelihood to have severe COVID-19 disease. D-dimer ≥ 500 ng/ml, aspartate aminotransferase enzyme (AST) > 37 U/L, the percentage of lymphocytes in blood < 20%, and C-reactive protein (CRP) ≥ 5 mg/l were identified as prognostic factors for severity within 24-first-hour admission. Two primary doses of the COVID-19 vaccine and boosted doses significantly decreased the chance to have severe COVID-19. Conclusions: Our findings highlighted that it is important to monitor patients and early diagnoses with the help of prognostic factors. Moreover, widely supplying two primary and boosted doses of the COVID-19 vaccine for people, especially for the high-risk population is necessary.","PeriodicalId":170809,"journal":{"name":"Tạp chí Y tế Công cộng","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130159684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge, attitude, practice on plastic waste pollution mitigation among undergraduate students in the academic year of 2021 – 2022 and some associated factors","authors":"Huong Phan Thanh, Thuy Tran Thi, Tram Vu Doan, Nhung Ngo Thi Hong, Thao Ngo Phuong, Hien Ngo Thi Thu","doi":"10.53522/ytcc.vi62.05","DOIUrl":"https://doi.org/10.53522/ytcc.vi62.05","url":null,"abstract":"Objectives: To assess knowledge, attitude, and practice on plastic waste mitigation and associated factors among students at Thang Long University and the University of Labour and Social Affairs, Hanoi, Vietnam, in the academic year 2021-2022. Methodology: A cross-sectional study was conducted on 565 undergraduate students at two universities using a stratified random sampling technique. Study subjects were requested to respond online via the administered questionnaire. The questionnaire includes general information (7 questions); knowledge on reducing plastic pollution (13 questions); attitudes on reducing plastic pollution (8 questions); and practice on reducing plastic pollution (10 questions). The reliability of the questionnaire is acceptable (Cronbach's α = 0.610). The data was entered with Excel and then analyzed in SPSS version 22.0. Results: The results revealed that 42.7% of the surveyed students showed adequate knowledge, 97.5% had an adequate attitude, and 82.5% had adequate practice on plastic waste pollution mitigation. Findings also showed that students who had inadequate knowledge were 4.5 times more likely to have inadequate attitudes than those who did not (OR = 4.5; 95% CI (1.0–42.5), p < 0.05). Students who had an inadequate attitude were 3.6 times more likely to have inadequate practice than those who did not (OR = 3.6; 95% CI (1.02–12.4); p < 0.05). Students who had inadequate knowledge were 2.5 times more likely to have inadequate practice than those who did not (OR = 2.5; 95% CI (1.5–4.3); p < 0,001). Recommendations: The study strongly suggested an in-depth investigation to explore potential associated factors with knowledge, attitude, and practice on plastic waste mitigation among university students, such as gender, age, academic majors, living place, and sources of accessing information on plastic waste pollution mitigation.","PeriodicalId":170809,"journal":{"name":"Tạp chí Y tế Công cộng","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117107459","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The current situation of community-based rehabilitation in commune health station of a district in Nghe An province","authors":"Huong Nguyen Thi, Luong Nguyen Thi Hien, Mai Phan Nguyen Hoang, Nhan Le Thi Thanh, Son Trinh Cong, Anh Nguyen Mai, Hien Ho Thi, Chi Bui Linh","doi":"10.53522/ytcc.vi62.03","DOIUrl":"https://doi.org/10.53522/ytcc.vi62.03","url":null,"abstract":"Community-based rehabilitation (CBR) has been proven effective for people with disabilities (PWDs) and their families, saving medical resources, and is particularly suitable for developing countries1,2. However, in Vietnam, due to the lack of facilities and CBR human resources, the rehabilitation needs of PWDs were not met. Thanh Chuong is a district that has implemented CBR activities at commune health stations for PWDs, in conjunction with the project on victims of the toxic chemical Dioxin. Several duties have been assigned to commune health workers as stated in the CBR program, yet commune health workers were not assigned specifically to do rehabilitation tasks. This study aims to describe the current status of CBR activities at commune health stations, in Thanh Chuong district, Nghe An Province in 2022. The study used a cross-sectional design, mixed methods were employed. The study was conducted from December 2021 to August 2022. Qualitative data are analyzed thematically. Participants were mainly female, about half of them aged 30-49 years old, most of them are nursing, and general medical staff and no staff had a rehabilitation background. The level of performance and confidence in performing the tasks were similar. Among the 8 tasks assigned to the commune health stations, 3 tasks have been performed in 38 communes at different levels including making management records, classifying PWDs, and reporting on transferring PWDs to higher levels. However, these activities are not carried out properly and sufficiently and there was no list of people with disabilities. It is necessary to review the list of CBR activities and have policies to support these activities at the grassroots level, especially to have a health worker in charge of CBR available to fully implement the program's activities, thus helping PWDs integrate into the community, and reducing caring burden or caregivers for PWDs.","PeriodicalId":170809,"journal":{"name":"Tạp chí Y tế Công cộng","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123422829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Current status of policies and Conditions to ensure the operation of school health in Vietnam","authors":"Diem Nguyen Thi Hong, Van Nguyen Thanh, Nga Nguyen Huy","doi":"10.53522/ytcc.vol8.04","DOIUrl":"https://doi.org/10.53522/ytcc.vol8.04","url":null,"abstract":"Background: Good health care and education for students promotes the improvement of the quality of the country's future human resources. School health has received the attention of the Party and the Government as reflected in laws, resolutions, and decisions facilitating the legal framework in the implementation. However, there are still many difficulties and challenges in the implementation. This paper reviews existing policies and guidelines on school health in Vietnam; assesses the implementation of school health activities, difficulties, and challenges in the implementation. Methods: Descriptive study design combining desk review, and qualitative and quantitative methods were applied. In-depth interviews and focus group discussions with leaders of health sectors, education sectors, home affairs, and social insurance sectors at commune, district, and provincial levels; School administrators, school health staff at all levels of education from kindergarten, primary school, and secondary school, and high school have been implemented in 5 provinces of 5 regions of Vietnam. Results: The policy documents on school health in Vietnam have been issued quite fully, which were the legal basis for localities to perform well. However, there were still many difficulties and challenges due to gaps in regulations on conditions to ensure the operation of school health. Survey results in 05 provinces in 2017 with 5.540 schools at all levels show that: 89.9% of schools have school health staff; 56.5% of the schools have school-based health staff and the rest is contracted. The rate of non-medical school staff is 37.5%. Regarding the benefits and regimes of schools, health staff is facing many difficulties. The training was implemented annually; however, the training quality is not enough. The budget for investment in school health activities is still difficult, not meeting the demand. Conclusions: the legal documents were adequate to facilitate the implementation of school health activities. However, there are still many difficulties and challenges in some localities and schools in the implementation. Therefore, it is necessary to promulgate policies more practical. The coordination between the health and education sectors was still not close and lacked consistency and synchronization.","PeriodicalId":170809,"journal":{"name":"Tạp chí Y tế Công cộng","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115379107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge, attitude, and practice toward occupational hygiene among workers at some medium-sized industrial and handicraft facilities in Hue city","authors":"Gia Nguyen Thanh, Anh Hoang Thi Thuy, Man Nguyen Dinh Minh, Nhu Nguyen Thi Khoa, Tu Nguyen Minh, Thang Tran Binh, Duong Le Dinh, Thu Dang Thi Anh","doi":"10.53522/ytcc.vi61.01","DOIUrl":"https://doi.org/10.53522/ytcc.vi61.01","url":null,"abstract":"Objective: This study aimed to describe the knowledge, attitude, and practice (KAP) towards occupational hygiene among workers in medium-sized industrial and handicraft establishments in Hue city and identify the factors related to their KAP. Methods: A cross-sectional study was conducted from December 2019 to June 2020, involving 400 workers from 12 medium-sized industrial and handicraft facilities in Hue City. Results: The results showed that only 21.3% of the workers had good knowledge about occupational hygiene, 62.2% of them had good attitude, and 45.8% of them had good practices. Factors related to knowledge included marital status, type of occupation, and seniority (p<0.05). Factors related to attitude included age and form of work (p<0.05). Factors related to practice included gender, age, seniority, and break time (p<0.05). Conclusions: Overall, the KAP on occupational hygiene among workers was found to be inadequate. Therefore, it is recommended to conduct more regular training sessions to improve their KAP toward occupational hygiene and provide more reasonable rest regimes for workers","PeriodicalId":170809,"journal":{"name":"Tạp chí Y tế Công cộng","volume":"277 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125730405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mental health situation and related factors among secondary school students in Hue city","authors":"Tu Nguyen Minh, My Tran Thi Tra, Linh Nguyen Hoang Thuy, Hieu Ho, Tham Luong Thi Thu, Dan Ho Thi Linh, Khuyen Nguyen Ngo Bao, Tam Tran Thi Quynh, Khanh Nguyen Phi, Vinh Vo Van Quang, Lieu Dinh Thi, Dan Nguyen Duc, Dan Chau Nguyen, Nha Dang Thi Thanh, Thang Tran Binh, Gia Nguyen Thanh, Duong Le Dinh, Nhat Hoang Trong, Tien Nguyen Van","doi":"10.53522/ytcc.vi61.03","DOIUrl":"https://doi.org/10.53522/ytcc.vi61.03","url":null,"abstract":"Background: Mental health is an important component of a person's state of health. According to World Health Organization (WHO), there can be no health without mental health. Timely detection and care of mental health disorders are essential, contributing to health protection and improvement during the adolescent period and adulthood. Objectives: To describe the situation of mental health problems and identify some related factors in secondary school students in Hue city. Subjects and methods: A cross-sectional descriptive study was conducted with 500 secondary school students in Hue city from October 2021 to June 2022. The data was collected by face-to-face interviews using a pre-designed questionnaire that included social-demographic information, family and school problems, and the SDQ-25 scale which assesses adolescents' mental health status. Multivariate logistic regression analysis was used to identify factors associated with mental health. Results: Our research showed that 18.2% (95% CI: 15.1 - 21.8) students had abnormal mental health score; 27.4% (95% CI: 23.2 - 31.4) had borderline mental health score. The emotional problems had the highest rate (20.6%). Conduct problems, peer problem and hyperactivity/inattention accounted for 15.6%, 15.0% and 13.4% among the study subjects. 8.6% had prosocial problems. Some mental health-related factors were parents' marital status, frequency of physical activity, bedtime at the evening, family problems, school problems, and personal desires (p < 0.05). Conclusion: The percentage of students having mental health problems was high. It is necessary for family and school to encourage the participation in appropriate physical activities and change the habit of going to bed late to contribute to improving students' mental health status.","PeriodicalId":170809,"journal":{"name":"Tạp chí Y tế Công cộng","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125432504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}