2019 年冠状病毒大流行期间巴巴多斯公立医院和综合诊所护士对手部卫生、口罩使用和社会距离的认识、态度和做法

U. Gaur, Wendy Sealy, Ambadasu Bharatha, N. Sobers, Kandamaran Krishnamurthy, Mike H Campbell, Cara Cumberbatch, Maia Drakes, Marielle Gibbs, Charisse Alexander, Heather Harewood, O. P. Adams, Subir Gupta, A. Parsa, Russell Kabir, M. Majumder
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引用次数: 0

摘要

背景:护士是医护人员队伍中不可或缺的一员,在 COVID-19 大流行期间,他们是社区和医院中病人的第一线护理人员。因此,他们受感染的风险很高,据报道有几名护理人员因此死亡。为遏制 COVID-19 病毒的传播,采取了多项预防措施。本研究旨在探讨 COVID-19 大流行期间巴巴多斯医疗机构中护士对手部卫生、口罩佩戴和社会隔离措施的认知、态度和实践 (KAP)。调查方法在 2021 年 3 月至 2021 年 12 月期间,对巴巴多斯公立医院和综合诊所(公立初级保健诊所)的护士进行了在线调查。调查采用了非系统方便抽样方法,以招募随时可到并愿意参与的护士。调查问卷收集了社会人口信息以及与手部卫生、口罩的使用和社交疏远相关的知识和实践。每个正确回答得一分。总体知识得分分为差(80%-100%)。结果:在 192 名参与者中,大多数为女性(82.8%),工作经验超过 5 年(82%)。调查结果显示,45.8% 的受访者手部卫生知识较差,43.8% 的受访者手部卫生知识一般。多变量逻辑回归显示,在对年龄和性别进行调整后,与其他护理类别相比,注册护士具有良好知识的几率增加了 2.1 倍(95% 置信区间为 1.0 - 4.2)。关于口罩佩戴,53.6% 的护士知识一般,27.1% 的护士知识良好。多变量逻辑回归显示,在对年龄和性别进行调整后,与护理助理相比,注册护士拥有良好知识的几率增加了 3.3 倍(95% 置信区间为 1.5,7.4)。68.6%的受访者每次都按照正确的步骤洗手,98.3%的受访者在公共场所戴口罩。超过半数的护士(51.2%)与他人保持安全距离,以避免传播 SARS-CoV-2;三分之一的护士在过去三个月中去过人群密集的地方,55.8%的护士通常遵守世界卫生组织建议的社交隔离准则。结论研究发现,护士在手部卫生和佩戴口罩方面存在知识缺陷。当务之急是提供有关感染控制措施的额外培训。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Knowledge, Attitudes, and Practices of Hand Hygiene, Mask Use, and Social Distancing among Public Hospital and Polyclinic Nurses in Barbados during the Coronavirus 2019 Pandemic
Background: Nurses are essential members of the healthcare workforce and were among the first-line carers for patients in community and hospital settings during the COVID-19 pandemic. As a result, they were at a heightened risk of infection, resulting in several reported deaths among nursing staff. Several preventive measures were adopted to contain the spread of the COVID-19 virus. This study aims to explore the knowledge, attitudes, and practices (KAP) of nurses regarding hand hygiene, mask wearing, and social distancing measures in healthcare settings in Barbados during the COVID-19 pandemic. Method: An online survey of nurses working in public hospitals and polyclinics (public primary care clinics) in Barbados from March 2021 to December 2021 was conducted. A nonsystematic convenience sampling method was employed to recruit nurses who were readily available and willing to participate. A questionnaire captured the sociodemographic information and knowledge and practices related to hand hygiene, the use of face masks, and social distancing. Each correct response received one mark. Overall knowledge scores were categorized as poor (<60%), average (60–80%), or good (>80–100%). Results: Of the 192 participants, the majority were female (82.8%) and had >5 years of experience (82%). The findings revealed that 45.8% had poor knowledge of hand hygiene, and that the knowledge of 43.8% of respondents was average. Multivariable logistic regression showed that, after adjustment for age and gender, registered nurses had 2.1 times increased odds (95% confidence interval 1.0, 4.2) of having good knowledge compared to other nursing categories. Regarding mask wearing, 53.6% of nurses had average knowledge, and 27.1% had good knowledge. Multivariable logistic regression showed that, after adjustment for age and gender, registered nurses had 3.3 times increased odds (95% confidence interval 1.5, 7.4) of having good knowledge compared to nursing assistants. A total of 68.6% of respondents followed the correct steps of handwashing every time, and 98.3% wore a mask in public places. More than half of the nurses (51.2%) kept a safe distance from others to avoid spreading SARS-CoV-2; one-third were in a crowded place(s) in the past three months, and 55.8% usually followed guidelines for social isolation as recommended by the WHO. Conclusions: The study identified knowledge deficiencies related to hand hygiene and wearing masks among nurses. It is imperative to provide additional training on infection control measures.
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