埃塞俄比亚医护人员的手卫生依从性和相关因素:系统回顾和荟萃分析。

Advances in Preventive Medicine Pub Date : 2021-12-21 eCollection Date: 2021-01-01 DOI:10.1155/2021/7235248
Negasa Eshete Soboksa, Belay Negassa, GirumGebremeskel Kanno, Zemachu Ashuro, DinkineshBegna Gudeta
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引用次数: 8

摘要

背景:促进遵守手部卫生应成为各级卫生当局和所有卫生保健机构的优先事项。因此,本系统综述和荟萃分析旨在对埃塞俄比亚卫生保健专业人员的手部卫生依从性和相关因素进行汇总估计。方法:使用PubMed、Science Direct、EMBASE、Google搜索引擎和Google Scholar检索符合本研究条件的研究。检索包括2021年7月之前用英文发表的所有研究。使用结构化数据提取格式,两位作者独立地提取了所需的数据。采用STATA Version 16软件进行统计分析。为衡量研究的异质性,采用Cochrane q检验统计量和I2检验。由于异质性显著,采用随机效应模型。结果:埃塞俄比亚卫生保健工作者的总体手卫生依从性为38% (95% CI: 0.16-0.59)。根据该研究的亚组分析,亚的斯亚贝巴市行政卫生工作者的手部卫生依从性最高,为73% (95% CI: 0.50-0.96),而SNNP地区国家的最低,为9% (95% CI: 0.05-0.13)。手卫生宣传(OR: 2.14, 95% CI: 1.04-3.24)、毛巾/纸巾的可用性(OR: 3.97, 95% CI: 2.09-5.86)、对手卫生持积极态度(OR: 1.79, 95% CI: 1.28-2.30)、具备良好的手卫生知识(OR: 3.45, 95% CI: 1.26-5.64)和接受过手卫生培训(OR:4.97, 95% CI:1.81-8.14)与手卫生依从性显著相关。结论:在本分析中,埃塞俄比亚卫生保健工作者的手部卫生依从性不到一半。手卫生宣传、手巾/纸巾的存在、积极的手卫生态度、良好的手卫生知识和接受过手卫生培训是提高手卫生依从性的重要变量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Hand Hygiene Compliance and Associated Factors among Healthcare Workers in Ethiopia: A Systematic Review and Meta-Analysis.

Hand Hygiene Compliance and Associated Factors among Healthcare Workers in Ethiopia: A Systematic Review and Meta-Analysis.

Hand Hygiene Compliance and Associated Factors among Healthcare Workers in Ethiopia: A Systematic Review and Meta-Analysis.

Hand Hygiene Compliance and Associated Factors among Healthcare Workers in Ethiopia: A Systematic Review and Meta-Analysis.

Background: Promoting hand hygiene compliance should be a priority for health authorities and all healthcare facilities at all levels. Therefore, this systematic review and meta-analysis aimed to provide a pooled estimate of hand hygiene compliance and associated factors among healthcare professionals in Ethiopia.

Methods: PubMed, Science Direct, EMBASE, the Google search engine, and Google Scholar were used to retrieve studies that were eligible for the study. The searches included all studies published in English prior to July 2021. Using a structured data extraction format, two authors independently extracted the required data. STATA Version 16 software has been used for statistical analysis. To measure the heterogeneity of the studies, the Cochrane Q-test statistics and I2 test were used. Because of the significant heterogeneity, a random-effects model was used.

Results: The pooled hand hygiene compliance among healthcare workers in Ethiopia was 38% (95% CI: 0.16-0.59). According to the study's subgroup analysis, Addis Ababa City administration health workers had the highest hand hygiene compliance, at 73% (95% CI: 0.50-0.96), while SNNP regional state had the lowest, at 9% (95% CI: 0.05-0.13). Presence of hand hygiene promotion (OR: 2.14, 95% CI: 1.04-3.24), towel/tissue paper availability (OR: 3.97, 95% CI: 2.09-5.86), having a positive attitude toward hand hygiene (OR: 1.79, 95% CI: 1.28-2.30), having good knowledge about hand hygiene (OR: 3.45, 95% CI: 1.26-5.64), and being trained for hand hygiene (OR:4.97, 95% CI:1.81-8.14) were significantly associated with hand hygiene compliance.

Conclusion: In this analysis, hand hygiene compliance among healthcare workers in Ethiopia was less than half. Providing hand hygiene promotion, towel/tissue paper presence, having a positive attitude toward hand hygiene, having good knowledge about hand hygiene, and being trained for hand hygiene were important variables for the increment of hand hygiene compliance.

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