卫生工作者关于标准预防措施的知识和实践:特别强调埃塞俄比亚的医疗废物管理

T. Alemayehu, A. Worku, N. Assefa
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引用次数: 2

摘要

标准预防措施是简单的感染预防和控制措施,旨在降低患者和卫生工作者之间通过接触血液和体液传播血源性病原体的风险。虽然遵守标准预防措施可保护卫生工作者免受伤害和相关事故,但不遵守基本标准预防措施使卫生工作者面临重大健康风险。因此,本研究评估了卫生工作者对标准预防措施的知识和做法,特别强调埃塞俄比亚东部的卫生保健废物管理。对65家卫生机构的818名卫生工作者进行了机构基础横断面研究。数据收集采用自我管理问卷。采用SPSS 21版统计软件对收集的数据进行分析。变量分析采用单变量、双变量和多变量分析方法。用广义估计方程确定与结果变量相关的因素。在所有受访者中,619人(78.8%)回答说他们听说过标准预防措施。然而,对标准预防措施的总体知晓率为54.6%。重新包扎针头(AOR = 0.62, 95% CI = 0.22 ~ 0.85, p值= 0.012)、接受卫生教育培训(AOR = 1.77, 95% CI = 1.14 ~ 2.77, p值= 0.014)、安全注射(AOR = 2.17, 95% CI = 1.54 ~ 3.06, p值= 0.000)。卫生保健工作者对普遍预防的认识较低。安排在职培训可以提高卫生工作者对安全预防措施的认识和实践。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Knowledge and practice of health workers about standard precaution: Special emphasis on medical waste management in Ethiopia
Abstract Standard precautions are simple infection prevention and control measures that reduce the risk of transmission of bloodborne pathogens through exposure to blood and body fluids among patients and health workers. While compliance with standard precautions protects health workers from injury and related accidents, lack of compliance in basic standard precautions poses health workers to a significant health risks. This study has therefore assessed the knowledge and practices of standard precautions among health workers with special emphasis to healthcare waste management in the eastern part of Ethiopia. Institutional bases cross-sectional study was made on 818 healthcare workers under 65 health facilities. Data were collected using a self administered questionnaire. The collected data was analyzed using SPSS version 21 statistical software. Variables were analyzed with a univariate, bivariate and multivariable analysis methods. Factors associated with the outcome variable were identified by Generalized Estimating Equation. Out of the total respondents, 619(78.8%) responded that they ever heard about standard precautions. However, the overall knowledge about standard precaution was 54.6%. Variables such as recapping needles (AOR = 0.62, 95% CI = 0.22-0.85, P-value = 0.012), taking training about hygiene education (AOR = 1.77, 95% CI = 1.14-2.77, P-value = 0.014) and safe injection (AOR = 2.17, 95% CI = 1.54-3.06, P-value = 0.000). Knowledge of healthcare workers about universal precaution was low. Arranging in-service trainings could enhance the knowledge as well as the practice of health workers about safety precautions.
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