尼日利亚二级卫生保健机构卫生保健工作者注射安全的知识和实践

S. Abubakar, Ruqayya Hamza Usman, A. Idris, I. Muhammad, M. M. Haddad, C. Mba
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引用次数: 4

摘要

注射安全在当今的卫生保健服务中非常重要,特别是在血源性病毒高负担的环境中。安全注射可保护患者、卫生保健工作者和社区免受可避免的感染。在尼日利亚,2007年制定了关于注射安全和医疗废物管理的国家政策。在制定政策之后,进行了一系列关于安全注射和行为改变的培训。尽管如此,在该国许多地区仍报告了不安全注射的高负担。本研究评估了尼日利亚西北部二级卫生保健机构中卫生保健工作者的注射安全知识和实践水平。这项研究的对象是医院雇用的所有医护人员。向所有可用的保健工作者分发了一份自我填写的问卷。共回收问卷80/88份,并进行分析。大多数受访者是31-40岁的男性,处于职业生涯的早期阶段。结果表明,88.75%的卫生工作者正确描述了世界卫生组织定义的注射安全。然而,分别只有18.75%和40.0%的人对与不安全注射相关的风险和可通过不安全注射传播的疾病有良好的了解。此外,只有25.0%的人报告了安全注射做法。37.50%的受访者报告了注射器的重复使用,超过88%的受访者报告了使用过的针头。大多数医护人员报告有针刺伤史,与专业干部无关,p值= 0.146。尽管进行了注射安全培训,但在接受调查的卫生保健工作者中发现注射安全知识不足和注射操作不良。注射器和针头的重复使用突出表明,各级卫生保健服务都需要充足和安全的注射商品。关键词:医护人员;注射安全;知识
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 injection safety among healthcare workers in a Nigerian secondary healthcare facility
Injection safety is important in today’s healthcare delivery particularly in settings with a high burden of blood-borne viruses. A safe injection protects the patient, the healthcare worker and the community from avoidable infections. In Nigeria, the national policy on injection safety and healthcare waste management were developed in 2007. The development of the policy was followed by series of training on safe injection and behavioural change. Despite this, high burden of unsafe injections was reported in many parts of the country. This study assessed the level of knowledge and practice of injection safety among healthcare workers in a secondary healthcare facility in north-western Nigeria. The study targeted all the healthcare workers employed in the hospital. A self-administered questionnaire was distributed to all the available healthcare workers. A total of 80/88 questionnaires were returned and analysed. Majority of the respondents were male in their early career who were within the age range of 31-40years. The results showed that 88.75% of the healthcare workers correctly described injection safety as defined by the WHO. However, only 18.75% and 40.0% had good knowledge of risks associated with, and diseases that can be transmitted through unsafe injections respectively. In addition, only 25.0% reported safe injection practices. Reuse of syringe was reported by 37.50% of the respondents and over 88% recap used needles. Majority of the healthcare workers reported a previous history of needlestick injury which was not associated with their professional cadre p-value = 0.146. Despite injection safety training, inadequate knowledge with poor injection practice was found among the surveyed healthcare workers. The reuse of syringes and needles underscores the need for adequate and safe injection commodities at all levels of healthcare delivery. Keywords: healthcare workers, injection safety, knowledge, practice
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