Knowledge, Attitude and Practices of Hand Hygiene among Students and Nurses Staff in Mwanza Tanzania: A Cross-Sectional Hospital-Based Study during Global COVID-19 Pandemic

V. Silago, Monica J. Manzi, Conjester I. Mtemisika, Prisca Damiano, M. Mirambo, M. Mushi
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引用次数: 1

Abstract

Background: Hand hygiene (HH) is a critical component of infection prevention and control (IPC) which aims at preventing microbial transmission during patient care hence reducing the burden of healthcare associated infections (HCAIs). Information on the level of HH knowledge, attitudes and practices among healthcare workers (HCWs) from low- and middle-income countries is scarce. This study determined knowledge, attitude and practices of HH among students and staff nurses in Mwanza, Tanzania. Methods: This cross-sectional hospital-based study was conducted between August and October 2020 among student and staff nurses from 2health centres, 2district hospitals, 1regional referral hospital and 1zonal referral hospital. Self-administered pretested structured questionnaires were used for data collection. All data was transferred to Microsoft excel spreadsheet for cleaning and coding, then to STATA software version 13.0 for analysis. Results: A total of 726 nurses aged 18 to 59 years with median (IQR) age of 29(24-38) years were enrolled. About 3 quarters 76.4% (555/726) of nurses had good level of knowledge on HH as most of them 88.3% (641/726) had received rigorous IPC trainings during COVID-19 pandemic. About 42.0% (305/726) of the participants reported that, the action of HH was effortless. Majority of the participants, 81.1% (589/726) practiced hand washing more than hand rubbing routinely. Being a student nurse [OR: 0.30, 95%CI: 0.21-1.44, p<.001], working in inpatient department [OR: 0.38, 95%CI: 0.27-0.55, p<.001], high level of education i.e., degree and above [OR: 1.74, 95%CI: 1.36-2.24, p<.001] and having working experience of 5 years and above [OR: 2.41, 95%CI: 1.52-3.82, p<.001] was associated with being knowledgeable of HH. Conclusion: Majority of the participants had good level of knowledge on HH because they had received rigorous training on IPC, notably HH during the global COVID-19 pandemic.
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坦桑尼亚姆万扎学生和护士人员的手卫生知识、态度和做法:一项基于医院的全球COVID-19大流行的横断面研究
背景:手部卫生(HH)是感染预防和控制(IPC)的关键组成部分,其目的是在患者护理期间防止微生物传播,从而减轻卫生保健相关感染(HCAIs)的负担。关于低收入和中等收入国家卫生保健工作者(HCWs)卫生保健知识、态度和做法水平的信息很少。本研究确定了坦桑尼亚姆万扎的学生和护理人员对健康护理的知识、态度和做法。方法:本研究于2020年8月至10月对来自2个保健中心、2个区医院、1个地区转诊医院和1个区转诊医院的学生和护士进行了横断面研究。数据收集采用自我管理的预测试结构化问卷。所有数据转移到Microsoft excel电子表格中进行清理和编码,然后使用STATA软件13.0版本进行分析。结果:共纳入726名护士,年龄18 ~ 59岁,中位(IQR)年龄29(24 ~ 38)岁。约3 / 4 76.4%(555/726)的护士具有良好的医疗保健知识水平,其中大部分88.3%(641/726)的护士在COVID-19大流行期间接受了严格的IPC培训。约42.0%(305/726)的参与者报告HH的动作是毫不费力的。81.1%(589/726)的参与者经常洗手而不是搓手。实习护士[OR: 0.30, 95%CI: 0.21 ~ 1.44, p<。001],在住院部工作[OR: 0.38, 95%CI: 0.27 ~ 0.55, p<。001],高学历,即学历及以上[OR: 1.74, 95%CI: 1.36-2.24, p<。001]具有5年及以上工作经验[OR: 2.41, 95%CI: 1.52 ~ 3.82, p<。[001]与HH知识相关。结论:大多数参与者都接受了严格的IPC培训,特别是在全球COVID-19大流行期间的HH培训,因此他们对HH的知识水平较高。
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