尼日利亚一家三级医院医护人员对乙型肝炎病毒感染、乙型肝炎疫苗免疫、风险认知和控制肝炎的挑战的了解

Hepatitis research and treatment Pub Date : 2015-01-01 Epub Date: 2015-01-22 DOI:10.1155/2015/439867
Olusegun Adekanle, Dennis A Ndububa, Samuel Anu Olowookere, Oluwasegun Ijarotimi, Kayode Thaddeus Ijadunola
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引用次数: 84

摘要

背景。研究报告称,参与疫苗接种规划较少的医院工作人员,特别是那些工作暴露于HBV感染风险的工作人员,乙型肝炎感染率很高。该研究评估了卫生工作者对乙型肝炎病毒感染的知识、风险认知、疫苗接种史以及控制肝炎的挑战。方法。一项描述性横断面研究。同意的卫生保健工作者完成了一份自我管理的问卷,评估了受访者对HBV的一般知识、疫苗接种史和HBsAg状况、风险认知和控制肝炎的挑战。数据分析采用描述性和推断性统计。结果。382名医护人员参与了这项研究。其中男性182人,女性200人。受访者包括94名医生(25%)、168名护士(44%)、68名医学化验师(18%)和52名药剂师(14%)。超过33%的人知识贫乏,35%的人没有接种过乙肝疫苗。良好知识的预测因素包括年龄小于35岁,男性,是医生,以前的HBsAg测试和完全的HBV免疫接种。确定的控制肝炎的挑战包括缺乏医院政策(91.6%),新雇用的卫生工作者定向不良(75.9%)和低风险认知(74.6%)。结论。医院政策问题和对HBV传播的低风险认知对控制HBV感染具有重大意义。
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Knowledge of Hepatitis B Virus Infection, Immunization with Hepatitis B Vaccine, Risk Perception, and Challenges to Control Hepatitis among Hospital Workers in a Nigerian Tertiary Hospital.

Background. Studies had reported high rate of hepatitis B infection among hospital workers with low participation in vaccination programmes, especially those whose work exposes them to the risk of HBV infection. The study assessed knowledge of hepatitis B virus infection, risk perception, vaccination history, and challenges to control hepatitis among health workers. Methods. A descriptive cross-sectional study. Consenting health care workers completed a self-administered questionnaire that assessed respondents' general knowledge of HBV, vaccination history and HBsAg status, risk perception, and challenges to control hepatitis. Data was analysed using descriptive and inferential statistics. Results. Three hundred and eighty-two health care workers participated in the study. There were 182 males and 200 females. The respondents comprised 94 (25%) medical doctors, 168 (44%) nurses, 68 (18%) medical laboratory technologists, and 52 (14%) pharmacists. Over 33% had poor knowledge with 35% not immunized against HBV. Predictors of good knowledge include age less than 35 years, male sex, being a medical doctor, previous HBsAg test, and complete HBV immunisation. Identified challenges to control hepatitis include lack of hospital policy (91.6%), poor orientation of newly employed health workers (75.9%), and low risk perception (74.6%). Conclusion. Hospital policy issues and low risk perception of HBV transmission have grave implications for the control of HBV infection.

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