摘要
Background:Surgical site infections are the most frequent type of preventable hospital acquired infections with a serious and undesirable outcome of surgery associated with increase morbidity,mortality rate,hospital stay,readmission and excess cost.Surgical site infection prevention is one of the most important challenge in delivering optimal nursing care.Studies suggest that the nurses’practices of surgical site infection prevention is not well addressed.Moreover,there is clearly paucity of information,in Africa including the study area.Objective:The aim of this study was to assess surgical site infection prevention practices and associated factors among nurses working in government hospitals of Harari Regional State and Dire Dawa City Administration,Eastern Ethiopia from March 01 to 28,2019.Method and Materials:An institutional based cross-sectional study design was employed for a total of 515 nurses.Simple random sampling method was used to select study participants.Data were collected using pretested structured self-administered questionnaire supplemented by observation.Data were checked,coded,entered and cleaned using Epi-data version 3.1 and exported to SPSS version 20 for analysis.Bivariate and multivariate analysis were undertaken and P values less than 0.05 at 95%confidence interval were considered as statistically significant.Result:The overall self-reported level of SSI prevention practice was found to be 40.8%(95%CI:36.9%,45.4%).Nurses with BSc and above[Adjusted odds ratio(AOR)=2.52,95%CI(1.14,5.54)],trained on infection prevention[AOR=2.22,95%CI(1.29,3.82)],good knowledge[AOR=2.21,95%CI(1.32,3.71)],good attitude[AOR=5.11,95%CI(3.05,8.57)],got supply of personal protective equipment[AOR=2.57,95%CI(1.46,4.49)],had management support[AOR=3.41,95%CI(1.90,6.12)],experience of 5 to 10 years[AOR=5.38,95%CI(2.82,10.27)]and≥11 years[AOR=3.48,95%CI(1.47,8.25)],were found to be statistically and positively associated with nurses SSI prevention practice.Conclusion:In this study,the level of surgical site infection prevention practice was poor.Being BSc and above,being knowledgeable and good attitude,got personal protective equipment,had management support,serving for≥5 years and trained on infection prevention were found to be significantly associated with surgical site infection prevention practice.Updating knowledge and practice of nurses through in-service education and training on latest evidence-based practice,regularly supplying of personal protective equipment,developing hospital policy and procedures for surgical site infection prevention practice is recommended.
背景:手术部位感染是可预防的医院获得性感染中最常见的类型,其不良的手术结果与发病率,死亡率,住院时间,再入院和费用增加有关。预防手术部位感染是提供最佳护理的最重要挑战之一。研究表明,护士预防手术部位感染的方法未得到很好的解决。此外,在非洲包括研究地区显然缺乏研究。目的:本研究的目的是评估2019年3月1日至28日在埃塞俄比亚东部哈拉里地区州政府和迪里达瓦市政府的政府医院工作的护士的手术部位感染预防措施及相关因素。方法和材料:共515名护士参与机构的横断面研究设计。使用简单的随机抽样方法来选择研究参与者。使用通过观察补充的预先测试的结构化自我管理调查表收集数据。使用Epi-data 3.1版检查,编码,输入和清除数据,然后将其导出到SPSS 20版进行分析。研究进行了双变量和多变量分析,在95%置信区间内的P值小于0.05被认为具有统计学意义。结果:手术部位感染预防实践的总体自我报告水平为40.8%(95%CI:36.9%,45.4%)。学士学位及以上的护士[调整后的优势比[(AOR)=2.52,95%CI(1.14,5.54)],接受过感染预防培训[AOR=2.22,95%CI(1.29,3.82)],良好的知识[AOR=2.21,95%CI(1.32,3.71)],良好的态度[AOR=5.11,95%CI(3.05,8.57)],已获得个人防护用品的供应[AOR=2.57,95%CI(1.46,4.49)],管理支持[AOR=3.41,95%CI(1.90,6.12)],5至10年的经验[AOR=5.38,95%CI(2.82,10.27)]和≥11年[AOR=3.48,95%CI(1.47,8.25)]被发现与护士手术部位感染预防实践在统计上正相关。结论:在这项研究中,预防手术部位感染的水平很差。拥有学士学位及以上学历,知识渊博,态度良好,拥有个人防护设备,有管理支持,服务≥5年并接受过感染预防培训,这与手术部位感染的预防措施有很大关联。建议通过在职教育和最新循证实践培训,定期提供个人防护设备,制定医院政策和预防手术部位感染实践的方法来更新护士的知识和实践。
