بررسي دانش، نگرش و عملكرد جراحان و دستياران رشته هاي جراحي در زمينه احتياطات استاندارد

Knowledge, Attitude and Practice of Surgeons and Surgical Residents in Disciplines Standard Precautions

هزينه زياد درمان، تعداد زياد بيماران، افزايش روزافزون عفونت هاي بيمارستاني و بروز سريع عفونت هايي مانند HIV،HCV و HBV منجر به تدوين اصولي به نام احتياطات استاندارد شده است. هدف اين مطالعه ارزيابي سطح دانش، نگرش و عملكرد پزشكان جراح و دستياران رشته هاي جراحي در بيمارستان هاي آموزشي دانشگاه علوم پزشكي اصفهان بود تا از نتايج آن در امر بازآموزي و آموزش پزشكان استفاده شود. روش ها: در اين مطالعه مقطعي، 140 پزشك شامل استادان و دستياران رشته هاي جراحي بيمارستان هاي آموزشي دانشگاه علوم پزشكي اصفهان توسط يك پرسش نامه كه حاوي مشخصات دموگرافيك، سوالاتي در زمينه دانش، نگرش و عملكرد بود، مورد ارزيابي قرار گرفتند. تعداد 140 نفر به صورت تصادفي انتخاب و پرسش نامه در اختيار آن ها قرار گرفت. نمره دانش، نگرش و عملكرد افراد سنجيده شد. يافته ها: ميانگين نمره دانش جراحان 1.22±8.25 و ميانگين نمره دستياران جراحي 1.37±7.94 بود(P<0.05) ؛ ميانگين نمره نگرش جراحان 40.56±0.46 و ميانگين نمره نگرش دستياران جراحي 38.68±3.70 به دست آمد .(P<0.05) ميانگين نمره عملكرد جراحان برابر با 2.29±4.78 و ميانگين نمره عملكرد دستياران جراحي 2.21±3.38 به دست آمد .(P<0.02)اين يافته ها نشان داد كه عملكرد جراحان نسبت به احتياطات استاندارد بهتر از دستياران جراحي بوده است. نتيجه گيري: به نظر مي رسد جهت بهبود عملكرد بايد برنامه هاي آموزشي منظم، مداوم و جهت دار تدوين شود و نظارت بيشتري بر اجراي اصول احتياطات استاندارد صورت گيرد.

Background: Standard isolation precautions are designed to reduce the risk of acquiring occupational infections from both known and unknown sources in the healthcare setting. Awareness and compliance with these recommendations is crucial for the prevention of occupational nosocomial infections in healthcare workers. Improving the compliance of standard precautions (SP) is one of the most important ways to reduce healthcare associated infections, but also the most difficult to achieve. The aim of this study was to evaluate the levels of knowledge, attitude and practice of surgeons and surgical residents in Isfahan, regarding standard precautions. Methods: In a cross-sectional, 140 surgeons and surgical residents were evaluated about standard precaution in Isfahan University of Medical Sciences. Questionnaires were handed to participants who were willing to take part in the survey. The questionnaire included demographic data and also knowledge, attitude and practice of standard precaution. The questionnaire was self-administered. Descriptive and inferential statistics including Spearman and Mann-Withney tests were performed. Finding: In this study, 91 residents and 48 surgeons were assessed with the mean age of 38.26 ± 10.86 years. The mean for surgeons’ knowledge was 8.25 ± 1.22 and mean for surgical residents’ knowledge was 7.94 ± 1.37 (P > 0.05). The mean for surgeons’ attitude was 40.56 ± 3.46 and mean for residents’ was 38.68 ± 3.70 (P < 0.05). The mean of surgeons’ practice was 4.78 ± 2.29 and mean of surgical residents’ practice was 3.80 ± 2.21 (P < 0.05). Conclusion: The results suggest that among study groups, the levels of knowledge and attitude regarding standard isolation precautions were acceptable; although compliance level was moderate. Therfore, for better acting attitude and practice, we have to educate and update healthcare worker especially who had poor practice.