背景:医院会产生对患者有害的各种废物,卫生工作者,社区,和环境。正确的医疗废物管理(HCWM)需要基础设施,训练有素的劳动力,法律和监督。Tripura超过80%的人口依赖于公共医疗保健系统,但Tripura公共部门的医护人员对HCWM的知识和实践尚不清楚。
目的:目的是评估医护人员对HCWM的知识和实践,并考虑Tripura公共部门现有的HCWM设施。
方法:这是一个基于设施的,横断面研究。
方法:本研究于2015年11月1日至2017年10月16日期间,对30家医疗机构的544名医护人员进行了分层随机抽样。使用SPSS软件15.0版进行数据输入和分析。
结果:总体而言,37.68%的受访者对HCWM有公平的了解,8.27%接受了HCWM的在职培训,66.17%的人接受了乙型肝炎免疫接种,>90%的受访者知道在源头的废物分离,但关于使用彩色垃圾箱的知识在不同类别的参与者中差异很大。家政人员对这些问题中的大多数一无所知。83.63%的工人知道在处置前对废物进行消毒的重要性。39.15%的受访者实行了适当的HCWM,其次是23.3%的受访者将废物从源头分离到彩色垃圾箱中。研究表明,废物管理设施和废物管理政策的显示都很差。技术资格和在职培训被确定为HCWM知识和实践的统计学显著决定因素(P<0.05)。
结论:缺乏包括Tripura医护人员知识在内的HCWM方案。安装适当的废物管理设施,在招聘和在职培训中提高技术资格可能会改善这种情况。
BACKGROUND: Hospitals generate variety of waste which is hazardous to patients, health workers, community, and environment. Proper health-care waste management (HCWM) requires infrastructure, trained workforce, law and supervision. More than 80% of the population of Tripura depends on the public health-care system but the knowledge and practice of health-care workers regarding HCWM in the public sector of Tripura is not clear.
OBJECTIVE: The objective was to assess the knowledge and practice of health-care workers regarding HCWM and to take an account of the existing HCWM facilities in the public sector of Tripura.
METHODS: This was a facility-based, cross-sectional study.
METHODS: This study was conducted during 1st November 2015 to 16th October 2017 among 544 health-care workers working in thirty health institutions chosen by stratified random sampling. Data entry and analysis was performed using SPSS software version 15.0.
RESULTS: Overall, 37.68% of the respondents had fair knowledge regarding HCWM, 8.27% received in-service training on HCWM, 66.17% were immunized against hepatitis B and > 90% of the respondents knew about segregation of waste at source but knowledge regarding the use of colored bins for this purpose varied widely across different categories of participants. Housekeeping staff were ignorant about most of these issues. The importance of disinfecting the waste before disposal was known to 83.63% of the workers. Proper HCWM was practiced by 39.15% and segregation of waste at source into colored bins was followed by 23.3% of the respondents. The study revealed both waste management facilities and display of waste management policy as poor. Technical qualification and in-service training were identified as the statistically significant determinants of knowledge and practice of HCWM (P < 0.05).
CONCLUSIONS: HCWM scenario including knowledge of health-care workers in Tripura is lacking. Installing proper waste management facilities, raising technical qualification at recruitment and in-service training may improve the situation.