目的:评估Amhara地区医院医护人员(HCWs)在诊断和管理水痘疾病方面的信心水平及其相关因素。
方法:基于机构的横断面研究。
方法:阿姆哈拉地区的医院,埃塞俄比亚西北部。
方法:总共640个HCWs,有效率为96.9%,参加时间为2022年10月1日至12月30日。采用比例分配的多阶段分层随机抽样技术招募研究参与者。使用KoboCollect工具箱收集数据并导出到STATAV.17用于分析。描述性统计用于描述数据。序数逻辑回归分析用于确定p<0.05时诊断和管理水痘的置信水平的预测因子。
方法:HCWs诊断和管理水痘疾病的置信水平及其相关因素。
结果:发现在诊断和管理水痘疾病中具有高置信度的医护人员的总体比例为31.5%(95%CI:27.9%,35.2%)。同样,26.8%(95%CI:23.2%,30.3%)和41.8%(95%CI:38.1%,45.4%)的HCWs表示诊断和管理疾病的中低置信水平,分别。对于定期访问适合网站的医护人员,诊断和管理痘的置信度较高与较低或中等置信度的几率更大(调整后的OR(AOR)=1.59,95%CI:1.16,2.2),是医生(AOR=1.9,95%CI:1.32,2.73),年龄30-35岁(AOR=1.64,95%CI:1.12,2.39),曾接受过突发公共卫生事件流行病管理培训(AOR=2.8,95%CI:1.94,4.04),与同行相比态度积极(AOR=1.72,95%CI:1.26,2.36)。
结论:研究区域的HCW在诊断和管理水痘疾病方面的总体信心水平较低。因此,通过晨间课程和水痘疾病诊断和临床管理(包括感染预防和控制)培训,医护人员应定期更新水痘的相关信息.
OBJECTIVE: To assess healthcare workers\' (HCWs) confidence level in diagnosing and managing mpox disease and its associated factors in hospitals in the Amhara Region.
METHODS: Institution-based cross-sectional study.
METHODS: Hospitals in the Amhara Region, Northwest Ethiopia.
METHODS: A total of 640 HCWs, with a response rate of 96.9%, participated from 1 October to 30 December 2022. A multistage stratified random sampling technique with proportional allocation was used to recruit study participants. Data were collected using the KoboCollect toolbox and exported to STATA V.17 for analysis. Descriptive statistics were used to describe data. Ordinal logistic regression analysis was used to identify predictors of confidence level to diagnose and manage mpox at p<0.05.
METHODS: HCWs\' confidence level in diagnosing and managing mpox disease and its associated factors.
RESULTS: The overall proportion of HCWs who had high confidence level in diagnosing and managing mpox disease was found to be 31.5% (95% CI: 27.9%, 35.2%). Similarly, 26.8% (95% CI: 23.2%, 30.3%) and 41.8% (95% CI: 38.1%, 45.4%) of HCWs expressed medium and low confidence level to diagnose and manage the disease, respectively. The odds of higher confidence versus lower or medium confidence level in diagnosing and managing mpox were greater for HCWs who regularly visit amenable websites (adjusted OR (AOR)=1.59, 95% CI: 1.16, 2.2), were physicians (AOR=1.9, 95% CI: 1.32, 2.73), were aged 30-35 years old (AOR=1.64, 95% CI: 1.12, 2.39), had got public health emergency epidemic disease management training (AOR=2.8, 95% CI: 1.94, 4.04) and had positive attitudes (AOR=1.72, 95% CI: 1.26, 2.36) compared with their counterparts.
CONCLUSIONS: The overall confidence level of HCWs in diagnosing and managing mpox disease in the study area was low. Therefore, the HCWs should be regularly updated about mpox disease through morning sessions and training in the diagnosis and clinical management of mpox disease including infection prevention and control.