背景:医护人员为面临SARS-COV-2暴露风险升高的COVID-19患者执行各种临床程序。这项研究旨在评估Qazvin的医护人员暴露于COVID-19,2020年伊朗
方法:我们在Qazvin省所有接触COVID-19的一线医护人员中进行了这项描述性分析研究。我们使用多阶段分层随机抽样方法将参与者输入研究。我们用了一份问卷,“COVID-19疾病背景下的卫生工作者暴露风险评估和管理”,由世界卫生组织(WHO)设计用于收集数据。我们使用SPSS软件版本24使用描述性和分析方法分析数据。
结果:结果显示,研究中的所有参与者都职业暴露于COVID-19病毒。所以在243名医护人员中,186人(76.5%)处于低风险,57人(23.5%)处于COVID-19病毒感染的高风险。此外,从问卷中提到的六个领域中,卫生工作者在COVID-19疾病背景下的暴露风险评估和管理,医护人员与确诊的COVID-19患者互动类型领域的平均得分,对确诊的COVID-19患者进行的卫生工作者活动领域,在医疗保健互动期间坚持感染预防和控制(IPC)的领域,在高风险组中进行气溶胶生成程序时,对IPC的依从性高于低风险组。
结论:尽管世卫组织有严格的指导方针,许多医护人员在感染COVID-19时都暴露在外。因此,医疗保健经理,规划者,政策制定者可以修改政策,提供适当和及时的个人防护设备,并计划对工作人员进行有关感染预防和控制原则的持续培训。
BACKGROUND: Healthcare workers perform various clinical procedures for COVID-19 patients facing an elevated risk of exposure to SARS-COV-2.This study aimed to assess the healthcare workers\' exposure to COVID-19 in Qazvin, Iran in 2020.
METHODS: We conducted this descriptive-analytical study among all healthcare workers on the frontline of exposure to COVID-19 in Qazvin province. We entered the participants into the study using a multi-stage stratified random sampling method. We utilized a questionnaire, \"Health workers exposure risk assessment and management in the context of COVID-19 disease\", designed by the World Health Organization (WHO) to collect data. We analyzed data using descriptive and analytical methods with SPSS software version 24.
RESULTS: The results showed that all participants in the study had occupational exposure to the COVID-19 virus. So of 243 healthcare workers, 186 (76.5%) were at low risk and 57 (23.5%) at high risk of COVID-19 virus infection. Also, from the six domains mentioned in the questionnaire, health workers exposure risk assessment and management in the context of COVID-19 disease, the mean score of the domain of the type of healthcare worker interaction with a confirmed COVID-19 patient, the domain of health worker activities performed on a confirmed COVID-19 patient, the domain of the adherence to infection prevention and control (IPC) during health care interactions, and the domain of the adherence to IPC when performing aerosol-generating procedures in the high-risk group were more than the low-risk group.
CONCLUSIONS: Despite strict WHO guidelines, many healthcare workers are exposed at contracting COVID-19. Therefore, healthcare managers, planners, and policymakers can revise the policies, provide appropriate and timely personal protective equipment, and plan for ongoing training for staff on the principles of infection prevention and control.