Araştırma Makalesi
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Sağlık Çalışanlarının Hepatit B, Hepatit C ve HIV/AIDS Konusundaki Bilgi, Tutum ve Davranışlarının Analizi: Kesitsel Bir Klinik Çalışma

Yıl 2024, Cilt: 33 Sayı: 4, 263 - 270, 09.12.2024
https://doi.org/10.17942/sted.1362032

Öz

Amaç: Bir eğitim ve araştırma hastanesindeki hekim ve hemşirelerden oluşan sağlık çalışanlarının hepatit B virüsü (HBV), hepatit C virüsü (HCV) ve İnsan İmmün Yetmezlik Virüsü (HIV) hakkındaki bilgi düzeylerini, hastalara yaklaşımlarını ve düzeltilmesi gereken eksiklikleri belirlemek amaçlanmıştır.
Yöntem: Bu kesitsel klinik çalışma için sağlık çalışanlarına 30.07.2023 tarihinde anket uygulanmıştır. Katılımcılara HBV, HCV ve HIV/AIDS hakkında (bulaşma yolları, hastalığa bakış açıları, korunma yöntemleri, profilaksi vb.) Google Formlar aracılığı ile sorular sorulmuştur. Elde edilen verilerin istatistiksel analizi için ki-kare testi yapılmıştır.
Bulgular: 77'si (%46,7) hekim ve 88'i (%53,3) hemşire olmak üzere toplam 165 sağlık çalışanı anketi doldurarak çalışmaya katıldı. Bunların 89'u (%53,9) kadın idi. Bu çalışmanın sonuçlarına göre, HBV, HCV ve HIV/AIDS hakkındaki bilgi eksikliği hekimlerde hemşirelere göre daha az oranda tespit edildi. Ayrıca meslekte çalışma yılı arttıkça deneyimle birlikte bilgi düzeyinin de arttığı görüldü. Katılımcıların çoğunluğu her üç virüsün de kan yoluyla bulaştığını doğru olarak ifade etmiştir. Ancak emzirme, vertikal bulaş ve temas sonrası profilaksi ile ilgili sorularda doğru cevap yüzdesi düşüktü. Enfekte hastalardan bulaşmayı önlemek için en yaygın önlem "eldiven kullanımı" idi (%70,9).
Sonuç: Sağlık çalışanlarının HBV, HCV ve HIV hakkındaki bilgi düzeylerinin periyodik olarak hizmet içi eğitimler düzenlenerek artırılması gerekmektedir. Bu durum, enfeksiyon kontrolünün sağlanmasına katkıda bulunacaktır.

Kaynakça

  • Mysore KR, Leung DH. Hepatitis B and C. Clin Liver Dis. 2018;22(4):703-22.
  • Maharaj Z, Pietrzak JRT, Sikhauli N, van de Jagt D, Mokete L. The seroprevalence of HIV in patients undergoing lower limb Total Joint Arthroplasty (TJA) in South Africa. Sicot j. 2020;6:3.
  • AlJohani A, Karuppiah K, Al Mutairi A, Al Mutair A. Narrative Review of Infection Control Knowledge and Attitude among Healthcare Workers. J Epidemiol Glob Health. 2021;11(1):20-5.
  • Rantala M, van de Laar MJ. Surveillance and epidemiology of hepatitis B and C in Europe - a review. Euro Surveill. 2008;13(21).
  • Mohamud RYH, Mohamed NA, Doğan A, Hilowle FM, Isse SA, Hassan MY, et al. Needlestick and Sharps Injuries Among Healthcare Workers at a Tertiary Care Hospital: A Retrospective Single-Center Study. Risk Manag Healthc Policy. 2023;16:2281-9.
  • Kashyap B, Tiwari U, Prakash A. Hepatitis B virus transmission and health care workers: Epidemiology, pathogenesis and diagnosis. Indian Journal of Medical Specialities. 2018;9(1):30-5.
  • Akdemir Kalkan İ, Usturalı Mut AN, Darakci SM, Demir Y, Aktar F, Çelen MK. Knowledge and Prejudice about HIV/AIDS among Physicians and Nurses at a University Hospital. Van Med J. 2021;28(1):91-9.
  • Bayrak B, Keten S, Fincancı M. Sağlık Çalışanlarının HIV/AIDS Olgularına Yaklaşımları. Klimik Journal/Klimik Dergisi. 2014;27(3).
  • Smith DK, Grohskopf LA, Black RJ, Auerbach JD, Veronese F, Struble KA, et al. Antiretroviral postexposure prophylaxis after sexual, injection-drug use, or other nonoccupational exposure to HIV in the United States: recommendations from the U.S. Department of Health and Human Services. MMWR Recomm Rep. 2005;54(Rr-2):1-20.
  • Mukherjee S, Bhattacharyya A, Goswami DN, Ghosh S, Samanta A. Knowledge and Practice of Standard Precautions and Awareness Regarding Post-Exposure Prophylaxis for HIV among Interns of a Medical College in West Bengal, India. Oman Med J. 2013;28(2):141-5.
  • Inci A, Altan Y, Bicer IG, Derbent A, Salihoglu Z. Knowledge Level About HIV/AIDS among Health Care Workers at Intensive Care Unit/Yogun Bakim Unitesinde Calisan Saglik Personelinin HIV/AIDS Konusundaki Bilgi Duzeyi. KLIMIK Journal. 2018;31(2):110-5.
  • Hatipoğlu Ç, Bulut C, Çelik A, Yıldız F, Kınıklı S, Demiröz A. Bir eğitim hastanesinde sağlık personelinin HIV/AIDS konusundaki bilgi düzeyleri. Türk HIV/AIDS Dergisi. 2005;8(2):56-60.
  • Mohsen F, Shibani M, Ibrahim N, Alhourani G, Melhem S, Alzabibi MA, et al. Knowledge, Attitude, and Practice Regarding HIV, HBV, and HCV Among Medical Students of Syrian Private University, Damascus, Syria. Community Health Equity Res Policy. 2023;43(2):161-70.
  • İnci A, Altan Y, Biçer İG, Derbent A, Salihoğlu Z, editors. Yoğun Bakım Ünitesinde Çalışan Sağlık Personelinin HIV/AIDS Konusundaki Bilgi Düzeyi. Presented at the 21st International Intensive Care Symposium; 2017.
  • Nijmeijer BM, Koopsen J, Schinkel J, Prins M, Geijtenbeek TB. Sexually transmitted hepatitis C virus infections: current trends, and recent advances in understanding the spread in men who have sex with men. J Int AIDS Soc. 2019;22 Suppl 6(Suppl Suppl 6):e25348.
  • Mtengezo J, Lee H, Ngoma J, Kim S, Aronowitz T, DeMarco R, et al. Knowledge and Attitudes toward HIV, Hepatitis B Virus, and Hepatitis C Virus Infection among Health-care Workers in Malawi. Asia Pac J Oncol Nurs. 2016;3(4):344-51.
  • Biradar SM, Kamble VS, Reddy S. Study to assess awareness about HIV/AIDS among medical students. International Journal Of Community Medicine And Public Health. 2017;3(1):62-4.
  • Haroun D, El Saleh O, Wood L, Mechli R, Al Marzouqi N, Anouti S. Assessing Knowledge of, and Attitudes to, HIV/AIDS among University Students in the United Arab Emirates. PLoS One. 2016;11(2):e0149920.
  • Dionne-Odom J, Cozzi GD, Franco RA, Njei B, Tita ATN. Treatment and prevention of viral hepatitis in pregnancy. Am J Obstet Gynecol. 2022;226(3):335-46.
  • Belopolskaya M, Avrutin V, Kalinina O, Dmitriev A, Gusev D. Chronic hepatitis B in pregnant women: Current trends and approaches. World J Gastroenterol. 2021;27(23):3279-89.
  • Infant feeding and transmission of human immunodeficiency virus in the United States. Pediatrics. 2013;131(2):391-6.
  • Organization WH. Guideline: updates on HIV and infant feeding: the duration of breastfeeding, and support from health services to improve feeding practices among mothers living with HIV. 2016.
  • Akdoğan Ö, Yapar D, Demir E, Tunçel-Öztürk P, Kocagül-Çelikbaş A, Baykam N. HIV/AIDS Hastalarını Takip Etmeye Hazır mıyız? Klimik Journal/Klimik Dergisi. 2022;35(1).
  • Sağlam AM, Sarikaya N. Evaluation of infection-control practices by orthodontists in Turkey. Quintessence Int. 2004;35(1):61-6.
  • Hosoglu S, Akalin S, Sunbul M, Otkun M, Ozturk R. Healthcare workers’ compliance with universal precautions in Turkey. Med Hypotheses. 2011;77(6):1079-82.
  • Parmeggiani C, Abbate R, Marinelli P, Angelillo IF. Healthcare workers and health care-associated infections: knowledge, attitudes, and behavior in emergency departments in Italy. BMC Infect Dis. 2010;10:35.
  • Elliott T, Sanders EJ, Doherty M, Ndung’u T, Cohen M, Patel P, et al. Challenges of HIV diagnosis and management in the context of pre-exposure prophylaxis (PrEP), post-exposure prophylaxis (PEP), test and start and acute HIV infection: a scoping review. J Int AIDS Soc. 2019;22(12):e25419.
  • Kabotho KT, Chivese T. Occupational exposure to HIV among nurses at a major tertiary hospital: Reporting and utilization of post-exposure prophylaxis; A cross-sectional study in the Western Cape, South Africa. PLoS One. 2020;15(4):e0230075.
  • Nevin İ. Diş Hekimlerinin HIV/AIDS ve Oral Lezyonlar Hakkındaki Bilgi Düzeyi ve Tutumlarının Değerlendirilmesi. Konuralp Medical Journal.11(2):202-7.
  • Eticha EM, Gemeda AB. Knowledge, Attitude, and Practice of Postexposure Prophylaxis against HIV Infection among Healthcare Workers in Hiwot Fana Specialized University Hospital, Eastern Ethiopia. AIDS Res Treat. 2019;2019:7947086.

Analysis of Health Care Professionals’ Knowledge, Attitudes and Behaviours about Hepatitis B, Hepatitis C and HIV/AIDS: A Cross-sectional Clinical Study

Yıl 2024, Cilt: 33 Sayı: 4, 263 - 270, 09.12.2024
https://doi.org/10.17942/sted.1362032

Öz

Objective: The aim of this study was to determine the level of knowledge about hepatitis B virus (HBV), hepatitis C virus (HCV) and Human Immunodeficiency Virus (HIV), their approaches to patients and the deficiencies that need to be corrected among health care workers including physicians and nurses in a training and research hospital.
Methods: Healthcare professionals were surveyed on 30.07.2023 for this cross-sectional clinical study. Questions were asked to the respondents about HBV, HCV, and HIV/AIDS (transmission routes, perspectives on the disease, prevention methods, prophylaxis, etc.) via Google Forms. A chi-square test was performed for statistical analysis of the obtained data.
Results: A total of 165 healthcare professionals, 77 (46.7%) physicians and 88 (53.3%) nurses, filled out the questionnaire and participated in the study. 89 (53.9%) of them were women. Based on the results of this study, the lack of knowledge about HBV, HCV and HIV/AIDS was less in physicians than in nurses. In addition, as the years of work in the profession increased, the level of knowledge increased with the experience. The majority of the respondents correctly stated that all three viruses were transmitted through blood. However, the percentage of correct answers was low in questions about breastfeeding, vertical transmission, and post-exposure prophylaxis. The most common measure to prevent transmission from infected patients was the “use of gloves” (70.9%).
Conclusion: It is necessary to increase the knowledge level of health workers about HBV, HCV, and HIV by periodically organizing in-service trainings. This will help ensure effective infection control.

Kaynakça

  • Mysore KR, Leung DH. Hepatitis B and C. Clin Liver Dis. 2018;22(4):703-22.
  • Maharaj Z, Pietrzak JRT, Sikhauli N, van de Jagt D, Mokete L. The seroprevalence of HIV in patients undergoing lower limb Total Joint Arthroplasty (TJA) in South Africa. Sicot j. 2020;6:3.
  • AlJohani A, Karuppiah K, Al Mutairi A, Al Mutair A. Narrative Review of Infection Control Knowledge and Attitude among Healthcare Workers. J Epidemiol Glob Health. 2021;11(1):20-5.
  • Rantala M, van de Laar MJ. Surveillance and epidemiology of hepatitis B and C in Europe - a review. Euro Surveill. 2008;13(21).
  • Mohamud RYH, Mohamed NA, Doğan A, Hilowle FM, Isse SA, Hassan MY, et al. Needlestick and Sharps Injuries Among Healthcare Workers at a Tertiary Care Hospital: A Retrospective Single-Center Study. Risk Manag Healthc Policy. 2023;16:2281-9.
  • Kashyap B, Tiwari U, Prakash A. Hepatitis B virus transmission and health care workers: Epidemiology, pathogenesis and diagnosis. Indian Journal of Medical Specialities. 2018;9(1):30-5.
  • Akdemir Kalkan İ, Usturalı Mut AN, Darakci SM, Demir Y, Aktar F, Çelen MK. Knowledge and Prejudice about HIV/AIDS among Physicians and Nurses at a University Hospital. Van Med J. 2021;28(1):91-9.
  • Bayrak B, Keten S, Fincancı M. Sağlık Çalışanlarının HIV/AIDS Olgularına Yaklaşımları. Klimik Journal/Klimik Dergisi. 2014;27(3).
  • Smith DK, Grohskopf LA, Black RJ, Auerbach JD, Veronese F, Struble KA, et al. Antiretroviral postexposure prophylaxis after sexual, injection-drug use, or other nonoccupational exposure to HIV in the United States: recommendations from the U.S. Department of Health and Human Services. MMWR Recomm Rep. 2005;54(Rr-2):1-20.
  • Mukherjee S, Bhattacharyya A, Goswami DN, Ghosh S, Samanta A. Knowledge and Practice of Standard Precautions and Awareness Regarding Post-Exposure Prophylaxis for HIV among Interns of a Medical College in West Bengal, India. Oman Med J. 2013;28(2):141-5.
  • Inci A, Altan Y, Bicer IG, Derbent A, Salihoglu Z. Knowledge Level About HIV/AIDS among Health Care Workers at Intensive Care Unit/Yogun Bakim Unitesinde Calisan Saglik Personelinin HIV/AIDS Konusundaki Bilgi Duzeyi. KLIMIK Journal. 2018;31(2):110-5.
  • Hatipoğlu Ç, Bulut C, Çelik A, Yıldız F, Kınıklı S, Demiröz A. Bir eğitim hastanesinde sağlık personelinin HIV/AIDS konusundaki bilgi düzeyleri. Türk HIV/AIDS Dergisi. 2005;8(2):56-60.
  • Mohsen F, Shibani M, Ibrahim N, Alhourani G, Melhem S, Alzabibi MA, et al. Knowledge, Attitude, and Practice Regarding HIV, HBV, and HCV Among Medical Students of Syrian Private University, Damascus, Syria. Community Health Equity Res Policy. 2023;43(2):161-70.
  • İnci A, Altan Y, Biçer İG, Derbent A, Salihoğlu Z, editors. Yoğun Bakım Ünitesinde Çalışan Sağlık Personelinin HIV/AIDS Konusundaki Bilgi Düzeyi. Presented at the 21st International Intensive Care Symposium; 2017.
  • Nijmeijer BM, Koopsen J, Schinkel J, Prins M, Geijtenbeek TB. Sexually transmitted hepatitis C virus infections: current trends, and recent advances in understanding the spread in men who have sex with men. J Int AIDS Soc. 2019;22 Suppl 6(Suppl Suppl 6):e25348.
  • Mtengezo J, Lee H, Ngoma J, Kim S, Aronowitz T, DeMarco R, et al. Knowledge and Attitudes toward HIV, Hepatitis B Virus, and Hepatitis C Virus Infection among Health-care Workers in Malawi. Asia Pac J Oncol Nurs. 2016;3(4):344-51.
  • Biradar SM, Kamble VS, Reddy S. Study to assess awareness about HIV/AIDS among medical students. International Journal Of Community Medicine And Public Health. 2017;3(1):62-4.
  • Haroun D, El Saleh O, Wood L, Mechli R, Al Marzouqi N, Anouti S. Assessing Knowledge of, and Attitudes to, HIV/AIDS among University Students in the United Arab Emirates. PLoS One. 2016;11(2):e0149920.
  • Dionne-Odom J, Cozzi GD, Franco RA, Njei B, Tita ATN. Treatment and prevention of viral hepatitis in pregnancy. Am J Obstet Gynecol. 2022;226(3):335-46.
  • Belopolskaya M, Avrutin V, Kalinina O, Dmitriev A, Gusev D. Chronic hepatitis B in pregnant women: Current trends and approaches. World J Gastroenterol. 2021;27(23):3279-89.
  • Infant feeding and transmission of human immunodeficiency virus in the United States. Pediatrics. 2013;131(2):391-6.
  • Organization WH. Guideline: updates on HIV and infant feeding: the duration of breastfeeding, and support from health services to improve feeding practices among mothers living with HIV. 2016.
  • Akdoğan Ö, Yapar D, Demir E, Tunçel-Öztürk P, Kocagül-Çelikbaş A, Baykam N. HIV/AIDS Hastalarını Takip Etmeye Hazır mıyız? Klimik Journal/Klimik Dergisi. 2022;35(1).
  • Sağlam AM, Sarikaya N. Evaluation of infection-control practices by orthodontists in Turkey. Quintessence Int. 2004;35(1):61-6.
  • Hosoglu S, Akalin S, Sunbul M, Otkun M, Ozturk R. Healthcare workers’ compliance with universal precautions in Turkey. Med Hypotheses. 2011;77(6):1079-82.
  • Parmeggiani C, Abbate R, Marinelli P, Angelillo IF. Healthcare workers and health care-associated infections: knowledge, attitudes, and behavior in emergency departments in Italy. BMC Infect Dis. 2010;10:35.
  • Elliott T, Sanders EJ, Doherty M, Ndung’u T, Cohen M, Patel P, et al. Challenges of HIV diagnosis and management in the context of pre-exposure prophylaxis (PrEP), post-exposure prophylaxis (PEP), test and start and acute HIV infection: a scoping review. J Int AIDS Soc. 2019;22(12):e25419.
  • Kabotho KT, Chivese T. Occupational exposure to HIV among nurses at a major tertiary hospital: Reporting and utilization of post-exposure prophylaxis; A cross-sectional study in the Western Cape, South Africa. PLoS One. 2020;15(4):e0230075.
  • Nevin İ. Diş Hekimlerinin HIV/AIDS ve Oral Lezyonlar Hakkındaki Bilgi Düzeyi ve Tutumlarının Değerlendirilmesi. Konuralp Medical Journal.11(2):202-7.
  • Eticha EM, Gemeda AB. Knowledge, Attitude, and Practice of Postexposure Prophylaxis against HIV Infection among Healthcare Workers in Hiwot Fana Specialized University Hospital, Eastern Ethiopia. AIDS Res Treat. 2019;2019:7947086.
Toplam 30 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Hizmetleri ve Sistemleri (Diğer)
Bölüm Araştırma Makalesi
Yazarlar

Ahmet Şahin 0000-0002-8377-8293

Yayımlanma Tarihi 9 Aralık 2024
Yayımlandığı Sayı Yıl 2024 Cilt: 33 Sayı: 4

Kaynak Göster

Vancouver Şahin A. Analysis of Health Care Professionals’ Knowledge, Attitudes and Behaviours about Hepatitis B, Hepatitis C and HIV/AIDS: A Cross-sectional Clinical Study. STED. 2024;33(4):263-70.