Çukurova Üniversitesi sağlık hizmetleri meslek yüksekokulu öğrencilerinde nozokomiyal enfeksiyon bilgi düzeylerinin değerlendirilmesi

Yıl 2020, Cilt: 77 Sayı: 1, 69 - 78, 01.03.2020

Pınar Etiz Sedefgül Yüzbaşıoğlu Arıyürek

Öz

Amaç: Nozokomiyal enfeksiyonlar, genellikle hasta hastaneye yattıktan 48 saat sonra daha veya sonrasında gelişen, ayrıca taburcu olduktan sonra 30 gün içinde orataya çıkabilen enfeksiyonlardır. Gelişmekte olan ülkelerin çoğunda, sağlık kurumlarında nozokomiyal enfeksiyon önemli bir halk sağlığı sorunudur. Sağlık hizmetlerinde öğrenim gören öğrencilerin enfeksiyon kontrol önlemlerini bilmeleri sağlık hizmetleri ile ilişkili enfeksiyon oranlarını önemli ölçüde düşürebilir. Bu nedenle, öğrencilerin bilgi seviyesini belirleyerek eksikleri tamamlamak oldukça önemlidir. Bu çalışmada; sağlık hizmetlerinde öğrenim gören öğrencilerin nozokomiyal enfeksiyonlara ilişkin bilgi düzeylerinin belirlenmesi amaçlanmıştır.Yöntem: Çalışma 565 sağlık hizmetleri öğrencisi üzerinde tanımlayıcı olarak yapılmıştır. Veriler öğrencilerin gözlem altında doldurdukları anket aracılığı ile toplanmıştır. Anket öğrencilerin demografik özelliklerini ve bilgi düzeylerini belirlemeye yönelik olarak iki bölümden oluşmaktadır. Çalışmada elde edilen bulgular değerlendirilirken istatistiksel analizler için IBM SPSS Statistics 22 programı kullanılmıştır. Niceliksel verilerin ikiden fazla grup arası değerlendirmelerinde Kruskal Wallis testi, farklılığa neden olan grubun tespitinde ise Mann Whitney U post hoc testi kullanılmıştır. Anlamlılık p

Anahtar Kelimeler

Nozokomiyal enfeksiyon, sağlık hizmetleri öğrencileri, bilgi düzeyi, anket

Assessment of knowledge about nosocomial infection among Cukurova University vocational school of health services students

Öz

Objective: Nosocomial infection is an infection if it becomes positive 48 hours or more after admission to the hospital or within 30 days of discharge. Nosocomial infection in healthcare facilities is a major public health problem in most developing countries. Basic infection control measures in any healthcare students setup can reduce the rates of healthcare-associated infections. Thus, it is important to identify the level of their knowledge, by correcting their deficiencies. The current study aimed to evaluate the level of knowledge regarding nosocomial infection among healthcare students. Methods: A descriptive study was conducted among 565 healthcare students. A structured selfadministered questionnaire was used to collect data. The questionnaire included two parts: demographic characteristic, level of knowledge among the healthcare students. Data was analyzed using IBM SPSS Statistics version 22 and the associations were tested with Kruskal Wallis and Mann Whitney U test with a p-value of

Anahtar Kelimeler

Nosocomial infection, health service students, knowledge level, questionnaire

Kaynakça

• 1. Irene Ocran I, Tagoe DNA. Knowledge and attitude of healthcare workers and patients on healthcare associated infections in a regional hospital in Ghana. Asian Pac J Trop Dis, 2014; 4 (2): 135-9.
• 2. Sorte D. Nurses knowledge related to prevention of nosocomial infection. Int J Sci Res, 2015; 4 (7): 38-40.
• 3. Bello AI, Asiedu EN, Adegoke BOA, Quartey JNA, Appiah-Kubi KO, Owusu-Ansah B. Nosocomial infections: knowledge and source of information among clinical health care students in Ghana. Int J Gen Med, 2011; 4, 571-4.
• 4. World Health Organization. 10 facts on patient safety. Available from: http://www.who.int/ feature/factsfile/patientsafety/en/,(Dated: October 8, 2018).
• 5. World Health Organization. Global Alert and Response. Geneva: World Health Organization; 2002. [Online] Available from: http://www.who. int/csr/resources/publications/WHO_CDS_CSR EPH_2002_12/en/, (Dated: October 8, 2018).
• 6. Jayasinghe RD, Weerakoon BS. Prevention of nosocomial infections and standard precautions: knowledge and practice among radiographers in Sri Lanka. J Med Allied Sci, 2014; 4 (1): 9-16.
• 7. Brosıo F, Kuhdarı P, Stefanatı A, Sulcaj N, Lupı S, Guidi E, et al. Knowledge and behaviour of nursing students on the prevention of healthcare associated infections. J Prev Med Hyg, 2017; 58: E99-E104.
• 8. Ojulong J, Mitonga KH, Iipinge SN. Knowledge and attitudes of infection prevention and control among health sciences students at University of Namibia. Afr Health Sci, 2013; 13 (4): 1071-8.
• 9. Masavkar SP, Naikwadi AM. Knowledge, attitude and practice regarding nosocomial infections among general health practitioners and medical college students. Sch J App Med Sci, 2016; 4 (5): 1852-6.
• 10. Gichuhi AW, Kamau SM, Nyangena E, Otieno- Ayayo ZN. Health care workers adherence to infection prevention practices and control measures: A case of a level four district hospital in Kenya. Am J Nurs Sci, 2015; 4 (2): 39-44.
• 11. Gawad A. Assessment of Knowledge about Standard Precautions and Nosocomial Infection among Nurses Working in Hospitals of Sana’a City, Yemen. Int J Caring Sci, 2017; 10 (1): 169-175.
• 12. Kaur R, Kaur B, Walia I. Knowledge, attitude and practice regarding universal precautions among nursing Students. Nurs Midwifery Res J, 2008; 4 (4): 115-127.
• 13. Kalantarzadeh M, Mohammadnejad E, Ehsani SR; Tamizi Z. Knowledge and practice of nurses about the control and prevention of nosocomial infections in emergency departments. Arch Clin Infect Dis, 2014; 9 (4): e18278.
• 14. Tavolacci MP, Ladner J, Bailly L, Merle V, Pitrou I, Czernichow P. Prevention of nosocomial infection and standard precautions: knowledge and source of information among healthcare students. Infect Control Hosp Epidemiol, 2008; 29: 642-7.
• 15. Askarian M, Honarvr B, Tabatabaee HR, Assadian O. Knowledge, practice and attitude towards standard isola-tion precaution in Iranian medical students. J Hosp Infect, 2004; 58: 292-6.
• 16. Mann CM, Wood A. How much do medical students know about infection control? J Hosp Infect, 2006; 64: 366-70.
• 17. Koenig S, Chu J. Senior medical students knowledge of universal precautions. Acad Med, 1993; 68: 372- 4.
• 18. Suchitra JB, Lakshmidevi N. Impact of education on know-ledge, attitudes and practices among various categories of health care workers on nosocomial infections. Indian J Med Microbiol, 2007; 25: 181-7.
• 19. Sax H, Perneger T, Hugonnet S, Herrault P, Chraïti MN, Pittet D. Knowledge of standard and isolation precautions in a large teaching hospital. Infect Control Hosp Epidemiol, 2005; 26: 298-304.
• 20. Nobile C, Montuori P, Diaco E, Villari P. Healthcare personnel and hand decontamination in intensive care units: knowledge, attitudes and behaviour in Italy. J Hosp Infect, 2002; 51: 226-32.
• 21. Alrubaiee G, Baharom A, Shahar HK, Daud SM, Basaleem HO. Knowledge and practices of nurses regarding nosocomial infection control measures in private hospitals in Sana’a City, Yemen. Saf Health, 2017; (3) 16: 1-6.
• 22. Kaushal G, Doke P, Shah A, Verma V. An Analysis of Knowledge, Attitude and Practices regarding Standard Precautions of Infection Control and Impact of Knowledge and Attitude of ICU nurses on self-reported Practices of Infection Control. Int J of Res Foundation Hosp and Healthc Adm, 2015; (3) 2: 79-85.
• 23. Wasswa P, Nalwadda CK, Buregyeya E, Gitta SN, Anguzu P, Nuwaha F. Implementation of infection control in health facilities in Arua district, Uganda: a cross-sectional study. BMC Infect Dis, 2015; 15: 268.
• 24. Kim KM, Kim MA, Chung YS, Kim NC. Knowledge and performance of the universal precautions by nursing and medical students in Korea. Am J Infect Control, 2001; 29: 295-300.
• 25. Calabro K, Weltge A, Parnell S, Kouzekanani K, Ramirez E. Intervention for medical students: effective infection control. Am J Infect Control, 1998; 26: 431-6.
• 26. Jeffe DB, Mutha S, Kim LE, Evanoff BA, Fraser VJ. Evaluation of a preclinical, educational and skillstraining program to improve students’ use of blood and body fluid precautions: one year follow-up. Preventive Med, 1999; 29: 365-73.
• 27. Colombo C, Giger H, Grote J, Deplazes C, Pletscher W, Luthi R, et al. Impact of teaching interventions on nurse compliance with hand disinfection. J Hosp Infect, 2002; 51: 69-72