在南非的 Tshwane 区,助产士遵守暴露后预防指南
Mosehle S Matlala1, Thanyani G Lumadi
1Department of Health Studies, College of Human Sciences, University of South Africa, Tshwane. salumatlala@gmail.com.
Curationis
|October 2, 2024
概括
助产士从业人员对艾滋病毒暴露后预防 (PEP) 有很好的了解,但未报告意外暴露,并未充分利用PEP服务. 在高风险产科单位,提高合规性至关重要.
科学领域:
- 公共卫生 公共卫生
- 职业健康 职业健康 职业健康
- 预防传染病 预防传染病
背景情况:
- 人类免疫缺陷病毒 (HIV) 构成了重大的公共卫生挑战.
- 作为一线医疗保健工作者 (HCW),执业助产士在日常工作中面临职业暴露风险.
- 缺乏意识和培训导致约90%的职业暴露.
研究的目的:
- 评估助产士的知识,态度和遵守艾滋病毒暴露后预防 (PEP) 准则.
- 确定在产妇机构实施PEP协议的差距.
主要方法:
- 一种混合方法方法,将定量 (问卷,n=71) 和定性 (采访,n=15) 数据收集相结合.
- 简单的随机抽样用于定量数据,有目的的非概率抽样用于定性数据.
- 使用SPSS v.24进行统计分析,并对定性数据进行主题分析.
主要成果:
- 助产士从业人员表现出对HIV的PEP有很好的了解.
- 观察到意外暴露血液和体液 (BBF) 的报告不足.
- 在从业人员中发现,PEP服务的利用不足.
结论:
- 产妇单位被确定为职业暴露的高风险环境.
- 暴露事件的不充分报告仍然是助产士中普遍存在的问题.
- 结果将为政策和医院管理提供信息,以解决PEP指南中的知识和实施差距,从而改善合规策略.
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