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首页> 外文期刊>International Journal of Infection Control >Knowledge, attitudes and practices regarding TB infection control among health science students in a TB-endemic setting
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Knowledge, attitudes and practices regarding TB infection control among health science students in a TB-endemic setting

机译：结核病流行环境中的健康科学学生关于结核病感染控制的知识，态度和做法

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Medical and physiotherapy students in tuberculosis (TB)-endemic settings are at high risk of developing occupational TB. Didactic lectures are the traditional method for delivering education on the topic of TB infection control (TB-IC) to undergraduate health science students. The aim of this study was toevaluate the impact of a novel educational package for teaching TB-IC to undergraduate health science students in a TB-endemic setting. Undergraduate medical and physiotherapy students at Stellenbosch University, South Africa (n = 326) participated in a cross-sectional survey documenting TB-IC knowledge, attitudes and TB-IC practices at the training institution. A self-administered questionnaire was completed before and after a novel educational intervention which utilized the health belief model (and included personal testimonials from healthcare workers and an IC expert who had survived occupational TB). Students perceived themselves to be at high risk of occupational TB, but underestimated drug-resistant TB mortality. Pre-intervention knowledge of TB-IC measures was poor, but improved post-intervention (58% vs 78% [p < 0.001]). Senior students had better pre-intervention knowledge of N95 respirator use. Negative attitudes and TB-IC practices of senior staff at the training institution reportedly influenced those of students. TB-IC measures (natural and mechanical ventilation; airborne precaution signage; patient isolation) were reportedly poorly implemented. Access to personal protective equipment was problematic with 49% (87/177) of senior students stating that N95 respirators were never available. In conclusion, students lack knowledge of TB-IC measures and report poor implementation of TB-IC measures at their training institution. A novel structured educational intervention increased students’ knowledge of TB-IC measures and heightened awareness of occupational TB risk.
机译：结核病（TB）流行地区的医学和物理治疗学生极有可能患上职业性结核病。教学法讲座是向本科卫生科学学生提供有关结核病感染控制（TB-IC）主题的传统方法。这项研究的目的是评估一种新颖的教育方法对结核病流行环境下的本科卫生科学专业学生进行结核病-IC教学的影响。南非斯泰伦博斯大学的医学和物理疗法专业的本科生（n = 326）参加了该培训机构的横断面调查，记录了TB-IC知识，态度和TB-IC做法。在使用健康信念模型的新型教育干预措施之前和之后，均完成了一份自我管理的调查问卷（包括来自医护人员和幸存于职业性结核病的IC专家的个人推荐）。学生们认为自己患职业性结核病的风险很高，但低估了耐药结核病的死亡率。干预前对TB-IC措施的了解较差，但干预后有所改善（58％比78％[p <0.001]）。高年级学生对N95呼吸器的使用有更好的干预前知识。据报道，培训机构中高级职员的消极态度和结核病控制实践对学生的态度产生了影响。据报告，TB-IC措施（自然和机械通风;空中预防标志;患者隔离）执行不力。 49％（87/177）的高中生表示无法使用N95防毒面具，因此使用个人防护设备存在问题。总之，学生对结核病预防措施的知识不足，并且报告说他们的培训机构对结核病预防措施的执行不力。一种新颖的结构化教育干预措施可以提高学生对结核病预防和控制措施的了解，并提高人们对职业性结核病风险的认识。

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