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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Educational Intervention to Increase Hepatitis B Vaccination among Housekeeping Staff
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Educational Intervention to Increase Hepatitis B Vaccination among Housekeeping Staff

机译：教育干预以增加客房服务人员的乙肝疫苗接种率

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Hepatitis B Virus (HBV) causes acute and chronic liver disease which can progress to cirrhosis and hepatocellular carcinoma. The seroprevalence in India is about 2% to 8%. When compared to general population, seroprevalence in HCWs is 2-4 times higher. A 40%-65% of HBV in Health Care Workers (HCWs) is due to occupational exposures. Housekeeping staff are also exposed to risk, as they are involved in handling of inappropriately discarded bio medical waste, low vaccination coverage due to low educational and socio-economic status. This is the first study conducted in India, to do Knowledge Attitude Practice (KAP) assessment using Turning point technology, an innovative method using clickers.Aim: To evaluate the role of educational intervention, to increase hepatitis B vaccination among housekeeping staffs of our hospital.Materials and Methods: This study was conducted for six months, between April-September 2017 in a tertiary care hospital in southern India. The sample size for the given study was 656. Knowledge was assessed in two phases, at baseline and one month after education intervention.Results: The results at baseline showed that average correct response to knowledge on HBV disease, transmission, prevention and post exposure prophylaxis was 22%, 45%, 36% and 26% respectively which improved to 76%, 82%, 90% and 70% respectively post intervention. Attitude and practice towards preventing HBV was analysed at baseline and 60% opined that they were not vaccinated against HBV because of lack of awareness.Conclusion: In the present study percentage of HCWs protected from HBV increased from 26% to 39%. We consider that all cadre of HCWs have right to be protected against hepatitis B in view of their increased risk from occupational exposure. Having institutional protocol, availability of vaccine and test for anti HBs titre will largely influence the vaccination compliance.
机译：乙型肝炎病毒（HBV）引起急性和慢性肝病，可发展为肝硬化和肝细胞癌。印度的血清阳性率约为2％至8％。与普通人群相比，医护人员的血清阳性率高2-4倍。卫生保健工作者（HCW）中HBV的40％-65％是由于职业暴露。管家工作人员还面临风险，因为他们参与处理不当丢弃的生物医疗废物，由于教育和社会经济地位低下而接种疫苗的覆盖率低。这是在印度进行的第一项研究，该研究使用转折器这一创新方法，通过转折点技术进行知识态度实践（KAP）评估。目标：评估教育干预的作用，以提高家政人员的乙肝疫苗接种材料与方法：这项研究于2017年4月至9月在印度南部的一家三级医院进行了六个月。该研究的样本量为656。知识在基线和教育干预后的一个月分两个阶段进行评估。结果：基线的结果表明，对HBV疾病，传播，预防和治疗知识的平均正确反应预防后暴露分别为22％，45％，36％和26％，干预后分别提高到76％，82％，90％和70％。在基线时对预防乙肝病毒的态度和做法进行了分析，有60％的人认为由于缺乏认识而未接种乙肝疫苗。我们认为，鉴于医护人员的职业接触风险增加，因此所有干部都有权利得到乙型肝炎的保护。具有机构规程，疫苗的可用性以及抗HBs滴度的测试将在很大程度上影响疫苗接种的依从性。

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