A Study to Assess the Knowledge, Attitude and Practice of Health Workers Regarding Nosocomial Infection at Selected Hospitals of Birtamode Municipality, Jhapa

Introduction: A nosocomial infection is “an infection acquired in the hospital by a patient who was admitted for a reason other than that infection” (WHO). It is necessary to prevent the infection in order to reduce its impact on morbidity and mortality in patients. The aim of this study is to assess the knowledge, attitude, and practice of health workers regarding nosocomial infection in selected hospitals in Birtamode Municipality, Jhapa. Methods: This cross-sectional study was carried out among 198 individual health workers from selected hospitals in Birtamode Municipality through a multistage sampling technique. Knowledge, attitude, and practice of health workers regarding nosocomial infection were assessed with a validated, self-administered, pre-structured questionnaire. Statistical Package of Social Science version 23 was used to analyze the data, and the Chisquare test was applied to identify the association of dependent variables with independent variables. Results: 198 health workers with a 100% response rate participated in the study. It was found that 76.8% had good knowledge, 75.3% had a positive attitude, and 97% had good practice regarding nosocomial infection transmission, prevention, and control during health care delivery in selected hospitals in Birtamode Municipality. There was a significant association between health workers’ knowledge and their working department, attitude and their working department, as well as working hours per week, practice, and their working department, with a p-value less than 0.05. Conclusions: The knowledge, attitude, and practice of health workers regarding nosocomial infection were adequate while delivering health care services in selected hospitals in Birtamode Municipality.

引言：医院获得性感染（nosocomial infection）指“患者因非感染相关病因入院时，于医院内获得的感染”（世界卫生组织，WHO）。为降低此类感染对患者发病率与死亡率的负面影响，做好感染预防工作至关重要。本研究旨在评估贾帕县比塔莫德市部分医院的医护人员针对医院获得性感染的知识、态度与实践现状。
方法：本研究为横断面研究，采用多阶段抽样技术，从贾帕县比塔莫德市部分医院的198名医护人员中开展调研。本研究采用经过信效度验证的自填式结构化问卷，对医护人员关于医院获得性感染的知识、态度与实践情况进行评估。采用社会科学统计软件包（Statistical Package of Social Science, SPSS）23版本对数据进行统计分析，并通过卡方检验（chi-square test）分析因变量与自变量之间的关联。
结果：本次研究共纳入198名医护人员，应答率达100%。结果显示，贾帕县比塔莫德市受访医院的医护人员中，76.8%具备良好的医院获得性感染相关知识，75.3%持有积极态度，97%在医疗服务提供过程中，针对医院获得性感染的传播、预防与控制拥有规范实践。分析发现，医护人员的知识水平、态度与所在科室存在显著关联；其实践情况与所在科室及每周工作时长存在显著关联，所有关联的P值均小于0.05。
结论：贾帕县比塔莫德市部分医院的医护人员在提供医疗服务过程中，针对医院获得性感染的知识、态度与实践水平均处于合格状态。