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Sains Malaysiana 49(11)(2020): 2763-2772
http://dx.doi.org/10.17576/jsm-2020-4911-15
Assessment of Knowledge, Attitude and Practice among
House Officers in UKM Medical Centre on Needle Stick Injuries
(Penilaian Pengetahuan, Sikap dan Amalan dalam Kalangan Pegawai Dalaman di Pusat Perubatan UKM mengenai
Kecederaan Batang Jarum)
1Department of Pharmacology, Universiti Kebangsaan Malaysia Medical Centre, 56000 Cheras, Kuala Lumpur, Federal Territory, Malaysia
2Occupational, Safety, Health and Environment Division, Universiti Kebangsaan Malaysia Medical Centre, 56000 Cheras, Kuala Lumpur, Federal Territory, Malaysia
Diserahkan: 13 Disember 2019/Diterima: 2 Jun 2020
ABSTRACT Needle stick injury is one of
the most serious occupational hazards among house officers in which it may lead
to possible severe consequences such as HIV, Hepatitis B, and C infection. The
aim of the study was to explore and compare the knowledge, attitude and
practice (KAP) among house officers of UKM Medical Centre (UKMMC) regarding
needle stick injury. A cross-sectional study was conducted with the total of
151 self-administered questionnaires from house officers in UKMMC within the
period of five months. The data was collected via universal sampling method.
Components evaluated were prevalence, demographic data and scores on KAP
concerning needle stick injury among house officers. Out of the 151 house
officers recruited for the study, 34.9% of them had a history of needle stick
injury during their practice, with 6.7% of the injury that occurred in their
current posting department. There was a significant association (p<0.05)
between history of needle stick injury and the practice of house officers
(p=0.035). House officers with a history of needle stick injury had a lower
mean score of practice (8.65 ± 2.00) compared to those without history (9.40 ±
1.09). This study also demonstrated that there were significant correlations
between Knowledge-Practice (r=0.194, p=0.018) and Attitude-Practice (r=0.182,
p=0.026) of UKMMC house officers.
These findings demonstrated that a good level of knowledge and attitude results
in better practice of house officers hence reducing the incidence of needle
stick injury. Therefore, suitable health education programs with regards to
needle stick injury and preventive measures should be intensively implemented
on all house officers prior to and during their practice.
Keywords: Blood borne pathogens; health personnel; hospital; house officer;
needle stick; sharps object
ABSTRAK
Kecederaan batang jarum adalah salah satu bahaya
pekerjaan yang paling serius dalam kalangan doktor pelatih kerana ia boleh
mengakibatkan kemungkinan akibat yang teruk seperti jangkitan HIV, Hepatitis B
dan C. Tujuan kajian ini adalah untuk mengkaji dan membandingkan pengetahuan,
sikap dan amalan (KAP) dalam kalangan doktor pelatih di Pusat Perubatan UKM
(UKMMC) mengenai kecederaan batang jarum. Suatu kajian rentas dijalankan dengan
jumlah 151 soal selidik yang dikendalikan sendiri oleh doktor pelatih di UKMMC
dalam jangka masa lima bulan. Data dikumpulkan melalui kaedah persampelan
sejagat. Komponen yang dinilai adalah prevalens, data demografi dan skor KAP
mengenai kecederaan batang jarum dalam kalangan doktor pelatih. Daripada 151
doktor pelatih yang direkrut untuk kajian ini, 34.9% daripadanya mempunyai
sejarah kecederaan batang jarum semasa menjalankan tugas, dengan 6.7%
kecederaan berlaku di jabatan mereka bertugas sekarang. Terdapat hubungan yang
signifikan (p <0.05) antara sejarah kecederaan batang jarum dan amalan
doktor pelatih (p = 0.035). Doktor pelatih yang mempunyai sejarah kecederaan
batang jarum mempunyai skor min latihan yang lebih rendah (8.65 ± 2.00)
berbanding dengan yang tidak mempunyai sejarah (9.40 ± 1.09). Kajian ini juga
menunjukkan bahawa terdapat hubungan yang signifikan antara Pengetahuan-Amalan
(r=0.194, p=0.018) dan Sikap-Amalan (r=0.182, p=0.026) doktor pelatih UKMMC.
Keputusan ini menunjukkan bahawa tahap pengetahuan dan sikap yang baik
menghasilkan amalan doktor pelatih yang lebih baik lalu mengurangkan kejadian
kecederaan batang jarum. Oleh itu, program pendidikan kesihatan yang sesuai
berkaitan dengan kecederaan batang jarum dan langkah pencegahan harus
dijalankan secara intensif kepada semua doktor pelatih sebelum dan semasa
menjalankan tugas.
Kata kunci: Batang jarum; doktor pelatih;
RUJUKAN
Bhardwaj, A., Sivapathasundaram, N., Yusof, M., Minghat, A., Swe, K. & Sinha, N. 2014. The prevalence of accidental needle stick injury and their reporting among healthcare workers in orthopaedic wards in General Hospital Melaka, Malaysia. Malaysian Orthopaedic Journal 8(2): 6-13. Bhargava, A., Mishra, B., Thakur, A., Dogra, V., Loomba, P. & Gupta, S. 2013. Assessment of knowledge, attitude and practices among healthcare workers in a tertiary care hospital on needle stick injury. Int. J. Health Care Qual. Assur. 26(6): 549‐558. Bilks, B. 2005. Needle stick injuries in nurses - the Poznan study. Into. J. Occupy. Med. Environ. Heath. 18: 251-254. Calver, J. 1997. Occupational health services. Am. J. Infect. Control. 25: 363-265. Centre for
Disease Control and Prevention (CDC). 2008. https://www.cddc.gov/niosh/topics/bbp/emergnedl.html. Accessed on
Sept 12, 2019.
Eticha, E.M. & Gemeda, A.B. 2019. Knowledge, attitude, and practice of postexposure prophylaxis against hiv infection among healthcare workers in Hiwot Fana Specialized University Hospital, Eastern Ethiopia. AIDS Research and Treatment. 2019: Article ID. 7947086. doi:10.1155/2019/7947086 Gershon, R.R., Mitchell, C., Sherman, M.F., Vlahov, D., Lears, M.K., Felknor, S. & Lubelczyk, R.A. 2005. Hepatitis B vaccination in correctional health care workers. Am. J. Infect Control 33(9): 510-518. Hamid, M.Z.A., Aziz, N.A., Anita, A.R. & Norlijah, O. 2010. Knowledge of blood-borne infectious diseases and the practice of universal precautions amongst health-care workers in a tertiary hospital in Malaysia. Southeast Asian J. Trop. Med. Public Health 41(5): 1192-1199. Kavitha Nagandla, Krishna Kumar, Amit Bhardwaj, Devalagan Muthalagan, Chan, Yhmin, Lee Wei Lun, Weng Wei Shi & Nurul Izzati Abd Razak. 2015. Prevalence of needle stick injuries and their underreporting among healthcare workers in the department of obstetrics and gynaecology. International Archives of Medicine 8: 2015. Khurram, S., Shirin. M., Syeda, F.T., Idress, A. & Asif Zafar, M. 2008. Knowledge attitude and practices regarding needle stick injuries amongst healthcare providers. Pakistan Journal of Surgery 24(4): 243-248. Kirchner, B. 2012. Safety in ambulatory surgery centers: Occupational safety and health administration surveys. AORN Journal 96: 540. Muhammad Shahzad, Syed Ghazanfar Hassan, Muhammad Rizwan Memon, Uzma Bashir & Salman Shams. 2013. Needle sticks injuries among dental students, house officers and paradental staff working at Liaquat Medical University Hospital, Hyderabad. Pakistan Oral & Dental Journal 33(1): 23-25. Motaarefi, H., Mahmoudi, H., Mohammadi, E. & Hasanpour-Dehkordi, A. 2016. Factors associated with needlestick injuries in health care occupations: A systematic review. Journal of Clinical and Diagnostic Research 10(8): IE01-IE04. Nagandla, K., Kumar, K., Bhardwaj, A., Muthalagan, D., Lun, L.W., Shi, W.W. & Abd Razak, N.I. 2015. Prevalence of needle sticks injuries and their underreporting among healthcare workers in the department of obstetrics and gynaecology. International Archives of Medicine 8(181): 1-16. Norsayani, M.Y. & Noor Hassim, I. 2003. Study on incidence of needle stick injury and factors associated with this problem among medical students. J. Occup. Health. 45(3): 172-178. Rampal, L., Zakaria, R., Whye Sook, L. & Azhar, M.Z. 2010. Needle stick and sharps injuries and factors associated among health care workers in a Malaysian hospital. European Journal of Social Sciences 13(3): 354-362. Saleem, T., Khalid, U., Ishaque, S. & Zafar, A. 2010. Knowledge, attitudes and practices of medical students regarding needle stick injuries. Journal of Pakistan Medical Association 60(2): 151-156. Rogers, B. & Goodno, L. 2000. Evaluation of interventions to prevent needle stick injuries in health care occupations. Am. J. Prev. Med. 18: 90-98. Sharew, N.T., Mulu, G.B., Habtewold, T.D. & Gizachew,
K.D. 2017. Occupational exposure to sharps injury among healthcare providers in
Ethiopia regional hospitals. Annals of Occupational and Environmental
Medicine 29(7). doi:10.1186/s40557-017-0163-2.
Swe, M.M.M., Zin, T., Bhardwaj, A., Lutfi Abas, A. & Barua, A. 2012. The prevalence of needle sticks injury among medical students in Melaka, Malaysia. European Journal of Scientific Research 71(2): 214-220. Vaz, K., McGrowder, D., Alexander-Lindo, R., Gordon, L., Brown, P. & Irving, R. 2010. Knowledge, awareness and compliance with universal precautions among health care workers at the University Hospital of the West Indies, Jamaica. Int. J. Occup. Environ. Med. 1(4): 171-181. Woolley, P.D., Palfreeman, A.J., Patel, R., Talbot, M.D. & Samarasinghe, P.L. 1991. Blood-taking practices and needle-stick injuries in house officers. Int. J. STD AIDS. 2(1): 46-48. World Health Organization (WHO). Occupational
Health-Needlestick Injuries 2002. https://www.whi.int/occupational_health/topics/needinjuries/en/. Accessed on Sept 12, 2019.
Zhang, M., Wang, H., Miao, J., Du, X., Li, T. &
Wu, Z. 2009. Occupational exposure to blood and body fluids among health care
workers in a general hospital, China. Am. J. Ind. Med. 52(2):
89-98.
*Pengarang untuk surat-menyurat; email: nurazlinamf@ukm.edu.my
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