تعهد نامه
مجله پژوهش در بهداشت محیط

مجله پژوهش در بهداشت محیط

بررسی دانش و عملکرد کارکنان حوزه سلامت از مراحل مدیریت پسماند در اپیدمی کووید- 19

نوع مقاله : مقالات پژوهشى اصیل کمی و کیفی

نویسندگان
مرادعلی زارعی پور 1
احسان موحد 2
علی اصغر خیرخواه 3
فاطمه سیدی 4
مهسا طاهرگورابی 5
شهره شفیعی 6
1 دکترای آموزش بهداشت و ارتقای سلامت، واحد تحقیقات نظام سلامت، مرکز بهداشت ارومیه، دانشگاه علوم پزشکی ارومیه، ارومیه، ایران
2 دکترای آموزش بهداشت و ارتقای سلامت، دانشگاه علوم پزشکی جیرفت، جیرفت، ایران
3 استادیار بیماری‌های داخلی، گروه داخلی، دانشکده پزشکی، بیمارستان امام خمینی، دانشگاه علوم پزشکی جیرفت، جیرفت، ایران
4 استادیار علوم تشریحی، گروه علوم تشریح، دانشکده پزشکی، دانشگاه علوم پزشکی جیرفت، جیرفت، ایران
5 استادیار مهندسی بهداشت محیط، گروه بهداشت محیط، دانشکده بهداشت، دانشگاه علوم پزشکی جیرفت، جیرفت، ایران
6 کارشناس ارشد آمار زیستی، دانشگاه علوم پزشکی جیرفت، جیرفت، ایران
10.22038/jreh.2021.55533.1399
چکیده
چکیده:
زمینه و هدف: یکی از موارد مهم در زمینه حفظ و ارتقای سلامت جامعه، مدیریت جامع پسماندها به‌خصوص در همه‌گیری کووید-19 می­باشد. عدم توجه به مدیریت پسماند، صدمات جبران‌ناپذیری به‌جای می­گذارد. مطالعه حاضر با هدف بررسی دانش و عملکرد کارکنان حوزه سلامت از مراحل مدیریت پسماند در اپیدمی کووید-19 انجام شد.
مواد و روش‌ها:این مطالعه مقطعی (توصیفی- تحلیلی) در سال1399 بر روی 428 نفر از کارکنان بهداشتی و درمانی شاغل در دانشگاه علوم پزشکی جیرفت انجام شد. روش نمونه‌گیری از نوع در دسترس بود. ابزار گردآوری داده­ها پرسشنامه محقق‌ساخته در خصوص مدیریت پسماند بود. تجزیه و تحلیل داده­ها با استفاده از نرم‌افزار SPSS، ورژن 24 و آزمون­های همبستگی پیرسون و رگرسیون لوجستیک انجام شد.
یافته‌ها: دانش و عملکرد مدیریت پسماند کارکنان در شرایط کرونا ویروس 2/54% خوب، 2/32% متوسط و 6/13% ضعیف به‌دست آمد. تمام مراحل مدیریت پسماند با هم همبستگی مثبت و معناداری داشتند (05/0>p). نتایج رگرسیون لوجستیک نشان داد که جنسیت زن (8/1=OR، 001/0=p)، محل خدمت پایگاه/ خانه بهداشت (1/2=OR، 002/0=p)، تحصیلات ارشد و بالاتر (9/2=OR، 001/0=p) و وضعیت اقتصادی خوب (7/2=OR، 001/0=p) احتمال دانش و عملکرد کارکنان سلامت در مورد مدیریت پسماند در شرایط کرونا ویروس را افزایش می­دهد.
نتیجه‌گیری: در کل دانش و عملکرد کارکنان در مورد مدیریت پسماند در همه‌گیری کرونا خوب بود، اما لازم است مداخلات آموزشی متناسب با عوامل تعیین کننده مدیریت پسماند جهت افزایش و تداوم دانش و عملکرد کارکنان انجام گیرد.
نوع مقاله: مقاله پژوهشى
کلید واژه‌ها: دانش، عملکرد، مدیریت پسماند، کارکنان سلامت، کووید- 19
 
کلیدواژه‌ها
دانش
عملکرد
مدیریت پسماند
کارکنان سلامت
کووید- 19

عنوان مقاله English

The investigating of knowledge and practice of health workers from the stages of waste management in the Covid-19 epidemic

نویسندگان English

Morad Ali Zareipour 1
Ehsan Movahed 2
Ali Asghar Kheirkhah 3
Fatemeh Seyedi 4
Mahsa Tahergorabi 5
Shohreh Shafiei 6
1 PhD of Health Education and Health Promotion, Health System Research Unit, Urmia health center , Urmia University of Medical Sciences, Urmia ,Iran.
2 PhD of Health Education and Health Promotion, Jiroft University of Medical Sciences, Jiroft ,Iran.
3 . Assistant Professor of Internal Medicine, Department of Internal Medicine, School of Medicine, Imam Khomeini Hospital, Jiroft University of Medical Sciences, Jiroft, Iran.
4 Assistant Professor of Anatomical Sciences, Department of Anatomical Sciences, School of Medicine, Jiroft University of Medical Sciences, Jiroft, Iran.
5 Assistant Professor of Environmental Health, Department of Environmental Health, School of Health, Jiroft University of Medical Sciences, Jiroft, Iran.
6 Master of Biostatistics, Jiroft University of Medical Sciences, Jiroft, Iran.
چکیده English

Abstract
 
Background and Aim: One of the most important issues in maintaining and promoting community health is comprehensive waste management, especially in the COVID-19 epidemic. Failure to pay attention to waste management leaves irreparable damage. This study aimed to investigate the knowledge and practice of health workers about the stages of waste management in the COVID-19 epidemic.
Materials and methods: This descriptive-analytical cross-sectional study was performed on 428 health workers working at Jiroft University of Medical Sciences. A convenience sampling method was used. The data collection tool was a researcher-made questionnaire on waste management. Data were analyzed using Pearson correlation and logistic regression tests with SPSS24 software.
Results: The mean age of employees was 32.16 7 ±7.03 years. The staff’s knowledge and practice about waste management in COVID-19 conditions were 54.2% good, 32.2% moderate, and 13.6% poor. All stages of waste management had significant positive correlations with each other (p <0.05). Logistic regression results showed that the female gender (OR = 1.8, P = 0.001), place of work (OR = 2.1, P = 0.002), higher education (OR = 2.9, P = 0.001), and good economic status (OR = 2.7, P = 0.001) increase the probability of knowledge and practice of health workers about waste management in COVID-19 conditions.
Conclusion: In general, the knowledge and practice of employees about waste management in the COVID-19 epidemic were good, but it is necessary to make educational interventions in accordance with the determinants of waste management to increase and maintain the knowledge and performance of employees.
Article type: Original Quantitative Research Article
Keywords: Knowledge; Performance; Waste Management; Health Workers; COVID-19

کلیدواژه‌ها English

Knowledge
Performance
Waste Management
Health Workers
Covid-19
  1. Rhee S-WJWM, Research. Management of used personal protective equipment and wastes related to COVID-19 in South Korea. 2020:0734242X20933343.
  2.  (2020c). W. Shortage of personal protective equipment endangering health workers worldwide.. The World Health Organization.URL: https://www.who.int/news-room/detail/03-03-2020-shortage-of-personalprotective-equipment-endangering-healthworkers- worldwide. (accessed 4.30.20).
  3. Alavi N, Mohammadi M, Vosoughi Niri M, Salimi J, Ahmadi Angaly K, Ghaffari Zadeh F, et al. Survey of quantity and quality of medical waste during 2009-2011 in Razi Hospital of Torbat-e-Hydareih, Iran. 2014;1(4):32-40.
  4.  Datta P, Mohi GK, Chander JJJolp. Biomedical waste management in India: Critical appraisal. 2018;10(1):6.
  5.  Capoor MR, Bhowmik KTJIjomm. Current perspectives on biomedical waste management: Rules, conventions and treatment technologies. 2017;35(2):157-64.
  6.  Mathur V, Dwivedi S, Hassan M, Misra RJIjocmopoIAoP, Medicine S. Knowledge, attitude, and practices about biomedical waste management among healthcare personnel: A cross-sectional study. 2011;36(2):143.
  7.  Kumar R, Samrongthong R, Shaikh BTJJoAMCA. Knowledge, attitude and practices of health staff regarding infectious waste handling of tertiary care health facilities at metropolitan city of Pakistan. 2013;25(1-2):109-12.
  8. Motaghi M, Mostafai G, Salmani JJJoHN, Midwifery. Solid waste management of hospitals affiliated to Kashan Medical University. 2014;24(2):49-58.
  9. TAGHIPOUR H, ASL HA, MOHAMMADPOORASL A. Training and Monitoring of Hospitals Staffs Concerning Proper Medical Waste Management. 2012.
  10.  Mousavi S, Sh A, Almasi A, Shokoohizadeh M, Amini M, Sobhani ZJJoH. A Survey on Knowledge, Attitude and Practice of Personnel Regarding Hospital Waste Management in Imam Hossein Educational Hospital of Kermanshah. 2020;11(2):213-22.
  11.  Bhattacharjee S, Saha BJLSIJ. Study Of Knowledge, Attitude And Practices Regarding Biomedical Waste Management Among Healthcare Personnel In Gazipur, Bangladesh. 2015;1:1-6.
  12.  Abd El-Salam MMJJoem. Hospital waste management in El-Beheira governorate, Egypt. 2010;91(3):618-29.
  13.  Omrani QH ANN. Solid waste hospital waste. Tehran: Andishe Rafie Publisher, 2008 1-20.
  14.  Gholizadeh SD MD. Principles solid waste management of hospitals and medical laboratories. Tehran: Sharab Publication. 2000(1):40-2.
  15. Nejaei A, Babaiy S, zareipour M. Factors associated to behavior Dis-posal of Garbage in health staff based on health belief model. Iranian Journal of Research in Environmental Health.Winter 2018;3 (4) : 312-320
  16.  Vogt J, Nunes KRJE. Recycling behaviour in healthcare: waste handling at work. 2014;57(4):525-35.
  17. Mousavi S, Atashkar S, Almasi A, Shokoohizadeh M, Amini M, Sobhani Z. A Survey on Knowledge, Attitude and Practice of Personnel Regarding Hospital Waste Management in Imam Hossein Educational Hospital of Kermanshah. Journal of Health. 2020;11(2):213-22.
  18.  Pazokinejad Z, Salehi SJAS. The Analysis of Social Factors Affecting the Attitude and the Environmental Performance of Students. 2014;25(55):71-88.
  19.  Khorpisheh Z, Mokhtari M, Madani A, Dindarloo K, Ghafari H, Alipour V, editors. The awareness, attitude and function of the citizens of Bandar Abbas in the field of solid urban waste management. The 16th National Conference on Environmental Health in Iran; 2013.
  20.  Mahmoodabad SSM, Movahed E, Ameri M, Atabay RA, Jadgal KM, Alizadeh S, et al. Predictive Factors Related to the Waste Collection Behavior in Kerman City based on the Health Belief Model. 2019.
  21.  Sengodan VC, Amruth K. Knowledge attitude and practice study on biomedical waste management among health care professionals and paramedical students in a Tertiary Care Government Hospital in South India. International Journal of Environmental Health Engineering. 2014;3(1):11.
  22.  Njiru M, Mutai C, Gikunju J. Awareness and practice on biomedical waste management among health care personnel in kenyatta national hospital. East African medical journal. 2013;90(2):52-8.
  23.  Namdar A, Bigizadeh S, Naghizadeh MMJJoFUoMS. Measuring Health Belief Model components in adopting preventive behaviors of cervical cancer. 2012;2(1):34-44.
  24.  Moradi B, Barakat S. Hygienic performance evaluation and effect of training in order to confronting with the Covid-19 virus in the metal industries staff. Iran Occupational Health Journal. 2020;17(1):1-15.
  25.  Mohammad Nourmohammadi MRR, Mohammad Hossein, Sayyadi Anari. Survey configuration of collection and disposal of medical wastes in hospitals of Sabzavar, in 2016. Journal of Sabzevar University of Medical Sciences. 2017;24(4):293-8.
  26. Mohammadian Fazli M, Nassiri J, Nabizadeh RJIJoH, Environment. Qualitative and quantitative assessment and management of hospital waste in Zanjan, Iran in 2011. 2013;6(1):55-64.
  27. Zambrano-Monserrate MA, Ruano MA, Sanchez-Alcalde LJSotTE. Indirect effects of COVID-19 on the environment. 2020:138813.
  28. Chaudhari K, Patel J, Rudani J, Dawda DJIJOHMR, MAY-JUNE. Knowledge, Attitude and Practices among. 2015;2(1):23.
  29.  Amoei A, Jafarian S, editors. survey on knowledge, attitude and practice of Babol Ayatolah Rouhani hospital personnel regarding medical waste management 1395. The third Academic Research Conference in the Administrative and Financial Sectors of the Health System; 2016.
  30.  Shaheen AM, Nassar OS, Amre HM, Hamdan-Mansour AM. Factors affecting health-promoting behaviors of university students in Jordan. Health. 2015;7(01):1.
  31.  Tomás CC, Queirós PJP, Ferreira TdJR. Health-promoting behaviors: psychometric properties of an assessment tool. Texto & Contexto-Enfermagem. 2015;24(1):22-9.
  32.  Mahmoodi H, Hasanpoor E, Zareipour M, Housaenpour H, Sharifi -Saqqezi P, Babazadeh T. Compare the Health Promoting Behaviors among Nurses, Health and Administrative Staff. Iran Journal of Nursing. 2016;29(99):56-65.
  33.  Bahrami M, Karami M, Shorgashti S, Tahmasbizadeh M. The knowledge and performance of Rafsanjan residents toward municipal solid wastes management in 2017: a short report. Journal of Rafsanjan University of Medical Sciences. 2017;16(6):571-80.
  34.  Abdolkarimy M, Zareipour M, Mahmoodi H, Dashti S, Faryabi R, Movahed E. Health promoting behaviors and their relationship with self-efficacy of health workers. Iran Journal of Nursing. 2017;30(105):68-79.
  35.  Zhang S-c, Wei C-n, Fukumoto K, Harada K, Ueda K, Minamoto K, et al. A comparative study of health-promoting lifestyles in agricultural and non-agricultural workers in Japan. Environmental health and preventive medicine. 2011;16(2):80-9.
  36.  Chang LC. Health literacy, self‐reported status and health promoting behaviours for adolescents in Taiwan. Journal of Clinical Nursing. 2011;20(1‐2):190-6.
مجله پژوهش در بهداشت محیط
دوره 7، شماره 1
تابستان 1400
صفحه 67-76