people, particularly in a crisis, such as an epidemic or a pandemic outbreak. Prolonged and combined outbreaks can lead to the progressive spread of viruses with rapidly increasing service demands that can potentially overwhelm the capacity of hospitals and the health system at large. This study aims to assess knowledge and protective behaviors of staff nurse's towards influenza pandemic A H1N1, 2009 at some health care facilities of Kathmandu and Chitwan district, Nepal
MATERIALS AND METHODS hospital based survey was performed between February to March 2012 to compare the knowledge and protective behavior of staff nurses at four health care settings of Kathmandu and Chitwan district, districts cal approval otal of 424 participants from 2 were recruited for t study. The e was taken from Nepal Health Research Council Ministry of Health and population. Ne Informed and written consent were obtained from hospital directors and respondents. Client autonomy ty were assured and anonymity and confident working since rses who has bee the year 2010 and before were included in the study o works more than one where as those nurses nterviewed again Th hospital were not areas were selected purposively and study hosp and participants were selected by us random sampling methods hired to respectively. Four data collector were were oriented about interview the respondents and the study before the data collection. Pretest was among the 30 participants. The questionnaire was adopted from the Centre of Disease Control (CDC) and WHO [6]. The questionnaire consisted 3 parts namely general characteristics. genera knowledge related questions and protective behavior related questions. All these ques could easily answered with yes, no and not sure answer. For the knowledge section there were 46 questions that covered information pertaining to sign and symptoms mode of transmission, preventive measures, high risk groups and vaccine of pandemic influenza Whereas 42 question were used measure the protective behavi Each correct answer was given 1 mark where as unsure and wrong answers were given zero marks. The cut for he classification Benjamin bloom c off sca Respond above so% of total score were classified t 60% to adequate knowledge, while those who moderate 80% of total score were categorized adequate knowledge and those ower than 60% o of total score were ass
inadequate level of knowledge. The mean score of the protective behavior was 20.68 and the value ranges from minimum 13 to maximum 34 Respondents that scored below 50% of total score for practice (21) were considered as "bad protective behavior and those who scored more than 50% (Above 21) were categorized as "good protective behavior Statistical analysis For the purpose of analysis, the individual scores were summed up to yield a total score. The data were analyzed using the statistical package for social sciences (SPSS version 17). Student's T-test was used to find the significant diference in the means of knowledge and protective behavior at p-value S 0.05. One-way ANOVA was used to find the association of knowledge and protective behavior in relation to different general characteristics. Pearson's correlation test was used to find the correlation between knowledge and protective behavior RESULTS
General characteristics Most of the respondents (71.00%) ranged from the age of 21 to 30 years old followed by 31 to 40 years of the participants with 10.27%. Majority 55 Kathmandu and 87.74% of the participants itwan belongs to the age group 21 to 30 years Majority of the respondents from Kathmandu district belongs to adult ward (45.75%) followed by surgical ward with 26.88%. the least respondents were from anesthesia out patient treatment (OPT), emergency, operation theater (OT) and Maternity with the ranges of 1.4% to 0%. In case of Chitwan district most of the respondents were from adult ward as same as Kathmandu district with 27.37% followed by 24.50% from Emergency ward. The least percentages of respondent belongs to surgical OPT and OT wards respectively. Majority of the respondents (68.40%) from both Kathmandu and Chitwan district respond that they did not receive any formal infection control training within last three years. If we compare the findings among the district, it found that more respondents of Chitwan district (36.79%) received infection control training rather than that of Kathmandu that is 26.88%. 73% and 80.18% of the respondents from Kathmandu and Chitwan district told that their hospitals do not have any influenza pandemic policies or guidance respectively. Most of the respondents (3.1 l%) from Kathmandu district had come in contact with influenza pandemic patients where as only 18.87 of respondents from Chitwan district had ever come
สิ้นสุดการสนทนา