National Journal of Health Sciences, 2018, 3, 122-127
Knowledge, Attitudes and Practices of Nurses, Regarding Hepatitis B
Prevention at Public Hospital Lahore
Sumaira Rehman*, Afsar Ali, Naseem Rooman, Najma Sardar
National College of Nursing, The University of Lahore, Lahore, Pakistan.
INTRODUCTION
Hepatitis is a disease of inflammatory in nature attacking
liver, a vital organ in the body. Some patients remain
asymptomatic while others develop symptoms and signs like
yellow skin discoloration, whites of eyes, decrease in appetite,
tiredness and abdominal pain etc. [1]. Hepatitis B is an
infection common worldwide as a serious healthcare problem
more prominent in developing countries [2].
Worldwide there are greater than 300 million people carry the
infection of virus where 90% are from the developing
countries. Moreover, 75% are from the countries of Asia
where 8 to 15% of the population are infected with some kinds
of virus [3]. Hepatitis B infection is preventable disease,
through safe and appropriate following of vaccination as per
worldwide recommendation. The proper operation of
vaccines is still questionable in many parts of the world
including our country Pakistan. Especially, the health care
workers are having insufficient protection. Health care
workers are aware of all consequences and even then they
have very low ratio of vaccination. Many vaccinated persons
having the risk of contracting Hepatitis B infection 6-30%
caused by HBV infected needles [4].
Globally, in all hospitals and health care organizations,
infection remains a huge problem and a greater public health
concern. It is considered a very serious issue because it
contributes to large number of morbidity, mortality and
increased cost [5]. The aim of infection prevention measures
is to make sure to protect the vulnerable population, who are
at greater risk of acquiring the infection of Hepatitis B virus.
These risk groups can be from community as well as hospitals
during treatment [5].
In developing countries like Pakistan, the prevalence of
Hepatitis B is increasing and the preventive measures are not
practiced properly by nurses and doctors and other health care
professionals [6]. Annual deaths from the infection of
Hepatitis B are around 1 million and every year 4.5 millions
of new incidences are reported globally [7]. Nurses and other
health care workers are always at a greater risk of getting the
Hepatitis B virus because they are always exposed to sharp
injury, and body fluids of patients [8].
It is observed that Nurses and physicians are every time
directly in contact with patients such as injections, transfusion
of blood, and surgical site care and become vulnerable to
acquire any infection [9]. Health care providers should be
aware of the dangers of such infections and should take proper
precautionary measures [10]. Along with the doctors and
nurses, the other trainees such as medical and nursing students
*Address correspondence to this author at the National College of Nursing,
The University of Lahore, Lahore, Pakistan.
E-mail: sumairarehman82@gmail.com
© 2018 NiBD Publications www.njhsciences.com
122
Research Article
Abstract: Background: Occupational exposure occurs frequently among Health Care Workers (HCWs). The most serious occupational health
hazard faced by HCWs worldwide is exposure to Hepatitis B Virus (HBV). Having enough knowledge and proper attitudes toward this
infection is crucial in prevention of occupational hepatitis infection.
Methods: This cross sectional descriptive study conducted to assess knowledge, attitude and practice of nurses regarding Hepatitis B
prevention and control at Services hospital Lahore. In this study well-structured close ended questionnaire adopted from a study, knowledge,
attitudes and practices of healthcare workers at the princess Marina hospital in Botswana regarding Hepatitis B prevention and control will be
used (Machiya, 2011). The study was conducted in Services hospital among 200 nurses to assess knowledge, attitudes and practices of Nurses,
regarding Hepatitis B prevention and control at a tertiary care hospital Lahore.
Results: It was found that most of the nurses were enough knowledge, positive attitude and better practice among nurses. Mostly, nurses
response are positively very rare participant response are negative. The knowledge of Hepatitis B infection prevention, 81% of the participants
knew that Hepatitis B infection can be transmitted by carriers. Majority 89.5% knew that Hepatitis B infection cannot be spread through casual
contact. Majority knew that open wound, contaminated blood and body fluids, unsterilized syringes, needles and surgical instruments could
easily transmit the Hepatitis B infection. Among the participants 86.5% had knowledge that vaccines can prevent Hepatitis B. 23% of the
participants had negative attitude towards Hepatitis B. The attitude was positive among 55.6% participants and 54.2% participants were
performing safe preventive practices.
Keywords: Knowledge, Attitude, Practice, Hepatitis B, Prevention, Control, Nurses.
doi.org/10.21089/njhs.34.0122