Preventive Measures after Needle-Stick Injuries and Association with Health Locus of Control Beliefs in Medical Students

Authors: M. Karbakhsh, M. Shamseddini Motlagh, M. Khansari

Abstract:

The purpose of this research was to demonstrate prevalence of post-exposure preventive measures (PEP) after needlestick injuries and its relationship with locus of control beliefs in a sample of medical students. In this cross-sectional study, 300 medical students with history of having experienced needle stick injuries (NSI) for at least once filled in a questionnaire to determine if they perceived themselves to be responsible and effective in preventing blood born infections after NSI. About 38% of students did not seek any professional consult or PEP after NSI due to lack of enough time or access, anxiety about tests results, belief in uselessness of followup and not being able to change destiny. These 114 students were not different from others regarding their scores on NSI specific scale of locus of health control. Thus, the potentiality of NSI locus of control beliefs in predicting PEP was not seen in this study.

Keywords: health care workers, locus of health control, needle stick injuries, post-exposure prevention.

Digital Object Identifier (DOI): doi.org/10.5281/zenodo.1074403

References:

[1] Pr├╝ss-Ust├╝n A, Rapiti E, Hutin Y. Estimation of the global burden of disease attributable to contaminated sharps injuries among health-care workers. Am J Ind Med. 2005 Dec;48(6):482-90
[2] Sharma GK, Gilson MM, Nathan H, Makary MA. Needlestick injuries(NSI) among medical students: incidence and implications. Acad Med. 2009 Dec;84(12):1815-21.
[3] Norsayani MY, Noor Hassim I. Study on incidence of needle stick injury and factors associated with this problem among medical students. J Occup Health. 2003 May;45(3):172-8.
[4] Shen C, Jagger J, Pearson RD. Risk of needle stick and sharp object injuries among medical students. Am J Infect Control. 1999 Oct;27(5):435-7.
[5] Hadadi, A, Afhami S, Karbakhsh M, Esmailpour N. Occupational exposure to body fluids among healthcare workers: A report from Iran. Singapore Medicine Journal, 2008. 49(6): p.492.
[6] Askarian M, Malekmakan L.The prevalence of needle stick injuries in medical, dental, nursing and midwifery students at the university teaching hospitals of Shiraz, Iran. Indian J Med Sci. 2006 Jun;60(6):227- 32.
[7] Tereskerz PM, Pearson RD, Jagger J. Occupational exposure to blood among medical students. Engl J Med. 1996 Oct 10;335(15):1150-3.
[8] Wilburn SQ, Eijkemans G. Preventing needlestick injuries among healthcare workers: a WHO-ICN collaboration. Int J Occup Environ Health. 2004 Oct-Dec;10(4):451-6.
[9] Cervini P, Bell C. brief Report: needlestick Injury and Inadequate Post- Exposure Practice in Medical Students. J Gen Intern Med. 2005 May; 20(5): 419-421
[10] Sagoe CM, Pearson JD, Perry J, Jagger J. Risks to health care workers in developing countries. N Engl J Med. 2001;345:538-9.
[11] Kennedy R, Kelly S, Gonsalves S, Mc Cann PA.Barriers to the reporting and management of needlestick injuries among surgeons. Ir J Med Sci. 2009 Sep;178(3):297-9. Epub 2009 Jun 4.
[12] Rosenthal E, Pradier C, Keita-Perse O, Altare J, Dellamonica P, Cassuto JP Needlestick injuries among French medical students. JAMA. 1999 May 5;281(17):1660
[13] Rotter JB. Generalized expectancies for internal versus external control of reinforcement. Psychol Monogr. 1966;80(1):1-28
[14] Gale CR, Batty GD, Deary IJ. Locus of control at age 10 years and health outcomes and behaviors at age 30 years: the 1970 British Cohort Study. Psychosom Med. 2008 May;70(4):397-403.
[15] McCusker J, Morrow G. The relationship of health locus of control to preventive health behaviors and health beliefs. Patient Counselling and Health Education 1979;1(4):146-150
[16] Wallston KA, Wallston BS. Who is responsible for your health: The construct of health locus of control. In G. Sanders & J Suls (Eds.) Social Psychology of Health and Illness. Hillsdale, N.J.: Lawrence Erlbaum & Associates, 1982: 65-95.
[17] Wallston BS, Wallston KA, Kaplan GD, Maides SA. The development and validation of the health related locus of control (HLC) scale. Journal of Consulting and Clinical Psychology 1976, 44, 580-585
[18] Wallston, B. S. & Wallston, K. A. Locus of control and health: A Review of the literature. Health Education Monographs1978, 6, 107-117
[19] Peltzer, K. Tobacco use among black South African university students: attitudes, risk awareness and health locus of control. Curationis, 200124, 4-8.
[20] Holm, C.J., Frank, D.I. and Curtin, J. Health beliefs, health locus of control, and women's mammography behavior. Cancer Nursing1999, 22, 149-156.
[21] Shamseddeen W, Mahmoud H, Otrock Z, Soweid RAA. Health Locus of Control among Medical Students in a Developing Country. International Journal Of Health Promotion and Education2006, 44(4): 145-151
[22] M Grivna, H Al-Shamsi, A Al-Hammadi, M Al-Obthani,M Al-Ali, A Al-Senani,M El-Sadig, R Bernsen, P Barss. Child restraints a crosssectional study on knowledge, attitude and practice of traffic police in United Arab Emirates. Inj Prev2010;16:A241 doi:10.1136/ip.2010.029215.859
[23] Kneckt MC, Syrjälä AM, Knuuttila ML. Locus of control beliefs predicting oral and diabetes health behavior and health status. Acta Odontol Scand. 1999 Jun;57(3):127-31.
[24] Malekzadeh R, Mokri A, Azarmina . Medical science and research in Iran. Arch Irn Med 2001; 4(1): 27-39