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朱一, 张钰, 张珍, 张学宁, 高倩, 朱立国, 李小宁, 常军, 黄忠大, 陈勇, 王蓓. 基层医务人员艾滋病知识态度及职业防护行为现状[J]. 中国公共卫生, 2013, 29(8): 1093-1096. DOI: 10.11847/zgggws2013-29-08-01
引用本文: 朱一, 张钰, 张珍, 张学宁, 高倩, 朱立国, 李小宁, 常军, 黄忠大, 陈勇, 王蓓. 基层医务人员艾滋病知识态度及职业防护行为现状[J]. 中国公共卫生, 2013, 29(8): 1093-1096. DOI: 10.11847/zgggws2013-29-08-01
ZHU Yi, ZHANG Yu, ZHANG Zhen.et al, . Knowledge,attitude and occupational protection for AIDS among medical workers[J]. Chinese Journal of Public Health, 2013, 29(8): 1093-1096. DOI: 10.11847/zgggws2013-29-08-01
Citation: ZHU Yi, ZHANG Yu, ZHANG Zhen.et al, . Knowledge,attitude and occupational protection for AIDS among medical workers[J]. Chinese Journal of Public Health, 2013, 29(8): 1093-1096. DOI: 10.11847/zgggws2013-29-08-01

基层医务人员艾滋病知识态度及职业防护行为现状

Knowledge,attitude and occupational protection for AIDS among medical workers

  • 摘要: 目的调查分析江苏省基层医务人员艾滋病相关知识、态度和职业暴露防护行为现状及其影响因素,为开展艾滋病综合防治及职业防护提供依据。方法采用分层抽样的方法,对江苏省泰兴、张家港和丹阳的各级医疗卫生服务机构医务人员进行艾滋病相关知识、态度和职业暴露防护行为状况的问卷调查,并分析其影响因素。结果医务人员对艾滋病的基本知识总知晓率为81.41%(40 370/49 588);58.4%(841/1 439)的临床一线医务人员认为自己有感染艾滋病的危险;当同事或朋友感染人类免疫缺陷病毒(HIV)时,表示会对其更加关心,并注意自我保护的医务人员占78.8%(1 132/1 436);36.1%(519/1 439)的医务人员面对HIV感染者/艾滋病患者时会感到恐惧;83.9%(1 207/1 439)的医务人员不拒绝为HIV感染者/艾滋病患者提供治疗;仅58.3%(839/1 439)的医务人员将所有诊疗病人的血液或体液当作艾滋病潜在传染源来防护;职业暴露后进行局部处理、预防性用药者分别占87.9%(1 262/1 435)、50.2%(721/1 435);多因素logistic回归分析结果表明,年龄、职称、工作科室和接受培训情况对医务人员艾滋病知识知晓率有影响;性别、年龄、三级网络、工作科室及自觉有感染HIV危险对医务人员面对艾滋病恐惧心理有影响;培训、曾经诊断艾滋病和工作科室对医务人员艾滋病职业暴露防护行为有影响。结论医务人员艾滋病知识缺乏全面性、系统性,对艾滋病患者和HIV感染者仍然存在恐惧心理,职业暴露相关防护行为正确率较低。

     

    Abstract: ObjectiveTo explore the knowledge,attitude,occupational protection for AIDS and their related factors among medical workers in Jiangsu province. MethodsMedical workers were chosen from three health institutions of different grade in Taixing,Danyang and Zhangjiagang city with stratified sampling and investigated with a questionnaire. ResultsThe overall awareness rate of AIDS knowledge among the medical professionals was 81.41% and 36.1% of the professionals were still afraid of AIDS,while most of them(83.9%)would not refuse to treat an AIDS patient.After human immunodeficiency virus(HIV)/AIDS occupational exposure,the total rate of correct self-protection practice among the professionals was only 67.8%.Age,education level,professional title,specialities,and whether being trained before were related with the awareness of AIDS knowledge.Gender,age,the grade of the hospital,specialities,and the awareness of the risk of HIV infection were associated with the attitude towards AIDS.Meanwhile,whether the doctors would treat AIDS patients was directly influenced by the doctors'attitude towards AIDS patients(r=0.88,P=0.001).The rate of correct self-protection practice was affected by training status,whether diagnosing cases of HIV/AIDS,and working department. ConclusionThe knowledge related to AIDS is incomprehensive among medical professionals and the risk of HIV infection still exists.The protective behaviors need to be improved among medical professionals.

     

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