医学教育管理 ›› 2018, Vol. 4 ›› Issue (4): 333-337.doi: 10.3969/j.issn.2096-045X.2018.04.017

• 调查研究 • 上一篇    下一篇

医务人员和艾滋病感染者人文关怀现状认知差异分析

张聪玲1, 2 ,李 宁1, 2   

  1. 1. 首都医科大学附属北京佑安医院,北京 100069;2. 首都医科大学卫生管理与教育学院,北京100069
  • 收稿日期:2018-04-16 出版日期:2018-08-20
  • 通讯作者: 李宁

Analysis of cognitive differences in the current humanistic care between medical staff and AIDS infected people

Zhang Congling1,2, Li Ning1,2   

  1. 1. Beijing YouAn Hospital, Capital Medical University, 2. School of Health Management and Education, Capital Medical University, Beijing 100069, China
  • Received:2018-04-16 Online:2018-08-20
  • Contact: Li Ning

摘要: 目的 了解医务人员和艾滋病感染者对人文关怀现状认知的差异,发现诊疗过程中开展人文关怀的问题与阻力。方法 通过问卷调查法分别对752 例医务人员和460 例艾滋病感染者进行调查,了解医护人员对艾滋病知识、感染者的认知、态度、接诊情况,并对关怀现状进行分析。结果 89.36% 的医务人员和90% 的感染者认为进行人文关怀会促进治疗效果;没有参加过人文关怀培训的医务人员有31.12%;医务人员对艾滋病传播途径掌握的正确率为93.83%;36.3% 的感染者曾经有过被综合医院拒诊的经历;56.12% 的医务人员和36.30% 的感染者认为感染者信任医务人员;92.29% 的医务人员和85.87% 的感染者支持启动团队模式对艾滋病感染者进行人文关怀。结论 医务人员为艾滋病感染者提供医疗服务过程中,会因歧视和职业暴露等原因拒诊,对艾滋病感染者的人文关怀程度普遍偏低。应加强德育、艾滋病知识、预防职业暴露、人文关怀知识和医患沟通技巧的培训。支持启用团队模式对艾滋病感染者进行关怀。

Abstract: Objective To investigate the difference between the cognition of medical staff and AIDS infected people in the current situation of humanistic care, and find out the problems and resistance of humanistic care in the process of diagnosis and treatment. Methods A total of 752 medical staff and 460 AIDS infected persons were investigated by questionnaires to analyze the cognition, attitude and admissions on AIDS patients and AIDS knowledge mastery of medical staff. And the current status of humanistic care was analyzed. Results 89.36% medical staff and 90% AIDS infected people consider that humanistic care can promote the treatment effect; 31.12% of medical staff did not participate in the training of humanistic care; The correct rate of medical staff on the mastery of AIDS transmission routes was 93.83%; 36.3% infected people had the experience of being rejected from hospital. 56.12% medical staff and 36.30% infected people think that AIDS infected people trust medical staff. 92.29% medical staff and 85.87% infected people support team mode of humanistic care for AIDS infected people. Conclusion In the process of medical services for AIDS infected people, medical staff may reject to provide medical service because of discrimination and occupational exposure. The degree of humanistic care for AIDS infected people is generally low. It is essential to strengthen the training of moral education, AIDS knowledge,prevention of occupational exposure, humanistic care knowledge and doctor-patient communication skills. Team mode of humanistic care for AIDS infected people should be supported.