教学医院医务人员对普遍基本预防措施的知识、态度和实践。
Knowledge, attitude and practice universal basic precautions by medical personnel in a teaching hospital.
作者信息
Hesse Aaj, Adu-Aryee Na, Entsua-Mensah K, Wu L
机构信息
Department of Surgery, College of Health Sciences, University of Ghana Medical School, P.O. Box KB 263, Accra, Ghana.
出版信息
Ghana Med J. 2006 Jun;40(2):61-4. doi: 10.4314/gmj.v40i2.36019.
SUMMARY BACKGROUND
Universal Basic Precautions (UBP) are not well understood nor implemented by health professionals, though crucial in HIV/AIDS prevention. As defined by Garner, UBP refers to "the prevention of transmission of blood borne pathogens like HIV through strict respect by health workers of rules concerning care and nursing"
OBJECTIVES
To find out knowledge and attitudes of medical personnel doctors in the Department of Surgery of the Korle Bu Teaching Hospital to HIV transmission and to find out their current practices of UBP in surgery.
METHODS
The study was carried out using a structured questionnaire which was self administered to fifty medical personnel after preliminary introduction at a plenary session.
RESULTS
Results showed that alleged knowledge did not match actual tested knowledge (92% verses 71%). Knowledge of all the forms of HIV transmission was rather limited among medical personnel. Practice of UBP was also not universal as 44% preferred to rely on pre-op HIV testing of patients and knowledge of their status whilst 36% of respondents admitted reluctance to perform an invasive procedure on an HIV positive patient.
CONCLUSION
This study shows the need for the Ministry of Health, the Ghana Health Service and its institutions to develop and implement specific policies on the practice of UBP, training of health care providers and ensuring the consistent supply of protective materials.
摘要 背景：普遍基本预防措施（UBP）在预防艾滋病毒/艾滋病方面至关重要，但卫生专业人员对其理解和实施情况不佳。加纳定义，普遍基本预防措施是指“通过医护人员严格遵守护理规则，预防像艾滋病毒这样的血源性病原体传播”。
目的
了解科尔勒布教学医院外科医生对艾滋病毒传播的知识和态度，以及他们目前在外科手术中实施普遍基本预防措施的情况。
方法
采用结构化问卷进行研究，在全体会议初步介绍后，由50名医务人员自行填写问卷。
结果
结果显示，声称的知识与实际测试的知识不匹配（92%对71%）。医务人员对艾滋病毒所有传播形式的了解相当有限。普遍基本预防措施的实施也不普遍，44%的人更倾向于依赖术前对患者进行艾滋病毒检测并了解其状况，而36%的受访者承认不愿对艾滋病毒呈阳性的患者进行侵入性手术。
结论
本研究表明，加纳卫生部、加纳卫生服务局及其机构需要制定和实施关于普遍基本预防措施实施、医护人员培训以及确保防护材料持续供应的具体政策。
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