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影响患者对感染控制措施态度的因素。

Factors that affect patient attitudes toward infection control measures.

作者信息

Jones D L, Rankin K V, Rees T D

机构信息

Department of Community Dentistry, University of Texas Health Science Center, San Antonio 78284-7917.

出版信息

J Dent Educ. 1991 Nov;55(11):717-23.

PMID:1744287
Abstract

This study examined how differences in infection control procedures and patients' perceived knowledge of infection control, and how AIDS and hepatitis might affect attitudes toward the use of such measures. Patients receiving treatment at two sites where the methods of infection control and the frequency of their use differed (dental school and private dental practices) were surveyed concerning their approval/acceptance of infection control measures and self-report of knowledge concerning infectious disease and possible transmission of infectious disease during dental treatment. Data were collected from 379 patients, 272 from the dental school and 107 from five private practices. A high percentage (95 percent) of both dental school and private patients felt they were adequately protected, while fewer than 2 percent expressed anxiety about infection control procedures being used in either setting. Factors such as gender, age, and years of formal education did not significantly affect attitudes toward infection control measures, but age and education were correlated with perceived knowledge of infectious diseases. Patients' reported knowledge of infectious disease had a significant effect on their decision to leave a practice if the dentist was HIV positive. A significantly higher percentage of dental school patients felt that barrier infection control techniques should be used routinely. Patients treated where such techniques were not routinely used nevertheless expressed satisfaction with that level of protection, implying that patients tend to accept the level of infection control being practiced where they receive treatment.

摘要

本研究探讨了感染控制程序的差异、患者对感染控制的认知程度,以及艾滋病和肝炎如何影响对采取此类措施的态度。对在两个感染控制方法和使用频率不同的场所(牙科学院和私人牙科诊所)接受治疗的患者,就其对感染控制措施的认可/接受情况,以及在牙科治疗期间有关传染病及传染病可能传播的知识进行自我报告展开调查。从379名患者收集数据,其中272名来自牙科学院,107名来自五家私人诊所。牙科学院和私人诊所的患者中,高比例(95%)的人觉得自己受到了充分保护,而不到2%的人对在任何一种场所使用的感染控制程序表示担忧。性别、年龄和正规教育年限等因素对感染控制措施的态度没有显著影响,但年龄和教育程度与对传染病的认知相关。如果牙医是艾滋病毒阳性,患者报告的传染病知识对其是否离开诊所的决定有显著影响。牙科学院的患者中,有显著更高比例的人认为应常规使用屏障感染控制技术。然而,在未常规使用此类技术的场所接受治疗的患者,对该保护水平仍表示满意,这意味着患者倾向于接受他们接受治疗场所所实施的感染控制水平。

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