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医疗保健专业人员对创伤性脑损伤(TBI)的态度:职业、经验、病因及责任归咎对脑损伤幸存者偏见的影响。

Healthcare professionals' attitudes towards traumatic brain injury (TBI): the influence of profession, experience, aetiology and blame on prejudice towards survivors of brain injury.

作者信息

Redpath S J, Williams W H, Hanna D, Linden M A, Yates P, Harris A

机构信息

Abertawe Bro Morgannwg University Health Board, Cymru/Wales, UK.

出版信息

Brain Inj. 2010;24(6):802-11. doi: 10.3109/02699051003709623.

Abstract

PRIMARY OBJECTIVE

To investigate the attitudes of healthcare professionals towards individuals with traumatic brain injury (TBI) and their relationship to intended healthcare behaviour.

RESEARCH DESIGN

An independent groups design utilized four independent variables; aetiology, group, blame and gender to explore attitudes towards survivors of brain injury. The dependent variables were measured using the Prejudicial Evaluation and Social Interaction Scale (PESIS) and Helping Behaviour Scale (HBS).

METHODS AND PROCEDURES

A hypothetical vignette based methodology was used. Four hundred and sixty participants (131 trainee nurses, 94 qualified nurses, 174 trainee doctors, 61 qualified doctors) were randomly allocated to one of six possible conditions.

MAIN OUTCOMES AND RESULTS

Regardless of aetiology, if an individual is to blame for their injury, qualified healthcare professionals have more prejudicial attitudes than those entering the profession. There is a significant negative relationship between prejudice and helping behaviour for qualified healthcare professionals.

CONCLUSIONS

Increased prejudicial attitudes of qualified staff are related to a decrease in intended helping behaviour, which has the potential to impact negatively on an individual's recovery post-injury.

摘要

主要目标

调查医疗保健专业人员对创伤性脑损伤(TBI)患者的态度及其与预期医疗行为的关系。

研究设计

独立组设计使用了四个自变量;病因、组别、责备和性别,以探究对脑损伤幸存者的态度。因变量使用偏见评估与社会互动量表(PESIS)和帮助行为量表(HBS)进行测量。

方法与程序

采用基于假设性 vignette 的方法。460 名参与者(131 名实习护士、94 名合格护士、174 名实习医生、61 名合格医生)被随机分配到六种可能的情况之一。

主要结果

无论病因如何,如果个人应对其损伤负责,合格的医疗保健专业人员比即将进入该行业的人员持有更多偏见态度。对于合格的医疗保健专业人员而言,偏见与帮助行为之间存在显著的负相关关系。

结论

合格工作人员偏见态度的增加与预期帮助行为的减少有关,这可能会对个人受伤后的康复产生负面影响。

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