Cydulka R K, Mathews J J, Born M, Moy A, Parker M
Department of Medicine, Northwestern University Medical School, Northwestern Memorial Hospital, Chicago, Illinois.
J Emerg Med. 1991 Jan-Apr;9(1-2):37-43. doi: 10.1016/0736-4679(91)90530-s.
We surveyed 420 paramedics employed by a large metropolitan fire department to determine the effects of educational seminars on their knowledge base, perceptions, and attitudes about AIDS and hepatitis B. All surveys were completed on an anonymous, voluntary, and confidential basis. Our educational efforts improved the paramedics' knowledge base concerning the medical manifestations of AIDS, identification of risk factors, modes of transmission, and means of infection control, but had no impact on paramedics' fear of contracting AIDS. While paramedics have a strong fear of contracting AIDS, we note that they underestimate their risk of acquiring hepatitis B. Only 17% of paramedics surveyed had received the hepatitis vaccine, despite attending an infectious disease seminar addressing the occupational risks of acquiring hepatitis B infections during the previous year. Further educational efforts to address the paramedics' attitudes about AIDS, as well as to encourage paramedics to recognize hepatitis B exposure as a significant personal health risk, are currently being pursued.
我们对一家大型都市消防部门雇佣的420名护理人员进行了调查，以确定教育研讨会对他们关于艾滋病和乙型肝炎的知识基础、认知及态度的影响。所有调查均在匿名、自愿和保密的基础上完成。我们的教育工作改善了护理人员关于艾滋病的医学表现、风险因素识别、传播方式及感染控制手段的知识基础，但对护理人员感染艾滋病的恐惧没有影响。虽然护理人员非常害怕感染艾滋病，但我们注意到他们低估了感染乙型肝炎的风险。尽管在前一年参加了关于感染乙型肝炎职业风险的传染病研讨会，但接受调查的护理人员中只有17%接种了乙肝疫苗。目前正在进一步开展教育工作，以解决护理人员对艾滋病的态度问题，并鼓励护理人员认识到接触乙型肝炎是一项重大的个人健康风险。
