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治疗 HIV 和乙型肝炎与丙型肝炎感染患者:克罗地亚牙科学生的知识、态度和风险认知。

Treating patients with HIV and Hepatitis B and C infections: Croatian dental students' knowledge, attitudes, and risk perceptions.

机构信息

Department of Prosthodontics, School of Dental Medicine, University of Zagreb, Gunduliceva 5, HR-10000 Zagreb, Croatia.

出版信息

J Dent Educ. 2011 Aug;75(8):1115-26.

PMID:21828306
Abstract

Dentists and dental students can be exposed to the human immunodeficiency virus (HIV), hepatitis B virus (HBV), and hepatitis C virus (HCV) during routine work. The aims of this study were to assess a group of dental students' knowledge about HIV, HBV, and HCV infections; assess their attitudes and risk perceptions about the treatment of patients with HIV, HBV, and HCV; and identify factors associated with their knowledge and willingness to treat these patients. An anonymous survey was administered to 534 predoctoral students at the School of Dental Medicine, University of Zagreb, Croatia. The response rate was 71.9 percent. Students' knowledge increased with each year of study. Senior students (in their third, fourth, and fifth years) had more professional attitudes and were significantly more positive about dentists' professional obligation to treat patients who are HIV-positive than were junior students (in their first and second years; p=0.0002). Senior students also expressed significantly more willingness to treat intravenous drug users and patients with hepatitis (p=0.016 and p=0.033, respectively). Female students were significantly more convinced than male students that routine dental treatment carried a significant risk of HIV and hepatitis infection (p=0.025). These students' knowledge negatively correlated with the lack of willingness to treat intravenous drug users and patients with hepatitis, and they expressed their willingness to receive further theoretical and practical education on this topic.

摘要

牙医和牙科学学生在日常工作中可能会接触到人类免疫缺陷病毒 (HIV)、乙型肝炎病毒 (HBV) 和丙型肝炎病毒 (HCV)。本研究旨在评估一组牙科学学生对 HIV、HBV 和 HCV 感染的认识;评估他们对治疗 HIV、HBV 和 HCV 患者的态度和风险认知;并确定与他们的知识和治疗这些患者的意愿相关的因素。对克罗地亚萨格勒布大学牙医学院的 534 名牙科学前学生进行了匿名调查。回复率为 71.9%。学生的知识随着学习年限的增加而增加。高年级学生(三、四、五年级)具有更专业的态度,并且对牙医治疗 HIV 阳性患者的专业义务明显更为积极,而低年级学生(一、二年级)则不然(p=0.0002)。高年级学生也表示更愿意治疗静脉吸毒者和乙型肝炎患者(p=0.016 和 p=0.033)。与男性学生相比,女性学生更相信常规牙科治疗会带来感染 HIV 和肝炎的显著风险(p=0.025)。这些学生的知识与不愿治疗静脉吸毒者和乙型肝炎患者呈负相关,他们表示愿意接受关于该主题的进一步理论和实践教育。

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