Olaitan P B, Olaitan J O, Dairo M D, Ogbonnaya I S
Burns and Plastic Surgery Unit, Department of Surgery, Ladoke Akintola University of Technology Teaching Hospital, Osogbo, Osun State, Nigeria.
Ann Burns Fire Disasters. 2005 Sep 30;18(3):157-60.
The human immunodeficiency virus (HIV) and the acquired immunodeficiency syndrome (AIDS) have constituted a major challenge and concern worldwide. This is especially true among health workers who have to take care of such patients. This paper is aimed at studying the attitude to HIV/AID burn patients of nurses working in a burn unit. The work was carried out at the burns unit of the National Orthopaedics Hospital in Enugu, Nigeria. In a cross-sectional descriptive study, 125 questionnaires were distributed among nurses working in the burn unit. All the 120 nurses who responded were aware of HIV/AIDS: 80.8% of them believed that the prevalence was high, 93.3% that they could be infected while taking care of the patients, 91.5% that all burn patients should be screened for HIV, and 41.4% that their knowledge of the patients' HIV status would affect their professional duty to them; 31.1% would not want to dress the wounds of known HIV/AIDS burn patients. We conclude that there is a need to educate nurses and indeed all health care workers on adherence to universal precaution rather than routine screening for HIV of all burn patients as knowledge of the patients' HIV status may lead to discrimination against them.
人类免疫缺陷病毒(HIV)和获得性免疫缺陷综合征(AIDS)已成为全球范围内的一项重大挑战和关注点。在必须照顾此类患者的医护人员中尤其如此。本文旨在研究烧伤科护士对HIV/AIDS烧伤患者的态度。该研究在尼日利亚埃努古的国家骨科医院烧伤科开展。在一项横断面描述性研究中,向烧伤科工作的护士发放了125份问卷。所有回复的120名护士都知晓HIV/AIDS:其中80.8%认为患病率很高,93.3%认为在照顾患者时可能会被感染,91.5%认为所有烧伤患者都应进行HIV筛查,41.4%认为了解患者的HIV状况会影响对他们的职业责任;31.1%不想为已知的HIV/AIDS烧伤患者包扎伤口。我们得出结论,有必要对护士乃至所有医护人员进行关于坚持普遍预防措施的教育,而不是对所有烧伤患者进行常规HIV筛查,因为了解患者的HIV状况可能导致对他们的歧视。