Feit L R, Melzer S M, Vermund S H, Shelov S P
Yale-New Haven Hospital, CT.
Acad Med. 1990 Jul;65(7):461-3. doi: 10.1097/00001888-199007000-00011.
Following reports of concern among health-care workers regarding the occupational risk of infection with the human immunodeficiency virus (HIV), a symposium was designed in 1987 to demonstrate to health-care providers at three hospitals in The Bronx, New York, the low risk of occupational HIV infection and techniques for avoiding infection. After the symposium, 103 of the health-care providers who had attended it completed a questionnaire assessing the impact of the symposium on their attitudes; the responses from 100 of these providers were used in this study. Twenty-nine of the responding providers reported that the symposium had increased their concerns regarding their risk of HIV infection; this group was composed of seven of the 15 medical students who responded, 12 of the 36 housestaff, seven of the 28 faculty, and three of the 21 other medical staff. The findings of the present study suggest that a symposium designed to decrease concerns of occupational HIV infection among health-care workers may have the opposite effect on some of those who attend it, especially medical students. Education alone may be inadequate to reassure some providers. The authors recommend small-group sessions addressing the emotional aspects of health-care providers' concerns.
在有报告称医护人员对感染人类免疫缺陷病毒（HIV）的职业风险表示担忧之后，1987年举办了一次研讨会，向纽约布朗克斯区三家医院的医护人员展示职业感染HIV的低风险以及避免感染的技巧。研讨会结束后，103名参会的医护人员填写了一份问卷，评估该研讨会对他们态度的影响；本研究采用了其中100名医护人员的回复。29名回复问卷的医护人员报告称，该研讨会增加了他们对感染HIV风险的担忧；这一组包括15名回复问卷的医学生中的7名、36名住院医生中的12名、28名教员中的7名以及21名其他医务人员中的3名。本研究结果表明，旨在减少医护人员对职业感染HIV担忧的研讨会，可能会对部分参会人员，尤其是医学生，产生相反的效果。仅靠教育可能不足以让一些医护人员安心。作者建议开展小组会议，解决医护人员担忧的情感方面问题。
