Yang Elizabeth J, Cheung Chrissy M, So Samuel K S, Chang Ellen T, Chao Stephanie D
Asian Liver Center at Stanford University, Palo Alto, CA, USA.
Asian Pac J Cancer Prev. 2013;14(3):1707-13. doi: 10.7314/apjcp.2013.14.3.1707.
This study aimed to better understand the barriers to perinatal hepatitis B prevention and to identify the reasons for poor hepatitis B knowledge and delivery of education to hepatitis B surface-antigen- positive pregnant women among healthcare providers in Santa Clara County, California.
Qualitative interviews were conducted with 16 obstetricians and 17 perinatal nurses in Santa Clara County, California, which has one of the largest populations in the United States at high risk for perinatal hepatitis B transmission.
Most providers displayed a lack of self-efficacy attributed to insufficient hepatitis B training and education. They felt discouraged from counseling and educating their patients because of a lack of resources and discouraging patient attitudes such as stigma and apathy. Providers called for institutional changes from the government, hospitals, and nonprofit organizations to improve care for patients with chronic hepatitis B.
Early and continuing provider training, increased public awareness, and development of comprehensive resources and new programs may contribute to reducing the barriers for health care professionals to provide counseling and education to pregnant patients with chronic hepatitis B infection.
本研究旨在更好地了解围产期乙型肝炎预防的障碍，并确定加利福尼亚州圣克拉拉县医疗服务提供者中，乙型肝炎知识匮乏以及对乙型肝炎表面抗原阳性孕妇教育不足的原因。
对加利福尼亚州圣克拉拉县的16名产科医生和17名围产期护士进行了定性访谈，该县是美国围产期乙型肝炎传播高危人群最多的地区之一。
大多数医疗服务提供者因乙型肝炎培训和教育不足而缺乏自我效能感。由于缺乏资源以及患者存在诸如耻辱感和冷漠等令人沮丧的态度，他们在为患者提供咨询和教育时感到气馁。医疗服务提供者呼吁政府、医院和非营利组织进行机构改革，以改善对慢性乙型肝炎患者的护理。
早期和持续的医疗服务提供者培训、提高公众意识以及开发综合资源和新计划，可能有助于减少医疗保健专业人员为慢性乙型肝炎感染孕妇提供咨询和教育的障碍。
