Abdelrahman Ihab, Lohiniva Anna Leena, Kandeel Amr, Benkirane Manal, Atta Hossam, Saleh Hanan, El Sayed Nasr, Talaat Maha
Ministry of Health in Egypt, Cairo, Egypt.
Global Disease Detection and Response Program, US Naval Medical Research Unit No. 3, Cairo, Egypt
J Int Assoc Provid AIDS Care. 2015 Mar-Apr;14(2):141-7. doi: 10.1177/2325957413488180. Epub 2013 Jun 21.
The purpose of this study was to identify obstacles health care workers face in providing care for people living with HIV and AIDS (PLWHA). Based on these findings, health authorities can design interventions to support health care workers in providing better medical care for PLWHA. Thirty in-depth interviews were conducted with physicians and nurses in one 300-bed tertiary care public hospital in Giza, Egypt. Thematic analysis was conducted by 2 investigators. Five main themes were identified (1) fear of infection; (2) disbelief in effectiveness of infection control measures to protect against HIV; (3) misconceptions regarding medical care for PLWHA; (4) fear of secondary stigma; and (5) moral judgments toward PLWHA and negative connotations related to HIV. Interventions targeting health care workers should be multidimensional, including knowledge and skills building as well as value and attitude change. Reducing stigma among health care workers will improve access to care for PLWHA.
本研究的目的是确定医护人员在为艾滋病毒/艾滋病感染者（PLWHA）提供护理时所面临的障碍。基于这些研究结果，卫生当局可以设计干预措施，以支持医护人员为PLWHA提供更好的医疗护理。在埃及吉萨的一家拥有300张床位的三级护理公立医院，对医生和护士进行了30次深入访谈。由2名研究人员进行了主题分析。确定了五个主要主题：（1）对感染的恐惧；（2）对预防艾滋病毒感染控制措施有效性的怀疑；（3）对PLWHA医疗护理的误解；（4）对继发性污名的恐惧；以及（5）对PLWHA的道德评判和与艾滋病毒相关的负面含义。针对医护人员的干预措施应是多维度的，包括知识和技能培养以及价值观和态度转变。减少医护人员中的污名将改善PLWHA获得护理的机会。
