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[作为行为问题的卫生学]

[Hygiene as a behavior problem].

作者信息

Bergler R, Borneff M

出版信息

Zentralbl Bakteriol Mikrobiol Hyg B Umwelthyg Krankenhaushyg Arbeitshyg Prav Med. 1987 Mar;183(4):384-447.

PMID:3109150
Abstract

The subject of the study is a systematizing analysis of present research concerned with the barriers which prevent scientific findings about hygiene from being carried out and which hamper the obvious adoption of hygienically and psycho-hygienically relevant prophylactic measures. A general interpretive model with explanatory value for health- and hygiene-related behavior is being developed. Future studies will particularly have to clarify what significance and what interpretative relevance do the diverse influencing factors have for a particular person in a particular position and situation and how in the course of one's biography even something like lifestyles of hygienic behavior develop and change. For the necessity of improvement as regards the hygienic status in various realms of life the knowledge about existing barriers is a basic essential. The following quantities and constructs pass into the theoretic interpretive model which should also provide the basis for further evolvement of theories as well as the starting point for specific research hypotheses but not least for the development of specific research and evaluation designs: Standard of information, informational behavior and quality of information. The individual risk assessment: A function of the subjective importance and probability that benefit and cost factors of prophylactic behavior will occur. Additional influencing factors essential to the development of a desirable health- and hygiene-related behavior are: Objective shortcomings with regard to prophylaxis: deficits of the hygienic research including the deficits concerning the development of feasible and universally applicable disinfection methods. Hazards connected to prophylaxis: Objective risks with regard to prophylaxis (disinfection methods which may cause allergies, which involve problems with the compatibility of materials and so forth) and psychological risks (impaired relations between physician and patient due to the wearing of a mouth guard in dental practice, and others) are being differentiated. The degree importance attached to hygiene in organisations: prerequisites for this are: matters of hygiene as features characteristic of a specific job and as a part of employee evaluation, laying down of responsibilities and spheres of competence in matters of hygiene, normative binding character of job-related hygienic guidelines, exemplary behavior of the management.(ABSTRACT TRUNCATED AT 400 WORDS)

摘要

该研究的主题是对当前有关阻碍卫生学研究成果实施以及妨碍明显采用卫生和心理卫生相关预防措施的障碍的研究进行系统分析。正在构建一个对健康和卫生相关行为具有解释价值的通用解释模型。未来的研究尤其需要阐明,各种影响因素对于处于特定位置和情况的特定个体具有何种意义和解释相关性,以及在个人的人生历程中,诸如卫生行为的生活方式是如何发展和变化的。对于改善生活各领域卫生状况的必要性而言,了解现有障碍是一项基本要素。以下数量和结构纳入了理论解释模型,该模型也应为理论的进一步发展提供基础、为具体研究假设提供起点,而且至少为具体研究和评估设计的制定提供基础:信息标准、信息行为和信息质量。个体风险评估:预防行为的益处和成本因素发生的主观重要性和概率的函数。对形成理想的健康和卫生相关行为至关重要的其他影响因素包括:预防方面的客观缺陷:卫生研究的不足,包括在开发可行且普遍适用的消毒方法方面的不足。与预防相关的危害:区分预防方面的客观风险(可能引起过敏、涉及材料兼容性问题等的消毒方法)和心理风险(牙科实践中因佩戴口腔防护装置导致医患关系受损等)。组织中对卫生的重视程度:其前提条件包括:作为特定工作特征和员工评估一部分的卫生事项、在卫生事项中规定责任和权限范围、与工作相关的卫生准则的规范性约束力、管理层的模范行为。(摘要截选至400字)

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