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[多层次口腔医疗机构管理者对获得性免疫缺陷综合征职业防护认知的质性研究]

[Qualitative study on the cognition of acquired immunodeficiency syndrome occupational protection among the managers of multi-level stomatology medical institutions].

作者信息

Shi Yong-le, Zhao Xiao-Xi, Liu Fan

机构信息

State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Post Anesthesia Care Unit, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China.

State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Nursing, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China.

出版信息

Hua Xi Kou Qiang Yi Xue Za Zhi. 2020 Aug 1;38(4):410-414. doi: 10.7518/hxkq.2020.04.010.

Abstract

OBJECTIVE

To understand the current cognition of acquired immunodeficiency syndrome (AIDS) occupational protection among the managers of multi-level stomatology medical institutions in efforts to provide a reference for formulating technical standards for occupational protection.

METHODS

Eighteen managers of oral medical institutions were individually interviewed in-depth using asemi-structured questionnaire on issues related to AIDS occupational protection using the phenomenological research method. Nvivo 12.0 software was used to code and analyze the interview data, and relevant themes were extracted.

RESULTS

Three themes were extracted from the data. Occupational protection measures for AIDS in dental medical institutions mainly based on the aspects of standardized operation, standardized prevention, and post-exposure treatment. However, the implementation of these protective measures was often inadequate. Occupational protection training for AIDS was carried out regularly at dental medical institutions, but the training effect was not generally tracked. Several limitations in AIDS occupational protection management; these limitations included the lack of a specific occupational protection system, the difficulty of AIDS screening for outpatients, and the difficulty of AIDS occupational protection supervision.

CONCLUSIONS

Oral medical institutions should strengthen their occupational protection training and supervision approaches and formulate unified occupational protection standards to reduce occupational exposure and improve hospital management quality and efficiency.

摘要

目的

了解多层次口腔医疗机构管理者对获得性免疫缺陷综合征(艾滋病)职业防护的认知现状,为制定职业防护技术标准提供参考。

方法

采用现象学研究方法,运用半结构式问卷对18名口腔医疗机构管理者进行关于艾滋病职业防护相关问题的深入个体访谈。使用Nvivo 12.0软件对访谈数据进行编码和分析,提取相关主题。

结果

从数据中提取出三个主题。口腔医疗机构艾滋病职业防护措施主要基于规范操作、规范预防和暴露后处理等方面。然而,这些防护措施的实施往往不够充分。口腔医疗机构定期开展艾滋病职业防护培训,但培训效果一般未进行跟踪。艾滋病职业防护管理存在若干局限性;这些局限性包括缺乏具体的职业防护制度、门诊患者艾滋病筛查困难以及艾滋病职业防护监督困难。

结论

口腔医疗机构应加强职业防护培训和监督方式,制定统一的职业防护标准,以减少职业暴露,提高医院管理质量和效率。

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