Link R N, Feingold A R, Charap M H, Freeman K, Shelov S P
Department of Medicine, New York University School of Medicine, NY.
Am J Public Health. 1988 Apr;78(4):455-9. doi: 10.2105/ajph.78.4.455.
To assess the degree of house officers' concerns about acquiring AIDS (acquired immunodeficiency syndrome) from their patients, we surveyed 263 medical and pediatric interns and residents in four housestaff training programs affiliated with seven New York City hospitals with large AIDS patient populations; 258 questionnaires (98 per cent) were returned. Thirty-six per cent of medical and 17 per cent of pediatric house officers reported percutaneous exposures to needles contaminated with blood of AIDS patients. Forty-eight per cent of medical and 30 per cent of pediatric house officers reported a moderate to major concern about acquiring AIDS from their patients. Greater concern about personal risk was noted in those house officers who were earlier in their residency training, who reported having treated a greater number of AIDS patients, and who were in medicine rather than pediatrics programs. Twenty-five per cent of all respondents reported that they would not continue to care for AIDS patients if given a choice. The results demonstrate a substantial degree of concern about acquiring AIDS among house officers caring for AIDS patients and suggest the need for housestaff program administrators for formally address these concerns.
为评估住院医生对从患者感染艾滋病（获得性免疫缺陷综合征）的担忧程度，我们对隶属于纽约市七家拥有大量艾滋病患者的医院的四个住院医生培训项目中的263名内科和儿科实习医生及住院医生进行了调查；共收回258份问卷（98%）。36%的内科住院医生和17%的儿科住院医生报告有经皮接触被艾滋病患者血液污染针头的情况。48%的内科住院医生和30%的儿科住院医生报告对从患者感染艾滋病存在中度至高度担忧。在住院培训初期、报告治疗过更多艾滋病患者且在内科而非儿科项目的住院医生中，对个人风险的担忧更大。25%的所有受访者表示，如果可以选择，他们不会继续护理艾滋病患者。结果表明，护理艾滋病患者的住院医生对感染艾滋病存在相当程度的担忧，并表明住院医生培训项目管理人员需要正式解决这些担忧。
