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比较澳大利亚卫生工作者和学生对提供乙型肝炎患者护理的态度和担忧。

Comparing Australian health worker and student attitudes and concerns about providing care to people living with hepatitis B.

机构信息

Centre for Social Research in Health, University of New South Wales, Sydney, NSW, Australia.

出版信息

Health Promot J Austr. 2022 Jan;33(1):282-288. doi: 10.1002/hpja.475. Epub 2021 Mar 27.

Abstract

ISSUE ADDRESSED

Hepatitis B (HBV) is a major public health issue with over 250 million people chronically infected worldwide. In Australia, prevalence is higher among migrant communities and these groups may be reticent to attend health care services due to concerns about experiencing stigma and discrimination. The way health workers perceive their clients, particularly those of migrant backgrounds, may influence the way they treat these clients and the quality of care provided. This study investigated and compared the attitudes and concerns health workers and health students have towards working with clients living with HBV.

METHODS

Health workers (n = 551) and students (n = 199) completed an online survey which investigated attitudes towards people living with HBV, comfort with providing care for these clients and concerns they have about working with them.

RESULTS

Health students expressed less comfort (U = 47 611, z = -2.73, P = .006) and reported more concerns about working with people with HBV than qualified health workers (U = 61611.50, z = 2.64, P = .008). Students' concerns were centred around their own ability to provide care rather than issues related to clients. There were no differences in overall attitudes towards people living with HBV between health workers and students.

CONCLUSION

To address concerns that health workers and students may have in working with people living with HBV, particularly those from migrant communities, and to ensure that health workers feel comfortable and confident, HBV workforce development should be included in undergraduate and postgraduate training programmes as well as in continuing professional education. SO WHAT?: This will assist the health workforce to develop competency in the treatment of people living with HBV, with the ultimate aim of providing best quality, non-judgemental care to all people living with HBV.

摘要

问题提出

乙型肝炎(HBV)是一个重大的公共卫生问题,全球有超过 2.5 亿人慢性感染。在澳大利亚,移民群体中的发病率更高,由于担心受到污名化和歧视,这些群体可能不愿意去医疗机构。卫生工作者对其客户的看法,特别是那些移民背景的客户的看法,可能会影响他们对待这些客户的方式以及提供的护理质量。本研究调查并比较了卫生工作者和卫生专业学生与乙型肝炎病毒感染者合作的态度和关注点。

方法

卫生工作者(n=551)和学生(n=199)完成了一项在线调查,该调查调查了他们对乙型肝炎病毒感染者的态度、为这些患者提供护理的舒适度以及与患者合作的顾虑。

结果

卫生专业学生表示与乙型肝炎病毒感染者合作的舒适度较低(U=47611,z=-2.73,P=.006),并报告了更多与与乙型肝炎病毒感染者合作相关的顾虑(U=61611.50,z=2.64,P=.008)。学生的顾虑主要集中在自己提供护理的能力上,而不是与患者相关的问题。卫生工作者和学生对乙型肝炎病毒感染者的总体态度没有差异。

结论

为了解决卫生工作者和学生在与乙型肝炎病毒感染者,特别是移民群体合作时可能存在的顾虑,并确保卫生工作者感到舒适和自信,应将乙型肝炎病毒感染者工作队伍的发展纳入本科和研究生培训课程以及继续教育中。这将有助于卫生工作者在治疗乙型肝炎病毒感染者方面发展能力,最终目的是为所有乙型肝炎病毒感染者提供优质、无歧视的护理。

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