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澳大利亚卫生和医疗工作者对为乙型肝炎患者提供护理的担忧。

Australian health and medical workers' concerns around 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 Soc Care Community. 2021 Nov;29(6):e431-e439. doi: 10.1111/hsc.13368. Epub 2021 Apr 6.

Abstract

There is established literature on health workers' attitudes towards working with people living with stigmatised health conditions and behaviours, such as HIV, hepatitis C and injecting drug use. Less is known about health workers' attitudes and concerns around providing care to people living with hepatitis B virus (HBV), which is concerning as research indicates that negative attitudes may impact on the quality of care provided to these populations, with adverse health outcomes for clients. The aim of this paper is to examine health and medical workers' concerns about providing care to people living with HBV, and the factors that may influence these concerns. Australian health and medical workers (n = 551) completed an online survey measuring their concerns about providing care to people living with HBV, stigmatising attitudes towards this group, perceived comfort of themselves and colleagues in providing care towards clients with HBV, and witnessing their colleagues behaviour in a discriminatory way towards clients with HBV. Multiple regression was used to ascertain factors predictive of health workers' concerns about working with clients with HBV. Results showed that older participants and those who had spent less time working in the health and medical field had greater concerns about caring for people living with HBV. Workers who did not know someone living with HBV, who were less comfortable around clients with HBV, who perceived their colleagues to be less comfortable working with clients with HBV, and who had more negative attitudes towards this group also had greater concerns around providing care to people living with HBV. Efforts should be made to improve health and medical workers' attitudes towards working with people with HBV. This may also improve workers' level of comfort with people with HBV and reduce the reported reticence they have towards working with this client group.

摘要

关于卫生工作者对与患有受污名化的健康状况和行为(如 HIV、丙型肝炎和注射吸毒)的人合作的态度,已经有了相关文献。但对于卫生工作者对提供乙型肝炎病毒(HBV)感染者护理的态度和关注,了解得较少,这令人担忧。因为研究表明,负面态度可能会影响对这些人群的护理质量,从而对患者的健康结果产生不利影响。本文旨在探讨卫生和医疗工作者对照顾 HBV 感染者的担忧,以及可能影响这些担忧的因素。551 名澳大利亚卫生和医疗工作者完成了一项在线调查,衡量他们对照顾 HBV 感染者的担忧、对这一群体的污名化态度、对自己和同事为 HBV 患者提供护理的舒适度、以及目睹同事对 HBV 患者歧视行为的情况。多元回归用于确定预测卫生工作者对与 HBV 患者合作的担忧的因素。结果表明,年龄较大的参与者和在卫生和医疗领域工作时间较短的参与者对照顾 HBV 感染者的担忧更大。不认识 HBV 感染者的人、对 HBV 患者不太感到舒适的人、认为同事在与 HBV 患者一起工作时不太舒适的人,以及对该群体持更负面态度的人,对照顾 HBV 感染者的担忧也更大。应该努力改善卫生和医疗工作者对与 HBV 感染者合作的态度。这也可能提高工作人员对 HBV 感染者的舒适程度,并减少他们对与这一患者群体合作的报告中的犹豫。

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