一项针对护士的知识、普遍污名化态度和对艾滋病病毒工作回避行为的改良白大衣和热心干预：一项准实验研究。
An adapted white-coat and warm-heart intervention on nurses' knowledge, general stigmatizing attitudes, and work avoidance behaviors towards HIV: a quasi-experimental study.
机构信息
Teaching and Research Section of Clinical Nursing, Xiangya Hospital of Central South University, Changsha 410008, China.
Department of Oncology, the Second Xiangya Hospital of Central South University, Changsha 410012, China.
出版信息
J Occup Health. 2024 Jan 4;66(1). doi: 10.1093/joccuh/uiae041.
OBJECTIVES
To determine the effect of an adapted white-coat and warm-heart intervention (AWWI) among nurses.
BACKGROUND
HIV discrimination among medical staff hinders progress in HIV prevention.
METHODS
A total of 779 nurses were randomized into intervention and control groups. The intervention group was provided with AWWI training. The control group did not receive AWWI training. HIV-related knowledge, attitudes, and behaviors of participants were assessed.
RESULTS
Participants in the intervention group had better HIV-related knowledge and less stigmatizing attitudes and work avoidance behavior levels than participants in the control group after the 1-, 3-, and 6-month interventions (P < .05). The main effects of group and time factors were highly significant in the intervention group. There were significant interaction effects in group and time factors.
CONCLUSIONS
AWWI effectively improved the level of HIV-related knowledge and reduced general stigmatizing attitudes and work avoidance behaviors among nurses based on self-reported data in a tertiary hospital in China during a 6-month period.
目的
评估护士群体中经过改编的白大衣和热心干预（AWWI）的效果。
背景
医务人员对 HIV 的歧视阻碍了 HIV 预防工作的进展。
方法
共有 779 名护士被随机分为干预组和对照组。干预组接受 AWWI 培训，对照组不接受 AWWI 培训。评估参与者的 HIV 相关知识、态度和行为。
结果
在干预后的 1、3 和 6 个月，干预组的 HIV 相关知识优于对照组，歧视态度和回避工作行为水平低于对照组（P<.05）。干预组的组间和时间因素的主要效应非常显著，且存在组间和时间因素的交互效应。
结论
在中国一家三级医院，基于自我报告数据，AWWI 在 6 个月的时间内，有效地提高了护士的 HIV 相关知识水平，并降低了普遍的歧视态度和回避工作行为。
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