Kumar Deepak, Kumar Rajan, Biswas Bijit, Biswas Labani, Patra Satya Ranjan
Physical Medicine and Rehabilitation, All India Institute of Medical Sciences, Deoghar, Deoghar, IND.
Pediatrics, All India Institute of Medical Sciences, Deoghar, Deoghar, IND.
Cureus. 2024 Dec 7;16(12):e75267. doi: 10.7759/cureus.75267. eCollection 2024 Dec.
Globally, a substantial portion of the population lives with significant disabilities. Despite advancements, individuals with disabilities continue to experience poorer health outcomes, often due to inadequate knowledge and attitudes among healthcare providers. This study aimed to evaluate the knowledge and attitudes of healthcare professionals regarding disabilities in a tertiary care setting.
A cross-sectional survey was conducted among healthcare professionals using an online questionnaire. The survey assessed their knowledge of disability-related laws, attitudes regarding inclusion, and perceptions of responsibilities toward persons with disabilities (PwD).
The study included 126 (54.5%) female participants, of which nurses comprised 146 (63.2%), followed by doctors (n=66, 28.6%) and support staff (n=19, 8.2%). Gender differences showed males had greater awareness of Government of India schemes (n=12, 11.4% in males vs. n=2, 1.6% in females, p = 0.002), while female participants demonstrated better understanding of healthcare responsibilities (p = 0.043) and stronger support for free healthcare for PwD (n=88, 69.8% vs. n=60, 57.1%, p = 0.045]. Doctors had higher knowledge of disability certification (n=18, 27.3%) than nurses (n=24, 14.4%) (p = 0.023), while 141 (85.5%) nurses and support staff supported equal social opportunities compared to 34 (51.5%) doctors (p = 0.001). The average knowledge and attitude scores were 5.1±1.6 and 7.6±2.6, respectively, with a moderate positive correlation between the two (r = 0.388, p < 0.001).
Healthcare personnel demonstrated satisfactory knowledge and attitudes toward disabilities, with nursing officers excelling in attitudes and doctors in certification knowledge. Gaps in legal and scheme awareness underscore the need for targeted training to enhance inclusion.
在全球范围内,很大一部分人口生活在严重残疾之中。尽管取得了进步,但残疾人的健康状况仍然较差,这往往是由于医疗保健提供者的知识和态度不足所致。本研究旨在评估三级医疗环境中医疗保健专业人员对残疾的知识和态度。
使用在线问卷对医疗保健专业人员进行横断面调查。该调查评估了他们对与残疾相关法律的了解、对包容的态度以及对残疾人责任的看法。
该研究纳入了126名(54.5%)女性参与者,其中护士有146名(63.2%),其次是医生(66名,28.6%)和辅助人员(19名,8.2%)。性别差异表明,男性对印度政府计划的知晓度更高(男性为12名,占11.4%;女性为2名,占1.6%,p = 0.002),而女性参与者对医疗保健责任的理解更好(p = 0.043),并且对为残疾人提供免费医疗保健的支持更强(88名,占69.8%;60名,占57.1%,p = 0.045)。医生对残疾认证的了解(18名,占27.3%)高于护士(24名,占14.4%)(p = 0.023),而141名(85.5%)护士和辅助人员支持平等的社会机会,相比之下医生有34名(51.5%)(p = 0.001)。知识和态度的平均得分分别为5.1±1.6和7.6±2.6,两者之间存在中度正相关(r = 0.388,p < 0.001)。
医疗保健人员对残疾表现出了令人满意的知识和态度,护理人员在态度方面表现出色,医生在认证知识方面表现出色。法律和计划意识方面的差距凸显了进行有针对性培训以加强包容的必要性。