Adelekan M L, Jolayemi S O, Ndom R J, Adegboye J, Babatunde S, Tunde-Ayimode M, Yusuff O, Makanjuola A B
Department of Behavioural Sciences, University of Ilorin Teaching Hospital, Ilorin-Kwara State, Nigeria.
AIDS Care. 1995;7 Suppl 1:S63-72. doi: 10.1080/09540129550126849.
Health workers (HWs) play a pivotal role in preventative programmes being implemented to combat the steady increase in the prevalence of HIV infection and AIDS in Nigeria. We report on a questionnaire survey conducted in October, 1993 among 111 doctors, 92 nurses and 53 non-health workers at the University of Ilorin Teaching Hospital, Ilorin, Nigeria. The aim was to assess their knowledge of AIDS (for all groups) and the attitude of the HWs only towards the care of patients with AIDS (PWAs). Although important gaps in knowledge were found in all groups, doctors performed significantly better than non-health workers on 22 out of 23 knowledge items, and more than nurses on 8 of such items. Nurses scored significantly higher than non-health workers on 18 of the knowledge items and more than doctors on one knowledge item. About one in three nurses would hesitate to nurse a PWA, while half would not participate in birth delivery. Also, about a quarter of doctors would hesitate to treat a PWA while one in three would not carry out surgery despite adequate precautions. The findings compare favourably with those reported from other countries. However, they still indicate the need for a comprehensive AIDS education package to improve the knowledge base and allay fears for all groups and to prepare HWs for the important task of caring for PWAs.
卫生工作者在尼日利亚实施的预防项目中发挥着关键作用，这些项目旨在应对该国艾滋病毒感染率和艾滋病患病率的持续上升。我们报告了1993年10月在尼日利亚伊洛林大学教学医院对111名医生、92名护士和53名非卫生工作者进行的问卷调查情况。目的是评估他们对艾滋病的了解程度（针对所有群体）以及仅卫生工作者对艾滋病患者护理的态度。尽管在所有群体中都发现了知识方面的重大差距，但在23项知识问题中的22项上，医生的表现明显优于非卫生工作者，在其中8项上比护士表现更好。护士在18项知识问题上的得分明显高于非卫生工作者，在一项知识问题上比医生得分高。约三分之一的护士会犹豫是否护理艾滋病患者，而一半的护士不会参与接生。此外，约四分之一的医生会犹豫是否治疗艾滋病患者，三分之一的医生即使采取了充分的预防措施也不会进行手术。这些调查结果与其他国家报告的结果相比情况较好。然而，它们仍表明需要一套全面的艾滋病教育方案，以提高所有群体的知识水平并消除恐惧，让卫生工作者为护理艾滋病患者这一重要任务做好准备。
