一项在职教育计划，作为提高护士对艾滋病的知识和态度以及增强他们护理艾滋病患者意愿的一种手段。

Yuan H S, Shen S A, Chen J W, Jone K Y, Ko Y C

School of Nursing, Kaohsiung Medical College, Taiwan, Republic of China.

Gaoxiong Yi Xue Ke Xue Za Zhi. 1993 Sep;9(9):508-17.

This study evaluates changes in nurses' knowledge and attitudes about AIDS and changes in their willingness to care for AIDS patients following a 2 hour educational program. The nursing staff of Kaohsiung Medical College Hospital was divided into two groups: an experimental group (n = 280) and a control group (n = 119). Scores were obtained from a pre-test and from a post-test. The questionnaire that was given to both groups. The results were analyzed by 2-way ANOVA with repeated measures. The experimental group's overall pre-test score on their knowledge of AIDS was 25.9 +/- 4.5 (66.4% of the maximal score of 39) and the post-test score showed an improvement to 28.7 +/- 4.2 (73.6% of the maximal score). The difference between the pre-test and post-test scores of the experimental group was statistically significant (P < 0.01). The difference in the post-test scores between the experimental group and the control group (26.0 +/- 4.0) was also statistically significant (P < 0.01). Pertaining to attitudes towards AIDS, the experimental group had a pre-test score of 47.2 +/- 5.2 and a post-test score of 47.3 +/- 5.5, and there was neither a significant difference between the pre-test score and the post-test score of the experimental group nor in the post-test scores between the experimental group and the control group (47.6 +/- 4.3). The post-test score of willingness to care for AIDS patients was slightly higher than the pre-test score in both groups, but the difference was not significant. Nurses who originally were willing to care for AIDS patients had a more positive attitude toward AIDS than did nurses who had originally refused to care for AIDS patients in the pre-test and post-test (p < 0.01). In conclusion, the in-service education apparently enhanced the knowledge of AIDS, however, no statistical difference was established for changes in nurses' attitudes or in their willingness to care for AIDS patients. In order to provide better nursing care, we believe, AIDS knowledge needs to be further promoted.

本研究评估了护士在参加两小时的艾滋病教育项目后，其艾滋病知识、态度以及护理艾滋病患者意愿的变化。高雄医学院附属医院的护理人员被分为两组：实验组（n = 280）和对照组（n = 119）。两组均进行了前测和后测，并使用相同的问卷。结果采用重复测量的双向方差分析进行分析。实验组在艾滋病知识方面的前测总分是25.9±4.5（满分为39分，占66.4%），后测分数提高到28.7±4.2（占满分的73.6%）。实验组前测和后测分数的差异具有统计学意义（P < 0.01）。实验组和对照组后测分数（26.0±4.0）的差异也具有统计学意义（P < 0.01）。关于对艾滋病的态度，实验组前测分数为47.2±5.2，后测分数为47.3±5.5，实验组前测和后测分数之间以及实验组与对照组后测分数（47.6±4.3）之间均无显著差异。两组中护理艾滋病患者意愿的后测分数均略高于前测分数，但差异不显著。在前后测中，最初愿意护理艾滋病患者的护士对艾滋病的态度比最初拒绝护理艾滋病患者的护士更为积极（p < 0.01）。总之，在职教育明显提高了艾滋病知识水平，但在护士态度及护理艾滋病患者意愿的变化方面未发现统计学差异。我们认为，为了提供更好的护理，艾滋病知识仍需进一步推广。