Olubuyide I O
Department of Medicine, University College Hospital, Ibadan, Nigeria.
J R Soc Health. 1996 Jun;116(3):157-60. doi: 10.1177/146642409611600306.
The aim of this study was to assess the degree of residents' concern about acquiring hepatitis B virus (HBV) and human immunodeficiency virus (HIV) infection from their patients at the University College Hospital, Ibadan, Nigeria. We surveyed 149 resident doctors. The response was 89%. Nine per cent of the resident doctors reported percutaneous exposures to needles contaminated with blood of patients infected with HBV or HIV. Eighty per cent of the residents experienced moderate to major concern about contracting these viral infections from their patients. The majority of the doctors (54-64%) indicated that they should be allowed to decide for themselves whether to treat the infected patients. A substantial proportion of them (46-49%) believed that refusing to take care of the patient was not unethical. About 86-96% of the doctors believed that the hospital as well as the Residency Training Programme administrators were not concerned about the risk of acquiring the viruses from their patients. In general, the results demonstrate a major degree of concern about acquiring HBV and HIV infections among resident doctors. Moreover, there is a need for the hospital and Residency Training Programme administrators to formally address these concerns so as to motivate well and reassure these doctors. No such study exists that exclusively address this important and topical subject in doctors in tropical Africa.
本研究旨在评估尼日利亚伊巴丹大学学院医院住院医生对从患者处感染乙型肝炎病毒（HBV）和人类免疫缺陷病毒（HIV）的担忧程度。我们对149名住院医生进行了调查，回应率为89%。9%的住院医生报告有经皮接触被感染HBV或HIV患者血液污染针头的情况。80%的住院医生对从患者处感染这些病毒感染表示中度至高度担忧。大多数医生（54 - 64%）表示应允许他们自行决定是否治疗感染患者。其中相当一部分人（46 - 49%）认为拒绝照顾患者并非不道德。约86 - 96%的医生认为医院以及住院医师培训项目管理人员并不关心从患者处感染病毒的风险。总体而言，结果表明住院医生对感染HBV和HIV存在高度担忧。此外，医院和住院医师培训项目管理人员需要正式解决这些担忧，以激励并安抚这些医生。在热带非洲，尚无专门针对这一重要且热门主题的医生研究。
