Kitaura H, Adachi N, Kobayashi K, Yamada T
Department of Orthodontics, School of Dentistry, Nagasaki University, Japan.
J Dent. 1997 May-Jul;25(3-4):279-83. doi: 10.1016/s0300-5712(96)00030-9.
The present study was undertaken to investigate knowledge of AIDS and HIV infection among Japanese dental health care workers, the source of that knowledge and attitudes of dental workers towards infected patients.
The study population surveyed by means of a self-administered questionnaire consisted of 174 dental health workers at Nagasaki University Dental Hospital, including students and trainee hygienists.
Most respondents (100% response) claimed their major source of AIDS knowledge to be derived from the media. Almost all considered their knowledge of AIDS and HIV infection to be more than moderate but still inadequate. The majority of respondents would be hesitant about performing dental treatment on HIV-positive patients. It was widely anticipated that dental patients infected with HIV would increase in the next few years and many were anxious about the increasing occupational risk of HIV infection. Only 22.4% of respondents had the same attitude towards treating HIV-positive and HIV-negative patients. Most also considered that they would be able to take care of the oral opportunistic diseases associated with HIV. Over 90.0% of respondents requested additional education about HIV, particularly information about the prevention and spread of the virus and cross-infection requirements.
It is concluded that further training in the medical and psychological aspects of treating HIV-positive patients is indicated in Japan.
本研究旨在调查日本牙科医护人员对艾滋病和艾滋病毒感染的了解情况、这些知识的来源以及牙科医护人员对感染患者的态度。
通过自填式问卷对长崎大学牙科医院的174名牙科医护人员进行调查，其中包括学生和实习保健员。
大多数受访者（100%有回应）称其艾滋病知识的主要来源是媒体。几乎所有人都认为他们对艾滋病和艾滋病毒感染的了解程度超过中等水平，但仍不充分。大多数受访者在为艾滋病毒呈阳性的患者进行牙科治疗时会犹豫不决。人们普遍预计，未来几年感染艾滋病毒的牙科患者将会增加，许多人担心职业性艾滋病毒感染风险不断上升。只有22.4%的受访者对治疗艾滋病毒呈阳性和阴性的患者持相同态度。大多数人还认为他们能够处理与艾滋病毒相关的口腔机会性疾病。超过90.0%的受访者要求提供有关艾滋病毒的额外培训，特别是关于病毒预防和传播以及交叉感染要求的信息。
得出结论，日本需要在治疗艾滋病毒呈阳性患者的医学和心理方面开展进一步培训。
