北京市1 292名医务人员AIDS相关知识态度及培训需求调查

目的 了解北京市部分医院医务人员艾滋病（AIDS）相关知识、态度及培训需求状况。方法 利用方便抽样的方法，对北京市4个区县的32家不同级别综合性医院的1292名医务人员进行自填式问卷调查。结果 北京市1292名医务人员的AIDS相关知识水平整体较高，但对AIDS诊断治疗及职业防护方面的知识掌握相对较差。39．7％的医务人员既往接受过AIDS专门培训，30％的医务人员有接受AIDS相关知识培训需求和意愿。大多数医务人员对艾滋病病毒（HIV）／AIDS患者持“同情”和“理解”态度，但仍然有一定比例的医务人员持“恐惧”和“回避”态度。91．3％医务人员表示“HIV感染者和AIDS病人应该和其他病人享有同等医疗服务”，但49．2％医务人员表示“不愿意”去治疗HIV感染者和AIDS病人的医院或科室工作。80％医务人员对“职业感染HIV很担心和有些担心”；有52．7％的医务人员认为自己有“职业感染HIV的危险”。结论 北京市医务人员的AIDS相关知识有待提高，应开展有针对性的AIDS防治知识的专门培训；大多数医务人员对HIV／AIDS患者持不歧视态度，但存在有恐惧和对职业暴露感染HIV风险的担忧。

The attitude towards people living with HIV and AIDS(PLWHA)and AIDS knowledge and desire for AIDS related training among 1 292 health workers in selected hospitals in Beijing

Objective To understand the attitude of health workers towards people living with HIV and AIDS(PLWHA) and AIDS knowledge and desire for related training among them in selected hospitals in Beijing.Method Convenience sampling was used to select health workers from 32 hospitals of different levels in 4 districts within Beijing.Anonymous self-administrated questionnaires were used to collect the information regarding AIDS knowledge and desire for relevant training.Results A total of 1 292 health workers completed the questionnaire.They demonstrated a moderate level of general AIDS knowledge,but a low level of knowledge related to AIDS diagnosis and therapy.Of them 39.7% had received specialized AIDS training and 96% had strongly desire for such specialized training.Most health workers sympathized with PLWHA and understood their situation,while some of them were afraid of PLWHA and wanted to have minimal contact with PLWHA.91.3% of the health workers expressed that PLWHA should have the same rights to medical services.At the same time,49.2% of the health workers stated that they would not like to work in hospitals or departments which accepted PLWHA.80% of the health workers expressed concern over acquiring HIV infection in the workplace.52.7% of them thought that they had a risk of becoming infected in the workplace.Conclusion The level of AIDS knowledge among health workers in Beijing needs to be improved.Specialized training to enhance and develop health workers knowledge of prevention,diagnosis and treatment of AIDS is required.Most of the health workers do not discriminate against PLWHA,but they express concern over infection in the workplace.