首页|护理实习生的人类免疫缺陷病毒相关偏见与歧视现状及影响因素分析

护理实习生的人类免疫缺陷病毒相关偏见与歧视现状及影响因素分析

扫码查看
目的 调查护理实习生的人类免疫缺陷病毒(HIV)相关偏见与歧视现状并分析其影响因素.方法 2023年6月使用一般资料调查表和医务人员对HIV感染者(PLWH)偏见与歧视量表对中国医学科学院北京协和医院完成临床实习的305名护理实习生进行线上调查.采用Pearson相关矩阵探究量表各维度的相关性;多元线性回归分析护理实习生对HIV相关偏见与歧视各维度的影响因素.结果 共回收273份有效问卷,量表各维度得分分别为医疗犹豫程度为(15.66±2.42)分、PLWH污名化为(16.99±2.80)分、防护意识为(5.17±1.23)分、HIV感染的担忧程度为(9.48±2.73)分.性别与医疗服务犹豫程度呈负相关(r=-0.251,P<0.05);感染控制和预防培训与医疗犹豫呈正相关(r=0.318,P<0.05);感染病房实习经历与PLWH污名化呈负相关(r=-0.182,P<0.05);护理过PLWH与PLWH污名化呈正相关(r=0.185,P<0.05).学历、感染病房实习经历、护理过PLWH与防护意识呈正相关(r=0.158、0.255、0.179,P<0.05),HIV重点人群偏见与歧视培训与防护意识呈负相关(r=-0.129,P<0.05);感染病房实习经历、感染控制和预防培训与HIV感染担忧程度呈正相关(r=0.206、0.435,P<0.05).性别、感染控制和预防培训为护理实习生对PLWH提供医疗服务犹豫程度的影响因素(P<0.05);感染病房实习经历和护理过PLWH为PLWH污名化的影响因素(P<0.05);学历、感染病房实习经历、HIV重点人群偏见与歧视培训和护理过PLWH为防护意识的影响因素(P<0.05);感染病房实习经历、感染控制和预防培训为护理实习生HIV感染担忧程度的影响因素(P<0.05).结论 HIV相关偏见与歧视在护理实习生中普遍存在,并受相关感染病房实习经历、培训及工作内容等影响,应实施相关干预策略以减少护理实习生对PLWH的偏见与歧视,从而确保PLWH获得平等医疗条件的机会.
Human immunodeficiency virus-related stigma and discrimination among nursing interns and its influencing factors
Objective To investigate the human immunodeficiency virus-related stigma and discrimination of nursing in-terns,and analyze its influencing factors.Methods In June 2023,305 nursing interns who completed clinical practice in Chinese Academy of Medical Sciences & Peking Union Medical College were investigated online using the general data questionnaire and the medical staff stigma and discrimination scale against people living with HIV(PLWH).Pearson corre-lation matrix was used to explore the correlation of each dimension of the scale.Multiple linear regression analysis was con-ducted to analyze the influencing factors of HIV-related stigma and discrimination among nursing interns.Results A total of 273 valid questionnaires were collected,with scores of(15.66±2.42)points for medical hesitation degree,(16.99±2.80)points for PLWH stigma,(5.17±1.23)points for awareness of protection,and(9.48±2.73)points for worry about HIV in-fection.Gender was negatively correlated with medical hesita-tion(r=-0.251,P<0.05),infection control and prevention training was positively correlated with medical hesitation(r=0.318,P<0.05).infection ward internship experience was neg-atively correlated with PLWH stigmatization(r=-0.182,P<0.05),and nursing experience with PLWH was positively corre-lated with PLWH stigmatization(r=0.185,P<0.05).Education,infection ward practice experience and nursing PLWH were positively correlated with the awareness of protection(r=0.158,0.255.0.179,P<0.05),while the training of bias and dis-crimination in HIV key groups was negatively correlated with the awareness of protection(r=-0.129,P<0.05).Infection ward internship experience,infection control and prevention training were positively correlated with the degree of worry about HIV infection(r=0.206,0.435,P<0.05).Gender,infection control and prevention training were the factors influenc-ing the degree of hesitation of nursing interns to provide medical services in PLWH(P<0.05).Infection ward internship ex-perience and nursing experience were the influencing factors of PLWH stigma(P<0.05).Educational background,infection ward internship experience,bias and discrimination training of HIV key groups and PLWH were the influencing factors of protection awareness(P<0.05).Infection ward internship experience,infection control and prevention training were the fac-tors influencing the degree of concern of nursing interns about HIV infection(P<0.05).Conclusion HIV-related stigma and discrimination is prevalent among nursing interns and is affected by relevant infection ward internship experience,training and work content.Relevant intervention strategies should be implemented to reduce nursing interns'stigma and discrimination on PLWH,to ensure that PLWH have equal access to medical conditions.

Human immunodeficiency virusStigma and discriminationNursing internsNursing education

韩通、陈旭、郭娜

展开 >

中国医学科学院北京协和医院手术室,北京 100730

中国医学科学院北京协和医学院群医学及公共卫生学院,北京 100006

中国医学科学院北京协和医院护理部,北京 100730

艾滋病 偏见与歧视 护理实习生 护理教育

2024

中国医药导报
中国医学科学院

中国医药导报

CSTPCD
影响因子:1.759
ISSN:1673-7210
年,卷(期):2024.21(24)