军队综合性医院开展医务人员主动提供艾滋病检测咨询试点工作效果分析  

The effects analysis of hospital staff′s provider initated HIV testing and counseling pilot work in comprehensive military hospital

作　　者：陈黔[1] 杨绪兰[1] 王红[1] 刘军[1] 陈兵[1] 井薇[1] 曾婷婷[2] 

机构地区：[1]成都军区昆明总医院,650032 [2]云南艺术学院

出　　处：《实用医技杂志》2013年第5期492-494,共3页Journal of Practical Medical Techniques

摘　　要：目的分析军队综合性医院开展医务人员主动提供艾滋病检测咨询(PITC)试点工作的效果。方法结合以往开展的自愿咨询检查程序,医务人员主动对患者提供检测的告知,告知患者后如患者同意(即"知情同意")则进行检测,若告知患者检测时,患者没有明确拒绝检测则视为"知情不拒绝",医务人员仍可为其进行检测。检测结果均要告知患者,检测结果阳性患者再次转诊到疾病预防控制机构进行确证。然后由PITC工作人员告知确证结果。确证结果仍为阳性时,完善相应的CD4细胞和病毒载量的检测,而对确证结果阴性患者告知并讲解预防知识。结果从各科室医务人员进行PITC工作后患者接受人类免疫缺陷病毒(HIV)抗体初筛检测及确证检测结果来看,术前检测阳性人次数最多,PITC工作与艾滋病发病情况无季节性变化。结论 "知情不拒绝"较"知情同意"更能提高各类就诊者对HIV抗体检测的接受程度,降低其心理抗拒性,提高其检测率。针对急诊手术较多的科室、输血科等具备HIV抗体初筛检测试验的实验室可以开展快速检测"绿色通道",能够提高就诊患者的检测率,而且能够以最快速度将初筛试验阳性患者甄别出来。Objective To analyze the effects of hospital staff＇s provider iMitated HIV testing and counseling （PITC） pilot work. Methods Combining with the former voluntary consulting accepting testing process, the hospital staff initi- atively supplied testing information to the patients, and after telling the testing result, if the patients agreed, they would be believed as knowing-with-agreement and would be given the test. At the same time, after telling the testing informa- tion, if the patients did not clearly refuse, they would be believed as knowing-without-refusing. Then the hospital staff gived test on them. After gaining the testing results, regardless of negative one or positive one, both of the results would be told to the patients. The positive patients would be sent to relevant medical systems to get final testing diagnoses. After getting the final ones, the PITC staff told the results to the patients. And if the final diagnoses were still positive, the staff would complete the testing of CD4 cell and virus testing. However, the negative patients would be told the information of protection. Results The number of positive patients before operation was the most, the PITC work and the AIDS morbidity did not have difference of the season reason. Conclusion Because knowing-without-refusing means the patients do not refuse the test after accepting the before testing information, they are taken as accepting the test and comparing to the knowing-with-agreement, it will increase the acceptance of patients to the HIV testing, decrease psychological defy and increase the rate of test-accepting. The great attention from infection-controlling section is an important step of improving form filling-in, speeding up form filling-in, and improving form filling-in quality, and the key step of stirring hospital staff＇s activity to decrease the contradiction between hospital and the patients and promote the working project.

关 键 词：医院 军队 医务人员 获得性免疫缺陷综合征 

分 类 号：R82[医药卫生—临床医学]