2014-2018年眉山市医务人员对艾滋病人群的态度分析  

Analyze the Attitude of Medical Workers Towards People Living With HIV/AIDS in Meishan From 2014 to 2018

作　　者：郭建梅[1] 王克云[1] 田甜[1] 罗桂英[1] GUO Jianmei;WANG Keyun;TIAN Tian;LUO Guiying(Meishan Municipal Center for Disease Control and Prevention,Meishan 620010,Sichuan Province,China)

机构地区：[1]眉山市疾病预防控制中心,四川眉山620010

出　　处：《预防医学情报杂志》2020年第8期1066-1072,共7页Journal of Preventive Medicine Information

摘　　要：目的分析2014-2018年眉山市公立医疗机构医务人员对艾滋病人群的态度现状,以了解近年来医务人员的反不良态度宣传效果,明确不同医疗机构的宣传重点。方法采用分层随机多阶段抽样方法,通过自制问卷收集2014-2018年各级公立医疗机构医务人员对艾滋病人群的态度现状;通过秩和比法(RSR法)对不同级别医疗机构医务人员的态度表现得分情况进行分析。结果收集有效问卷7 512份,医务人员在生活中的不良态度表现重于在工作中的不良态度表现;随着宣传年份的增加,医务人员不良态度总得分逐年下降,并趋近于平稳状态;采用秩和比法分析,对生活中和工作中不良态度表现RSR值进行排序与分档并进行方差分析得到:生活中的不良态度RSR的F值=32.148,P=0.030,说明分档后,各档间的情况存在差异;工作中不良态度RSR的F值=12.074,P=0.074,小于0.10,说明分档后,各档间的情况存在差异。结论在生活中的不良态度表现最重的是县级及以上医疗机构,工作中不良态度表现最重的是社区卫生服务中心及中心卫生院。眉山市艾滋病反不良态度宣传在公立医疗机构中取得了一定的效果,不同级别的医疗机构对艾滋病人群的态度表现存在差异,需要根据不同情况开展有效的反不良态度宣传教育。Objective To analyze the attitude of medical workers towards people living with HIV/AIDS in public medical institutions in Meishan from 2014 to 2018 so as to understand the effect of anti-bad attitude propaganda in recent years and define the focus of publicity.Methods The medical workers were selected by using a multi-stage cluster sampling.A self-made questionnaire was used to investigate the attitudes of medical staff in public medical institutions at all levels towards AIDS population in Meishan from 2014 to 2018.Attitude performance scores of medical staff at different levels of medical institutions were collected and analyzed by rank sum ratio(RSR)method.Results In this survey,we obtained a total of 7512 valid questionnaires.The medical workers had higher job-related bad attitude scores than their livelihood-related bad attitude scores.With the increase of intervention years,the bad attitude scores decreased years by years and tended to be stable.In this survey,attitude performance scores of medical staff at different levels of medical institutions were collected and analyzed by rank sum ratio(RSR)method.Each RSR was sorted and classified and analysis of variance was performed.The F value of RSR of the attitude scores in work was 32.148(P=0.030),and the F value of RSR of the attitude scores in life was 12.074(P=0.074),indicating differences existed between different classes in terms of the attitude performance.Conclusion The medical institutions at or above the county level showed the greatest bad attitude scores in life,and the community health service centers showed the greatest bad attitude scores in work.The publicity of anti-bad attitude towards AIDS had got some effect.Different types of public medical institutions have different publicity priorities,and we need to adopt different effective publicity methods according to different situations.

关 键 词：艾滋病感染者和病人 医务人员 不良态度 

分 类 号：R512.91[医药卫生—内科学]