The impact of an intervention to change health workers' HIV/AIDS attitudes and knowledge in Nigeria: a controlled trial
The impact of an intervention to change health workers' HIV/AIDS attitudes and knowledge in Nigeria: a controlled trial
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DOI：
10.1038/sj.ph.1900834
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发表时间：
2002-03-01
期刊：
影响因子：
5.2
通讯作者：
Ita, O
中科院分区：
文献类型：
--
作者：
Ezedinachi, ENU;Ross, MW;Ita, O
这项研究的目的是提高卫生工作者在处理艾滋病毒患者方面的技能和信心，并增加对患者人权的关注。以及对艾滋病患者态度的改变。干预组n = 1072，对照组n = 480。在初始目标确定的焦点小组之后，由参加初始培训的有影响力的榜样对干预状态下所有基层医院的护士、检验师和医生进行培训。在培训前和培训后收集所有研究中心的数据。采用分层多元回归分析控制基线数据，采用正交因子分析确定量表，结果显示，干预组1年后在对人群风险评估的认知、对HIV感染者的态度和信念、对HIV感染者的恐惧减少、同情和责任心增强以及自我感知的临床技能提高等方面均出现了显著的积极变化。有更多的人愿意治疗艾滋病毒感染者，并向同事传授有关艾滋病毒感染者的知识。临床医生的恐惧和歧视大大减少，与艾滋病毒有关的恐惧气氛被专业关注所取代。对与艾滋病毒治疗和预防有关的适当的社会心理、临床和人权问题的了解有所增加，这项干预措施针对整个州的卫生工作者，利用艾滋病毒/艾滋病信息、角色示范、传播培训和关于歧视和人权的讨论，大大影响了对风险群体和行为的看法，对治疗和咨询技能的看法，与控制状态相比，减少了对艾滋病毒感染者的恐惧和增加了对他们的关注，改善了艾滋病毒疾病的治疗和预防环境。
The aim of the study was to improve health workers' skills and confidence in dealing with patients with HIV disease and increase attention to patients' human rights.A longitudinal controlled trial was carried out in which one Nigerian state served as the intervention site and the adjacent state served as the control site for an intervention and dissemination of training in clinical management, health education, and attitudinal change toward patients with HIV disease. The intervention group n = 1072, control group n = 480.Following initial questionnaire-defining focus groups, nurses, laboratory technologists and physicians in all base hospitals in the intervention state were trained by influential role models who attended the initial training. Data were collected in all sites pre-training and I y later. Hierarchical multiple regression analysis controlling for baseline data, and orthogonal factor analysis to define scales were used.Data showed significant positive changes after I y in the intervention group on perception of population risk assessment, attitudes and beliefs about people with HIV disease, less fear and more sympathy for and responsibility toward HIV patients, and an increase in self-perceived clinical skills. There was increased willingness to treat and teach colleagues about people with HIV. Clinician fear and discrimination were significantly reduced, and the climate of fear that was associated with HIV was replaced, with a professional concern. There was increased understanding of appropriate psychosocial, clinical and human rights issues associated with HIV treatment and prevention.This intervention, targeting health workers in an entire state and using HIV/AIDS information, role modeling, diffusion of training and discussions of discrimination and human rights, significantly affected the perception of risk groups and behaviors, perceived skills in treatment and counseling, reduced fears and increased concern for people with HIV disease, and improved the climate of treatment and prevention of HIV disease compared with a control state.