愛滋病風險、醫師的臨床防護及照護意願__臺灣人文及社會科學引文索引資料庫

:::

詳目顯示

第 1 筆 / 總合 1 筆

/1頁

來源文獻資料
摘要
外文摘要
引文資料

題名：	愛滋病風險、醫師的臨床防護及照護意願
書刊名：	中華公共衛生雜誌
作者：	丁志音／涂醒哲
作者(外文)：	Lew-ting, Chih-yin／Twu, Shing-jer
出版日期：	1997
卷期：	16:3
頁次：	頁231-243
主題關鍵詞：	愛滋病；風險；防護行為；照護意願；AIDS；Risk；Clinical precautions；Willingness to treat PWAs
原始連結：	連回原系統網址
相關次數：	被引用次數:期刊(3) 博士論文(0) 專書(0) 專書論文(0) 排除自我引用:2 共同引用:0 點閱:28

　　　　　風險已成為愛滋病防治與照護中的主流觀念。本研究旨在探討愛滋病相關風險對醫師的防護行為及照護意願的影響。研究資料得自一全國性的郵寄問卷調查，最終之研究樣本包括 1702 名年齡 70 歲以下之西醫師，回覆率為 24.3%。本研究之主要核心變項為「風險特質」 -- 即愛滋病相關風險，共包含三個層面: 臨床或職業風險、愛滋病風險評量、以及自覺被感染風險。主要研究結果為: (l) 自覺感染風險相當程度的受到臨床風險及愛滋病風險評量的影響。在醫院服務之醫師的臨床風險及自覺感染愛滋病之風險均高於開業醫師，且年齡愈輕者愈如是， (2) 高達 80.8% 的醫師擔心自己在照護愛滋病患時受到感染，其和愛滋病風險評量及自覺被感染風險之相關較強，但與實際臨床風險的相較較弱，(3) 無論就防護行為或照護意願而言，愛滋病風險評量皆為三個風險變項中最具影響力者，而影響力最弱者仍為臨床風險。因此，主觀的風險知覺對醫師的心理狀況及行為意向遠比客觀的實際臨床風險來得重要。為了舒緩醫師對愛滋病的恐慌並增強其照護意願，除加強教育及訓練以期能掌握相關的風險狀況之外，更應強調合宜的風險溝通，並能提供防護設備，鼓勵其採取必要的防護措施。

以文找文

　　　　　Risk has emerged as a main concept in AIDS prevention, control, and providing care to those who were HIV-infected. This study concerns the impact of risk on the physicians' willingness to treat People with AIDS (PWAs) and adopting precautions in the course of AIDS clinical work. Data for this study came from a mailed survey of a national representative random sample of active physicians. A total of 1702 physicians participated in this study, which resulted in a response rate of 24.3%. The core construct of this study "AIDS-related risk" is conceptualized into three aspects of risk characteristics: (1) clinical/occupationa1 risk, (2) AIDS risk assessment, and (3) perceived risk of infection. The major findings are: (1) Clincial risk and AIDS risk assessment can predict a substantial proportion of variability of perceived risk of infection. Compared with physicans working in private clinics, hospital/medical center physicians were at a greater exposure of clinical risk and higher in perceived risk of infection, which is especially the case among younger physicians, (2) While as many as 80.8% physicians worried about contagion in providing care to PWAs, both AIDS risk assessment and percieved risk of infection, rather than clinical risk, had much stronger correlation with worry, and (3) Among three AIDS-related risk variables, AIDS risk assessment is the most powerful predictors of both willingness to provide care and precau- tions adoption, and clinical risk the least. The results suggest that subjective risk perception plays a much more important role than objective risk in translating worry/fear into behavioral intentions. To assure that our health care system manages HIV disease effectively, interventions need to bring about changes in physicians' perception of risk, and, even more importantly, their ability to undertake infection control measures against HIV transmission.

以文找文

期刊論文
1.	Horsman, J. M.、Sheeran, P.(1995)。Health Care Workers and HIV/AIDS: A Critical Review of the Literature。Social Science & Medicine，41(11)，1535-1567。
2.	Link, N.、Feingold, A. R.、Charap, M. H.(1988)。Concerns of medical and pediatric house officers about acquiring AIDS from their patients。Am J Public Health，78，455-459。
3.	Freudenburg, W. R.(1988)。Perceived risk, real risk: social science and the art of probabilistic risk assessment。Science，242，44-49。
4.	Gauch, R. R.、Feeney, K. B.、Brown, J. W.(1990)。Fear of AIDS and attrition among medical technologists。Am J Pub Health，80，1264-1265。
5.	Cooke, M.、Sande, M. A.(1989)。The HIV epidemic and training in internal medicine。N Engl J Med，321，1334-1338。
6.	Wachter, R. M.(1986)。The impact of the acquired immunodeficiency syndrome on medical residency training。New Engl. J. Med.，314，177-180。
7.	Currey, C. J.、Johnson, M.、Ogden, B.(1990)。Willingness of health-professions students to treat patients with AIDS。Academic Medicine，65(7)，472-474。
8.	Gillon, R.(1987)。Refusal to treat AIDS and HIV positive patients。Br Med J，24，1332-1333。
9.	Taylor, K.、Eakin, J.、Skinner, H.(1990)。Physicians' perception of personal risk of HIV infection and AIDS through occupational exposure。Can Med Ass J，143，493-500。
10.	Bredfeldt, R. C.、Dardeau, F. M.、Wesley, R. M.(1991)。AIDS: Family physicians' attitudes and experiences。J Fam Pract，32，71-75。
11.	Shapiro, M. F.、Hayward, R. A.、Guillemot, D.、Jayle, D.(1992)。Residents' experiences in, and attitudes toward, the care of persons with AIDS in Canada, France, and the United States。JAMA，268，510-515。
12.	Dworkin, J.、Albrecht, G.、Cooksey, J.(1991)。Concern about AIDS among hospital physicians, nurses and social workers。Soc Sci Med，33，239-248。
13.	Hayward, R. A.、Weissfeld, J. L.(1993)。Coming to terms with era of AIDS: attitudes of physicians in U.S. residency programs。J General Intern Med，8，10-18。
14.	Gerberding, J. L.、Bryant-LeBlanc, C. E.、Nelson, K.(1987)。Risk of transmitting the human immunodeficiency virus, cytomegalovirus, and hepatitis B virus to health care workers exposed to patients with AIDS and AIDS-related conditions。J Infect Dis，156，1-8。
15.	Marcus, R.、The CDC Cooperative Needle-stick Surveillance Group(1988)。Surveillance of health care workers exposed to blood from patients infected with the human immunodeficiency virus。N Engl J Med，319，1118-1123。
16.	McGary, E.、The CDC Needlestick Surveillance Group(1986)。Occupational Risk of the Acquired Immunodeficiency Syndrome among Health Care Workers。N Engl J Med，314，1127-1132。
17.	Gerbert, B.、Maguire, B. T.、Bleecker, T.(1991)。Primary care physicians and AIDS。JAMA，266，2837-2842。
18.	Rizzo, J. A.、Marder, W. D.、Willke, R. J.(1990)。Physician contact with and attitudes toward HIV-seropositive patients。Med Care，28，251-260。
19.	Gerberding, J. L.、Littell, C.、Tarkineton, A.(1990)。Risk of exposure of surgical personnel to patients' blood during surgery at San Francisco general hospital。N Engl J Med，322，1788-1793。
20.	Bosk, C. L.、Frader, J. E.(1990)。AIDS and its impact on medical work: the culture and politics of the shop floor。Milbank Quarterly，68(2)，257-279。
21.	Aggleton, P. O.、O'Reilly, K.、Slutkin, G.(1994)。Risking everything? risk behavior, behavior change, and AIDS。Science，265，341-345。
22.	Gerbert, B.、Maguire, B.、Badner, V.(1988)。Why fear persists: health care professionals and AIDS。JAMA，260，3481-3483。
23.	Tambor, E. S.、Chase, G. A.、Faden, R. R.(1993)。Improving response rates through incentive and follow-up: the effect on a survey of physicians' knowledge of genetics。Am J Public Health，83，1599-1603。
24.	林芸芸、江東亮(19920900)。醫師對全民健康保險的意見調查。中華民國公共衛生學會雜誌，11(3)，220-227。延伸查詢
25.	Slovic, Paul(1987)。Perception of Risk。Science，236(4799)，280-285。

圖書
1.	Chiang, T. L.(1994)。Trends in the characteristics of active physicians and dentists in Taiwan,1972-1994。Health Care Resource Lab/Center for Health Policy Research, National Taiwan University。
2.	Little, R. J. A.、Rubin, D. B.(1995)。Statistical Analysis with Missing Data。New York：John Wiley & Sons。
3.	Ghiselli, E. E.、Campbell, J. P.、Zedeck, S.(1981)。Measurement Thoery for the Behravioral Sciences。New York：W. H. Freeman。
4.	Bloor, M.(1995)。The Sociology of HIV Transmission。London：Sage。

圖書論文
1.	Grinyer, A.(1995)。Risk, the real world and naïve sociology。Health and Risk--Sociological Approach。Cambridge：Blackwell。
2.	Freedman, B.(1991)。Health-care workers' occupational exposure to HIV: obligations and entitlements。Perspectives on AIDS: Ethical and Social Issues。New York：Oxford University Press。
3.	Timmins, P.、Gallois, C.、Terry, D.(1993)。Theory of reasoned action and the role of perceived risk in the study of safer sex。The Theory of Reassigned Action--Its Application to AIDS-Preventive Behaviour。New York：Pergamon Press。

推文
推薦
引用網址
引用嵌入語法
轉寄

top

:::

相關期刊
相關論文
相關專書
相關著作
熱門點閱

1.	護理人員對照顧愛滋病知識、態度行為趨向、自覺感染風險與照顧意向之探討
2.	風險、社區與人權保障--臺灣關愛之家協會案之經濟分析
3.	傳染病照護的選擇性歧視--醫師及牙醫師的愛滋病專業倫理觀與照護意願
4.	五專及二技高年級護生對愛滋病照護知識、態度及意願之探討
5.	以焦點團體探討臺灣南部護理人員照顧愛滋病患者的經驗

無相關博士論文

無相關書籍

無相關著作

無相關點閱

QR Code

臺灣人文及社會科學引文索引資料庫系統

詳目顯示

臺灣人文及社會科學引文索引資料庫