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目的了解深圳市术前患者艾滋病相关知识行为及艾滋病、梅毒感染状况,为制定综合干预措施提供依据。方法对外科术前患者采血进行艾滋病和梅毒血清学检测,同时进行艾滋病相关知识行为问卷调查。结果共监测1 257名术前患者,艾滋病病毒抗体阳性率0.159%,梅毒阳性率1.512%。术前患者对艾滋病相关知识掌握情况不均衡,共用注射器、针头及输入HIV感染的血或血液制品是否感染艾滋病知晓率较高,分别为95.2%和92.2%;蚊虫叮咬、接吻是否传播艾滋病知晓率较低,分别为39.4%和49.2%;最近1年有非婚性行为有42人(3.3%);承认最近1年有商业性行为有23人(1.8%),其中每次使用安全套的有55.6%,有时使用33.3%,从未使用11.1%;83.7%认为自己没有可能感染HIV。结论术前患者对艾滋病相关知识掌握不足,加强对该人群艾滋病防治知识健康教育及艾滋病监测,对促进其健康行为模式的建立和预防医务人员职业暴露及医疗纠纷具有重要意义。
Objective To understand the knowledge-based AIDS related behaviors and HIV / AIDS status among preoperative patients in Shenzhen, and to provide evidence for the development of comprehensive interventions. Methods Blood samples were collected from preoperative patients for AIDS and syphilis serological tests, and HIV / AIDS-related knowledge and behavior questionnaire was also conducted. Results A total of 1 257 preoperative patients were monitored. The positive rate of HIV antibody was 0.159% and the positive rate of syphilis was 1.512%. Preoperative knowledge of AIDS-related patients is not balanced, sharing syringes, needles and HIV-infected blood or blood products infected with HIV awareness were higher, respectively, 95.2% and 92.2%; mosquito bites, kissing whether spread awareness of AIDS (39.4% and 49.2% respectively); 42 (3.3%) were unmarried during the recent 1 year; 23 (1.8%) were confirmed to have had commercial sex during the recent 1 year, of which, 55.6%, sometimes using 33.3%, never using 11.1%; 83.7% think they are not likely to be infected with HIV. Conclusions Preoperative patients have inadequate knowledge of HIV / AIDS related knowledge and strengthening HIV / AIDS knowledge and health education and monitoring of HIV / AIDS in this population. It is of great importance to promote their health behaviors and prevent medical staff from occupational exposure and medical disputes.