hiv职业暴露风险认知对医务人员态度跟行为意向的影响.pdfVIP

HIV 职业暴露风险认知对医务人员态度和行为意向的影响 △ 任书华，赵瑾珠，万莹，徐红，周涛，孙奕 【作者单位】华中科技大学同济医学院公共卫生学院，湖北 武汉 430030 【作者简介】任书华（1985-）男，硕士研究生，主要从事流行病与卫生统计学研究。 △【通讯作者】孙奕,Email：sunyi_shyx@163.com 【提要】 目的 探讨 HIV 职业暴露风险认知对医务人员的相关态度和行为意向的影响。方法 采用 便利抽样的方法，用自行设计的 HIV 职业暴露风险认知问卷对武汉市 5 所医院的在职医务人员进行 匿名问卷调查，应用 AMOS 18 对数据进行结构方程模型分析。结果 风险认知对态度的总体影响系数 为-0.56，其中影响程度认知为直接影响，大小为-0.36，可能性认知和严重性认知均为间接影响， 大小分别为-0.11、-0.09；风险认知对行为意向是通过影响态度产生间接影响，间接影响系数为 -0.20；自我效能对风险认知、态度和行为意向均有显著的影响，总体的影响系数分别为-0.51， 0.33,0.61。结论 HIV 职业暴露风险认知对医务人员的态度和行为意向均有负向影响，自我效能能 降低医务人员 HIV 职业暴露的风险认知水平，提高医务人员采取正向的态度和行为意向的可能性。 【关键词】 风险认知 HIV 职业暴露 态度 行为意向 结构方程模型 The Impact of Occupational HIV Risk Perception on Healthcare Workers ′ Attitudes and Behavior Intention Regarding HIV/AIDS Ren Shuhua,Zhao Jinzhu,Wan Ying,et al.School of Public Health of TongJi Medical College of Huazhong University of Science Technology （430030 ）,Wuhan 【Abstract 】 Purpose.To explore the impact of risk perceptions of occupational exposure to HIV on healthcare workers′(HCWs) attitudes and behavior intention towards HIV-positive patients.Methods. An anonymous questionnaire survey, using self-designed questionnaire relevant to occupational HIV risk Percetion, was carried out among HCWs, conveniently selected from 5 hospitals in Wuhan. A structural equation model was applied by AMOS(Analysis of Moment Structures) version 18.Results. The overall impact coefficient of risk perceptions on HCWs′ attitudes towards patients with HIV was -0.56,of which perceived impact of risk,perceived likelihood and perceived severity were:-0.36,-0.11,-0.09. Through attitude，the risk perception had a indirectly negative effect on behavior intention(-0.20).The Self-efficacy had an major influence on risk perceptions ,attitudes and