医务人员对性传播疾病污名的认知

IF 0.4 4区 医学 Q4 Medicine
Pintea-Trifu M., Vica M., Pintea L., Siserman C., Matei H.
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引用次数: 0

摘要

本研究旨在评估医务人员对罗马尼亚性传播疾病(STD)相关污名的看法、STD患者病例管理的困难、诊断引起的焦虑、治疗依从性和所涉及的经济因素。材料和方法。来自医务人员的50名参与者通过匿名问卷对所涉及的主题进行了评估。对于统计处理,我们使用R Foundation For statistical Computing。后果82%的医务人员认为性病患者的焦虑程度更高,在80%的病例中,患者更喜欢考虑性交以外的污染源,78%的性病患者要求对性伴侣保守职业秘密。STD患者存在较高的焦虑水平与自责感(p<0.01)、对伴侣保守职业秘密的要求以及对同一STD的重复可寻址性之间存在统计学上显著的相关性(p=0.006)。医学框架认为性病患者的担忧被污名化了。这种现象通过个人从事次优医疗行为的后果产生影响,也通过对社区和医疗系统费用的影响产生影响。性病患者的治疗对医疗团队来说是一个挑战,因为他们有很多不认识病因、质疑传播方式、保护伴侣的意图,以及对治疗复杂性和高成本的误解。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Medical Staff’S Perception of Stigma in Sexually Transmitted Diseases
. This study aims to evaluate the perception of the medical staff about the stigma related to sexually transmitted diseases (STD) in Romania, the difficulty of the case management of patients with STD, the anxiety induced by the diagnostic, the treatment compliance and the financial considerations involved. Materials and method. 50 participants from the medical staff evaluate the themes involved through an anonymous questionnaire. For statistical processing we used R Foundation for Statistical Computing. Results. 82% of the medical staff identified a higher anxiety level at STD patients, in 80% of cases patients preferred to consider sources of contamination other than sexual intercourse, 78% of patients with STD requested keeping the professional secret towards the sexual partners. There was a statistically significant correlation between the presence of a higher anxiety level at the STD patients and the feeling of self-blame (p<0.01), the request of keeping the professional secret towards their partners and the repetitive addressability for the same STD (p=0.006). Conclusions. The medical framework perceives the STD patients’ concern to be stigmatized. This phenomenon has its impact through the individual consequences to engage in suboptimal medical behaviors, but also through consequences over the community and on the expenses of the medical system. The treatment of patients with STD represents a challenge for the medical team, considering the numerous intentions not to recognize the cause of disease, to question the ways of transmission, to protect the partner and the misconceptions regarding the complexity and high cost of the treatment.
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来源期刊
CiteScore
0.50
自引率
25.00%
发文量
0
审稿时长
6-12 weeks
期刊介绍: The Romanian Journal of Legal Medicine, the official publication of the Romanian Legal Medicine Society, is devoted to the publication of the original investigations, observations, scholarly inquiries and reviews in the various branches of the forensic sciences. These include forensic pathology and histochemistry, clinical forensic medicine, medical malpractice, traffic medicine, chemistry, biochemistry, thanatochemistry, clinical and forensic toxicology, alcohology, biology (including the identification of hairs and fibres), the physical sciences, firearms, and document examination, physical anthropology, serology, forensic genetics and paternity (with special emphasis on recent advances in DNA technology and PCR), forensic psychiatry and behavioral sciences, forensic odontology, law and ethics, history of forensic sciences. RJLM also includes similar submissions dealing with forensic-oriented aspects of the social science and the area where science and medicine interact with the law.
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