HIV/AIDS için Verilen Mezuniyet Sonrası Eğitimin Hekim Farkındalığı Üzerine Etkilerinin Araştırılması

Öz

Amaç HIV/AIDS konusunda sağlık çalışanlarının bilgi ve farkındalık düzeyini artırmak amacıyla verilen mezuniyet sonrası eğitimler (MSE), HIV ile yaşayan bireylere sağlık hizmet sunumunu olumlu etkilemektedir. Bu çalışmada HIV/AIDS konusunda verilen eğitimin hekim davranışlarına etkisinin araştırılması amaçlanmıştır. Materyal ve Metot: Sakarya Eğitim ve Araştırma Hastanesi'nde çalışan tüm hekimler 22 Mart 2023 tarihinde bir günlük HIV/AIDS eğitimine davet edildi. Ön test ile başlayan eğitim, yaklaşık 70 dakika sürmüş ve eğitim sonrası katılımcılara son test uygulanmıştır. Bulgular: Araştırmamıza toplam 81 hekim katılmış olup, kısa süreli eğitimlerin sağlık çalışanlarının HIV/AIDS konusundaki bilgi düzeyinde olumlu etkiler sağladığını göstermektedir. HIV enfeksiyonu belirti ve bulgularını tanıma açısından eğitim öncesi ortalama puan 6,02±1,94 iken eğitim sonrası ortalama 8,65±1,26 (p <0,05) idi. Tedavi başarısı ve beklenen yaşam süresi ile ilgili bilgi puan ortalaması eğitim öncesi ve sonrası sırasıyla 7,79±2 ve 9,38±1,17 (p <0,05) idi. Sonuç: MSE sağlık çalışanlarının tutum ve davranışlarında olumlu değişikliklere neden olabilmektedir. Bu eğitimlerin HIV bilincini artırma konusundaki etkinliği, yanlış inançların azaltılması, olumlu iletişim becerilerinin geliştirilmesi ve hastalara sağlık hizmeti sunumu için önem arz etmektedir.

Anahtar Kelimeler

• Farkındalık
• HIV
• mezuniyet sonrası eğitim

Investigation of the Effects of Postgraduate Education for HIV/AIDS on Physician Awareness

Öz

Objective: Postgraduate education (PE) designed to improve health professionals' knowledge and awareness of HIV/AIDS has a positive impact on the provision of health services for people living with HIV. This study aimed to examine the effects of HIV/AIDS education on physician behavior. Materials and Methods: All doctors at Sakarya Training and Research Hospital invited to a one-day HIV/AIDS training on March 22, 2023. The training, which began with a pretest, lasted approximately 70 minutes, and after the training, a posttest was administered to the participants. Results: In total, 81 physicians participated in our research, showing that short-term training has positive effects on the knowledge level of healthcare professionals about HIV/AIDS. Regarding recognizing signs and symptoms of HIV infection, the mean score before training was 6.02±1.94, while the mean score after training was 8.65±1.26 (p <0.05). The mean level of knowledge regarding treatment success and life expectancy before and after training were 7.79±2, and 9.38±1.17, respectively (p <0.05). Conclusions: PE can bring about positive changes in the attitudes and behaviors of healthcare professionals. The effectiveness of these trainings in raising HIV awareness is essential in breaking down false beliefs, developing positive communication skills, and providing healthcare services to patients.

Anahtar Kelimeler

• Awareness
• HIV
• postgraduate education

Kaynakça

1. Smith RA. Global HIV/AIDS Politics, Policy and Activism: Persistent Challenges and Emerging Issues [3 volumes]. 1st Edition: Praeger; 2013.
2. Mwaniki SW, Kaberia PM, Mugo PM, Palanee-Phillips T. “We must help them despite who they are…”: healthcare providers’ attitudes and perspectives on care for young gay, bisexual and other men who have sex with men in Nairobi, Kenya. BMC Health Serv Res. 2023;23:1055. doi:10.1186/s12913-023-10026-4
3. Paul A. HIV/AIDS in Bangladesh: Stigmatized People, Policy and Place. 1st Edition. Springer; 2021.
4. Mohammad Bellal Hossain, Kippax S. Stigmatized attitudes toward people living with HIV in Bangladesh: health care workers’ perspectives. Asia Pac J Public Health. 2011;23:171–182.
5. Keser G, Göcüncü N, Pekiner FN. Assessment of knowledge level about acquired immune deficiency syndrome and patient approaches of dental students. Niger J Clin Pract. 2019;22:1259–1265.
6. Koseoglu Ornek O, Tabak F, Mete B. Stigma in Hospital: an examination of beliefs and attitudes towards HIV/AIDS patients, Istanbul. AIDS Care. 2020;32:1045–1051.
7. Ceylan E, Koç A, İnkaya AÇ, Ünal S. Determination of medication adherence and related factors among people living with HIV/AIDS in a Turkish university hospital. Turk J Med Sci. 2019;49:198–205.
8. Ehlers V. Teaching Aspects of Health Care. 2nd Edition: Juta Ltd; 2002.

9. Oluwalana MO, Awolude OA, Gao Z, Daley PK. The epidemiology of delayed HIV diagnosis in Ibadan, Nigeria. Int J STD AIDS. 2022;33(9):829-836.
10. Morris LA, Ulmer C, Chimnani J. A role for Community Health Corps members in youth HIV/AIDS prevention education. J Sch Health. 2003;73:138–142.
11. Landes M, Thompson C, Mwinjiwa E, et al. Task shifting of triage to peer expert informal care providers at a tertiary referral HIV clinic in Malawi: a cross-sectional operational evaluation. BMC Health Serv Res. 2017;17:341. doi:10.1186/s12913-017-2291-3
12. Forrester S. Efficacy of the Patient Advocate Component in a Behavioral Intervention to Improve Treatment Adherence in the HIV Positive Population: A Systematic Review. 2011. School of Physician Assistant Studies. 253. https://commons.pacificu.edu/pa/253. Accessed; June 01, 2024
13. Elghazaly A, AlSaeed N, Islam S, et al. Assessing the knowledge and attitude towards HIV/AIDS among the general population and health care professionals in MENA region. PLoS One. 2023;18:e0288838. doi:10.1371/journal.pone.0288838
14. Li H, Mu GM, Theron L. Editorial: Social and Physical Ecologies for Child Resilience: Wisdom from Asia and Africa. Frontiers in Psychology. 2023;14, 1312299. doi:10.3389/fpsyg.2023.1312299
15. Ajisegiri WS, Abubakar AA, Gobir AA, Balogun MS, Sabitu K. Palliative care for people living with HIV/AIDS: Factors influencing healthcare workers’ knowledge, attitude and practice in public health facilities, Abuja, Nigeria. PLoS One. 2019;14:e0207499. doi:10.1371/journal.pone.0207499