在医疗住院期间整合HIV暴露前预防 (PrEP) 教育:培训成果和学习有效性的建议
Matilda Olajumoke Ogundare1,2, Fiona Allan2,3, Ankita P Desai1,2
1Department of Pediatrics, University Hospitals Cleveland Medical Center/Rainbow Babies and Children's Hospital, Cleveland, Ohio.
Journal of primary care & community health
|November 7, 2023
概括
将人类免疫缺陷病毒 (HIV) 暴露前预防 (PrEP) 教育整合到医疗实习中,显著提高了医生学员的知识和准备处方PrEP. 这种培训对于增加PrEP的交付和采用来打击艾滋病毒至关重要.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 医学教育 医学教育
背景情况:
- 人类免疫缺陷病毒 (HIV) 感染可以通过暴露前预防 (PrEP) 预防.
- 实施PrEP的障碍包括初级保健医生 (PCP) 的知识差距和处方犹.
- 解决这些障碍对于实现国家艾滋病毒/艾滋病战略目标至关重要.
研究的目的:
- 评估将HIV-PrEP教育整合到医疗住院的有效性.
- 评估基于案例的讲座对PCP知识和自我评估准备管理PrEP的影响.
- 为了确定基于住院的培训是否可以改善PrEP的交付和吸收.
主要方法:
- 一个40分钟的基于案例的讲座2021年USPSTF口服HIV-PrEP指导方针被开发和整合到一个住院课程.
- 讲座前后的调查评估了医生学员的HIV-PrEP知识和自我评估的准备,以启动和管理PREP.
- 数据分析包括曼·惠特尼U和皮尔森奇方测试来确定统计学意义 (P <0.05).
主要成果:
- 在知识评估中,正确答案的中位数显著增加,从讲座前的44%增加到讲座后的89% (P < .001).
- 自我评估准备独立启动和管理PrEP的准备率从讲座前的5.4%增加到讲座后的51.4% (P < .001).
- 在189名居民中,有107人完成了讲座后的调查,这表明参与度很高.
结论:
- 基于住院的HIV-PrEP教育有效地提高了医生的知识和信心.
- 这种教育干预可以成为提高PrEP的交付和吸收的重要工具.
- 将PrEP培训纳入医疗实习是实现国家艾滋病毒预防目标的有希望的策略.
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