Một số yếu tố ảnh hưởng đến kiến thức, hành vi về phòng chống HIV/AIDS của người nghiện chích ma túy tại huyện Mèo Vạc - Hà Giang

i>ng thu6c (37,7%). Ddy \d d\dm ydu chung cda di6u

dif&ng, flic bi$t (3i6u duOng tmng cip hO 2 nflm b&\

th&i gian hpc t?i taring ngSn, thfri gian ISm viOc

chica dSi, chu-a tich lOy du'p'c ki6n thilt. kinh nghiOm

Sk th^rc hi§n t6t c6c tifiu chl d6. Do v$y bOnh vi$n clln

ttch c ^ thi^c hi$n cOng tdc ddo t^o cho didu du'&ng

mi^i v^ chdni sdc ngu'd-i b$nh bSng thuAc, cdc khoa

lam sdng hO tiv cdc didu du'&ng bdng chlnh SM'

girong mSu khi chdm s6c ngu'd'i b$nh cda cdc thdnh

vi6n trong cOng nhdm chdm sdc, tgo mfli tnj'd'ng Idm

vi$c tich ci,Fc, ddy Id bi$n phdp rdt hOu hi$u glClp cdc

dl^u du'd'ng mdi hpc tdp ngay tgi khoa phdng nai hp

ldm vide hdng ngdy [4].

Ddi vdi bu'd'c 4 (Bdng 3), nh&ng tidu chi dgt k6t

qud thip nhu* ri>a tay/sdt khudn tay (49,1%); tidm

thu6c chdm (54,7%); quan sdt ngu'd'i b$nh khi tidm

(54,7%) vd sdt khudn da nci tidm (67,9%). Ody Id

nh&ng tidu chl ddi hdi phdi c6 if thCrc tM' gidc cao, bidt

ph6i hp'p cdc dflng tdc vd svr thdnh thao cda didu

dir&ng, vdn dd ndy thufle hdnh vi cda cdc didu

dif&ng. Dd thay ddi hdnh vi cdn phdi cung cdp kidn

ttii>c, thflng tin vd phdt tridn k^ ndng dd con ngu'd'i cd

thi lt;a chpn. Vl v$y thi/c hidn ddo tgo, hudn luyfln vd

d^c bidt Id kidm tra, gidm sdt cd tdc dgng rdt ldn cdng

vd'i vi$c gido d\fc y di>c dd ndng cao trdeh nhi$m cd

nhdn trong chdm sdc ngudi b$nh Id nhO'ng ydu td cc

bSn nhdt. quydt djnh den mCrc dfl tudn thCi quy trlnh

k? thudt tidm cda cdc didu du'd'ng [5].

K£T LUAN VA KHUY£N NGHI

Kdt qud ddnh gid thp-c trgng tudn thd quy trlnh k?

thudt tidm an todn dd cho thdy nhO'ng bu'd'c cd t j ifl

tudn thd quy trtnh tidm an todn thdp nhdt tgi bdnh

vifln Bdc Thdng Long. V kidn tj> cdc cuflc thdo lufln

nhdm vd cdc tinh hudng, cdc vdn dd gdp hdng ngdy

khi tiflm truydn Id nhO'ng thflng tin cd gid trj, gidp cho

ban Idnh dgo vd nhUng ngu-di chju trdeh nhi§m qudn

\'i/ vd tidm an todn tgi bflnh vifln du-a ra djnh hu'dng

can thiflp, tfing mil-c dfl tudn thd cdc bu'dc cda tidm

an todn ifln thdng qua cdc hogt dflng nhu' ddo tgo lidn

tyc, kidm tra, gidm sdt thyc hifln tiflm an todn.

Chu'ang trtnh can thiflp dd sd Id bu'dc khdi ddu cho

viflc gdn kdt nghidn cd'u vdi thyc hi$n kd hogch tdng

cu-dng chdt lup'ng djch vy khdm ehO'a bflnh tgi bflnh

vifln Bdc Thdng Long trong gtal dogn tdl.

TAI LI$U THAIVI KHAO

1. NgO Todn Dinh (2006), Kiim sodt nhiim khuin

bdnh vi$n, Hd Nfli.

2 World Health Organization (2006), InjecBon

Safety, Geneva, available from httpVAvho.int, accessed

by 31/11/2012.

3. Ddo Thdnh vd Phgm Di>c Myc (2010), Kit qud

nghiSn cuu ddnh gid thuc trang tidm an lodn tai 13 b$nh

vidn /(ra chon ndm 2010, Hd Nfli.

4. Phan Vdn Tu'dng (2010), Qudn ly chit lu^g

bdnh vidn. Nhd xudt bdn Lao dflng Xd hfli, Hd Nfli.

5. Phgm Tri Dung vd Phan Vdn Tu-dng (2007), Qudn

ly nhdn tuc vd hdnh vi td chirc tmng bdnh vidn, Hd Nfli.

MfiT Stf YEU TO ANH HUlONG DEN KIEN THliC, HANH VI VE PHONG CHONG HIV/AIDS

CUA NGUAl NGHIEN CHICH MA TUY TAI HUYEN MEO VAC-HA GIANG

NGUYEN CAO TA I - Trung tdm YtiUdo V9C, Hd Glang.

NGUYI N TIE'N DUNG , NGUYI N QUt THAI

Tnrdmg D^i hgc Y Duqfc Thdi Nguydn.

TRA N VA N TI^'N - Bdnh vidn Da liiu Trung vong.

T6H TAT

Myc Sdu: khdo sdt mdt sd ydu td dnh hu&ng din

M$n thOc, hdnh vi vd phdng chdng HIV/AIDS cOa

nhdm ngutri nghidn chich ma tdy (NCMT). Phuvng

phdp: md ts (^t ngang, chgn ngiu nhidn 25 ttj diim.

^mddituo^g NCMTtdp tmng. Phdng vin tit ed cde

Mibrgng fy nguydn tham gia nghidn ciru vd: trinh dd

tiQc vin, khd ndng tiip c$n vd hdnh vi si> dyng bao

^,su (BCS). hdnh vi ddng bcmi kim tidm (BKT), th&i

| | n NCMT, xdt nghidm HIV. Kit qui: Ngutri NCMT

mO ChQ- vd hoc vin thip (tidu hQti) dOng BCS trong

qtjan hd tinh di^c (QHTD) chidm 25,00%, thip han

l^g cd p nghla thdng kd (p >0,05) so vdri nhdm

J^pd trinh d^ tmng h<?c co s& tr& ldn (48,37%).

^ diing BCS & nhdm ngutri NCMT di/pc tiip c$n

^nh$n (hr^ BCS Id 56,98%, eao han c6 p nghTa

ft^ kd (p<0,05} so v&i nhdm khdng tidp cdn dur?c

BCS (34.85%). rj? Id bf nhiim HIV & ngt/&i NCMT

thutmg xuydn dOng BCS tmng QHTD Id 5.43%. thip

hon cd p nghla thdng kd (p<0,05) so v&i nhdm khdng

su- dvng BCS (20.53%). Tp Id dUng chung BKT &

nhdm cd trinh dd phd thdng tmng hoc trd Idn chidm

8,75% thip han so v&i nhdm cd trinh dd tidu hpc vd

mil chQ' (10,53%) nhung khdng thiy si/ khdc bidt

(p>0,05). Vin cdn mdt sd ngudn NCMT ndi ehung

diing ehung BKT (8,88%). Ngutri NCMT tif 5 ndm tr&

Idn ed HIV duang tinh chidm 31.00%, cao gip 3 lin

so v&i nhdm dudi 5 ndm (10,20%), sij- khde bidt cd p

nghla thdng kd (p <0.05). Kit lu$n: Vide tiip cdn

diATC BCS vd BKT e6 lidn quan ddn hdnh vi si^ dyng

BCS vd BKT vd cd tdc dyng ldm gidm ldy nhidm HIV

& ngutri NCMT. Thin gian Sdm chlt^ ma tOy Idu thi tp

Id nhidm HIV cdng eao. TO' khda: kidn thOc, hdnh vi

vi HIV. ngutri NCMT, ddng BCS.

Ti)> khda: kidn thOc, hdnh vi, phdng chdng

HIV/AIDS, nghidn chich ma tdy

VlpC THV'C HANH (856) - SO 1/2013