基于IKAP理论的健康教育对孕中晚期患者乙肝病毒母婴传播阻断的作用  

Effect of health education based on IKAP theory for hepatitis B virus interruption from mother to child transmission of patients in the middle and later period of pregnancy

作　　者：田红卫[1] 张坤[1] 董佳伟[1] 刘晓静[1] 董正洪[1] 王瑞敏[1] 董素蓉[1] 

机构地区：[1]石家庄市第五医院妇产科,河北石家庄050021

出　　处：《中国医药导报》2017年第24期126-129,共4页China Medical Herald

基　　金：河北省石家庄市科技指导计划项目(151460963)

摘　　要：目的探讨基于IKAP理论的健康教育对孕中晚期患者乙肝病毒(HBV)母婴传播阻断的作用。方法将2015年3月~2016年3月石家庄市第五医院收治的孕中晚期乙肝患者97例随机分为对照组(48例)与观察组(49例)。对照组给予传统健康教育,观察组采用基于IKAP理论的健康教育,比较两组患者HBV母婴传播阻断知识知晓情况、新生儿不同月龄乙肝表面抗原(HBsAg)阳性率、抗-HBs阳性率及护理满意度。结果观察组患者HBV传播途径、乙肝基础知识、母婴传播阻断方法、消毒隔离知识及治疗注意事项知晓率均明显高于对照组(P<0.05)。观察组新生儿0、6月龄HBsAg阳性率明显低于对照组(P<0.05),两组新生儿不同月龄抗-HBs阳性率及1月龄HBsAg阳性率比较差异无统计学意义(P>0.05)。观察组患者对健康教育的满意度明显高于对照组,差异有统计学意义(P<0.05)。结论将IKAP理论应用于孕中晚期乙肝患者健康教育中,可提高其对HBV母婴传播阻断知识知晓率,降低HBV母婴垂直传播率,干预效果显著,患者满意度高,具有一定应用价值。Objective To explore the effect of health education based on IKAP theory for hepatitis B virus（HBV） interruption from mother to child transmission of patients in the middle and later period of pregnancy. Methods 97 cases of patients with HBV in the middle and later period of pregnancy treated in the Fifth Hospital of Shijiazhuang City from March 2015 to March 2016 were divided into the control group（48 cases） and the observation group（49 cases） randomly.The control group was given traditional health education, and the observation group was given health education based on IKAP theory. Knowledge of HBV interruption from mother to infant transmission, positive rate of hepatitis B surface antigen（HBsAg） in neonates with different months, anti-HBs positive rate and nursing satisfaction were compared between the two groups. Results The knowledge of HBV transmission path, basic knowledge of hepatitis B, interruption methods from mother to child transmission, knowledge of disinfection and isolation, and the awareness of treatment notes in the observation group were significantly higher than those in the control group（P〈0.05）. HBsAg positive rates of 0 month and 6 months of newborns in the observation group were significantly lower than those in the control group（P〈0.05）.There were no significant differences in anti-HBs positive rates of different-month ages and HBsAg positive rate of one month age（P〈0.05）. The satisfaction degree of the observation group was significantly higher than that of the control group（P〈0.05）. Conclusion IKAP theory applied into health education for patients with HBV in the middle and later period of pregnancy, can improve the awareness rate of interruption from mother to child transmission of HBV, and reduce the vertical transmission rate of HBV, with obvious intervention effect and high patients′ satisfaction. It has certain application value.

关 键 词：乙肝病毒 母婴传播 孕期 健康教育 IKAP理论 

分 类 号：R473[医药卫生—护理学]