健康教育小组模式对孕产妇艾滋病、梅毒和乙型肝炎检测遵医行为的影响  

The effect of health education group on the compliance of pregnant women undergoing AIDS,syphilis and hepatitis tests

作　　者：李冬玲[1] 沈小洁[1] 周乾 陈玉婵[1] 谭雪玲[1] 黎东梅 

机构地区：[1]广东省佛山市高明区人民医院,广东佛山528500

出　　处：《中国临床护理》2018年第1期31-33,共3页Chinese Clinical Nursing

基　　金：佛山市科技攻关项目(编号:2016AB001204)

摘　　要：目的探讨健康教育小组模式对孕产妇艾滋病、梅毒和乙型肝炎检测遵医行为的影响。方法选取2016年8月-2017年4月在妇产科门诊首次建立产前检查本(孕产妇系统保健卡)、定期产检并分娩的孕产妇1 000例,将其随机分为观察组和对照组各500例。对照组给予常规健康教育,观察组采用健康教育小组管理模式。比较2组孕产妇艾滋病、梅毒和乙型肝炎母婴传播知识掌握情况、满意度、自愿咨询率和检测率。结果观察组孕产妇健康知识掌握情况及满意度明显好于对照组(Z=-6.114,P<0.001;Z=-7.517,P<0.001),艾滋病、梅毒和乙型肝炎自愿咨询率明显高于对照组(χ~2=54.853,P<0.001;χ~2=43.381,P<0.001;χ~2=32.869,P<0.001),艾滋病、梅毒和乙型肝炎检测率明显高于对照组(χ~2=60.211,P<0.001;χ~2=11.940,P<0.001;χ~2=60.658,P<0.001)。结论对孕产妇开展预防艾滋病、梅毒和乙型肝炎母婴传播知识教育,可提高孕产妇艾滋病、梅毒、乙型肝炎的检测遵医行为。Objective To explore the effect of health education group on the compliance of pregnant women undergoing AIDS,syphilis and hepatitis B tests.Methods One thousand pregnant women receiving the prenatal examination for the first time between August 2016 and April 2017 were selected and randomly divided into an observation group and a control group,each of 500.The control group was given routine health care,while the observation group was organized into a health care group.The knowledge of AIDS,syphilis and hepatitis B,the rate of voluntary face-to-face consultation and the checking rate of the above three diseases were compared between the two groups.Results All the measurements of the observation group were significantly better or higher than that of the control group.Conclusion Health education about the prevention of AIDS,syphilis and mother-to-child transmission of hepatitis B among pregnant women can significantly promote their compliance of undergoing related tests.

关 键 词：健康教育 孕产妇 艾滋病 梅毒 慢性乙型肝炎 母婴传播 遵医行为 

分 类 号：R473.71[医药卫生—护理学]