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
TIAN Hongwei ZHANG Kun DONG Jiawei LIU Xiaojing DONG Zhenghong WANG Ruimin DONG Surong
Department of Obstetrics and Gynecology, the Fifth Hospital of Shijiazhuang City, Hebei Province, Shijiazhuang 050021, China
Abstract: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.
田红卫 张坤 董佳伟 刘晓静 董正洪 王瑞敏 董素蓉. 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[J]. 中国医药导报, 2017, 14(24): 126-129.
TIAN Hongwei ZHANG Kun DONG Jiawei LIU Xiaojing DONG Zhenghong WANG Ruimin DONG Surong. 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. 中国医药导报, 2017, 14(24): 126-129.
[1] 杨茜,孙鸿燕,李雨昕,等.专题讨论会在慢性乙肝患者健康教育中的应用[J].护理学杂志,2015,30(17):72-74,82.
[2] 李桂桂.IKAP模式健康教育对急性胰腺炎患者自我效能感及生活质量的影响[J].内科,2016,11(3):489-491.
[3] Mischnik M,Sacco F,Cox J,et al. IKAP:A heuristic framework for inference of kinase activities from Phosphoproteomics data [J]. Bioinformatics,2016,32(3):424-431.
[4] Hervé M,Ibrahim EC. MicroRNA screening identifies a Link between NOVA1 expression and a low level of IKAP in familial dysautonomia [J]. Dis Model Mech,2016,9(8):899-909.
[5] 阚荣,施爱辉.强化健康教育在慢性乙型肝炎患者中的应用效果分析[J].中国医药指南,2016,14(15):46.
[6] 邓秋云,黄影,甘明,等.孕期妇女乙肝知识认知及健康教育需求调查分析[J].应用预防医学,2016,22(6):496-497,500.
[7] Keane E,Funk AL,Shimakawa Y. Systematic review with meta-analysis:the risk of mother-to-child transmission of hepatitis B virus infection in sub-Saharan Africa[J]. Aliment Pharmacol Ther,2016,44(10):1005-1017.
[8] 朱荣荣,朱俊.乙肝疫苗阻断乙肝母婴传播疗效的研究[J].医药前沿,2016,6(27):192-193.
[9] 徐莎莎.乙肝母婴传播阻断的健康教育干预分析[J].实用妇科内分泌电子杂志,2015,2(4):87-88.
[10] Eke CB,Onyire NB,Amadi OF. Prevention of mother to child transmission of hepatitis B virus infection in Nigeria:A call to action[J]. Niger J Paediatr,2016,43(3):201.
[11] 王风琴.健康教育在预防艾滋病、梅毒和乙肝母婴传播工作中的临床应用[J].中国卫生标准管理,2016,7(2):256-257.
[12] 王川,武兴,王崇,等.HBV母婴传播阻断效果及影响因素分析[J].临床肝胆病杂志,2015,31(8):1238-1243.
[13] 郁彩琴,张丽娟.妊娠合并乙型肝炎病毒感染孕妇及新生儿的护理[J].中西医结合护理:中英文,2016,2(12):133-134.
[14] Xaydalasouk K,Keomalaphet S,Latthaphasavang V,et al. Assessment of mother-to-child HBV transmission at the prenatal consultation in Vientiane,Laos [J]. Bulletin De La Societe De Pathologie Exotique,2016,109(1):136-139.
[15] 余伟.IKAP模式健康教育对妊娠期高血压患者自我效能提高的效果评价[J].当代护士:下旬刊,2015,6(8):2-4.
[16] 傅品祥.替比夫定阻断孕晚期HBV母婴传播的疗效及安全性分析研究[J].心理医生,2016,22(16):109-110.
[17] 易玲.上海肝病论坛争鸣议题2:关于CHB母婴传播的讨论[J].肝脏,2017,22(3):191-193.
[18] 姚琴,王新春.双层面健康教育在HIV阳性孕产妇围生期中的应用研究[J].实用临床医药杂志,2017,21(4):129-131.
[19] 杨育菲,朱雪琴,陈淑媛,等.塘厦镇围婚期女性生殖道感染认知、心理状况调查及KAP健康教育模式应用效果[J].中外医学研究,2017,15(2):142-144.
[20] 翁维华,郭华,蒋小东.IKAP模式健康教育对胃癌患者生存质量及负面情绪的影响[J].国际护理学杂志,2017, 36(7):967-970.