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| 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 |
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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.
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