双层面健康教育在HIV阳性孕产妇围生期中的应用研究

Application of double deck health education in the perinatal period of HIV positive pregnant women

目的评价围生期强化健康教育在人类免疫缺陷病毒(HIV)阳性孕产妇护理中的应用价值。方法 2015年1月,医院在产科实施关于HIV的个体化强化健康教育,同时针对产前检出HIV阳性的孕产妇提供针对性的健康教育。结果2015年,产妇HIV检测率92.70%(10 181/10 983),高于2011—2014年的78.09%(2 6431/33 848)。HIV阻断率为100.0%,HIV阳性新生儿预防性用药率为100.00%,分别高于2011—2014年的47.06%(8/17)、29.41%(5/17),差异具有统计学意义(P<0.05)。2015年HIV阳性产妇均在妊娠期或妊娠前检测出HIV阳性,产前SAS、SDS评分高于普通妊娠产妇,差异具有统计学意义(P<0.05)。结论 HIV阳性孕产妇围生期健康教育有助于提高HIV管理水平,提高HIV母婴传播阻断成功率,降低产前焦虑抑郁水平。

Objective To evaluate application value of perinatal health education in the perinatal period of HIV positive pregnant women. Methods In January 2015,the hospital carried out HIV personalized health education in Department of obstetrics,and provided targeted health education for HIV positive pregnant women. Results In 2015,maternal HIV rate was 92. 70%（ 10 181/10 983）,which was higher than 78. 09%（ 26 431/33 848） in 2011-2014. HIV blocking rate and HIV positive neonatal preventive medication rate were 100. 0%,which was higher than47. 06%（ 8/17）,29. 41%（ 5/17） of 2011-2014,and the difference was statistically significant（ P〈 0. 05）. In 2015,HIV positive women were tested in pregnancy or pregnancy,prenatal SAS,SDS levels were higher than normal pregnant women,and the difference was statistically significant（ P〈 0. 05）. Conclusion Health education for HIV positive pregnant women can improve management level of HIV,elevate the blocking rate of mother-child transmission,and reduce prenatal anxiety and depression level.