乙型肝炎母婴传播阻断健康教育效果评价及其影响因素研究

Effect of Education Intervention and its Influencing Factors of Blocking Mother-to-child Transmission of Hepatitis B

目的评价乙型肝炎母婴阻断的健康教育干预效果及其影响因素。方法收集我院2017年1月至2018年12月就诊的乙型肝炎孕妇486例,随机分为干预组和对照组,干预组辅以健康教育等措施,对照组常规护理,观察比较两组婴儿不同月龄的HBsAg的阳性率、孕产妇知晓合格率及影响知晓因素。结果干预组新生儿于0月龄、1月龄和7月龄的HBsAg的阳性率分别为16.81%,6.46%和1.70%,7月龄低于对照组(P<0.05)。干预组的孕产妇知晓得分为(75.77±9.88)分,合格率为79.31%,高于对照组(P<0.05)。年龄、孕产妇文化程度、职业、其丈夫的职业及是否首胎因素影响健康教育干预效果。结论健康教育干预对于乙型肝炎母婴传播阻断具有积极的效果。

Objectives To evaluate the effect of education intervention and its influencing factors of blocking mother-to-child transmission of hepatitis B.Methods Collected from January 2017 to December 2018 to our hospital 486 cases of pregnant women with hepatitis B virus,dividing into intervention group and control groups randomly,the intervention group were given health education and other measures,the control group routine care,analyzing of HBsAg positive rate of two infant groups and knowing rate and its influencing factors of two mother groups.Results HBsAg positive rate of the intervention group at birth,1-month-old and 7-months-old respectively was 16.81%,6.46%,1.70%,HBsAg positive rate of 7-month-old infant lower than the control group only(P<0.05).The awareness score of pregnant and lying in women in the intervention group was(75.77±9.88),and the qualification rate was 79.31%,higher than that in the control group(P<0.05).Factors such as age,maternal education level,occupation her husband's occupation and whether the first fetal influencing the effect of health education intervention.Conclusions Health education intervention for hepatitis B blocking mother-infant had a positive effect.