摘要
目的了解高职助产专业实习生对艾滋病和梅毒母婴传播相关知识的掌握情况,为提升助产士围生期保健服务能力,制定有效可行的教学方案提供依据。方法设计调查问卷,调查综合性医院及妇幼保健机构247名实习生的实习前、后对艾滋病和梅毒的基本知识、传播途径、围生期监测干预和随访三方面的知晓情况。结果实习后,247名学生对相关知识的总体知晓率为71.26%(176名),高于实习前12.96%(32名)(χ^2=172.20,P<0.01),但各知识点的回答正确率提高程度不同。其中基本知识方面回答正确率最低的是"梅毒会增加艾滋病的传播",实习前后分别为45.34%(112名)、65.18%(161名);对传播途径掌握不全面,尤以日常生活传播途径回答正确率较低,其中正确率最低的是"是否经蚊虫叮咬传播?",实习前后分别为43.72%(108名)、66.80%(165名);对围生期监测、干预和随访知识的知晓情况较差,尤其产后随访方面各知识回答正确率最低,实习前后分别为1.21%~2.83%、7.69%~37.25%,其中梅毒感染产妇所生儿童随访内容回答正确率最低,实习前后分别为1.21%(3名)、7.69%(19名)。结论助产专业实习生对艾滋病、梅毒母婴传播相关知识的掌握经实习后仍较差,建议完善教学内容的系统性、加强师资的专业培训和树立助产士参与健康宣教的服务意识,是提升知晓率的有效措施。
Objective To investigate the knowledge awareness of AIDS and syphilis mother-to-child transmission among midwifery professional interns and provide reference for development of effective and feasible teaching scheme to improve midwives'capacity of perinatal health service.Methods Questionnaire was designed to know the basic knowledge,route of infection,perinatal monitoring and postpartum follow-up of AIDS and syphilis patients.247 interns were recruited working in general hospitals and maternal and child health care institutions before and after their internships.Results The overall awareness rate of interns was 71.26%after internship,higher than the overall awareness rate of 12.96% before practice (X^2=172.20,P<0.01).The correct rate of each knowledge item was different,among which the lowest accuracy item of the basic knowledge was "syphilis can increase HIV spreading" with the rate of 45.34%and 65.18%before and after practice.Interns did not know all the routes of infection,especially the route of daily life transmission.The lowest accuracy item was "whether HIV is transmitted by mosquito bites" and the correct rate was 43.72% and 66.80% before and after practice.The knowledge of perinatal monito- ring,intervention and follow-up was poor,especially the knowledge of follow-up with the correct rate of 1.21%-2.83%and 7.69%-37.25% before and after practice.The lowest accuracy item was "what was followed-up for the children born to mothers with syphilis".Its correct rate was 1.21%and 7.69%before and after practice.Conclusion The knowledge of AIDS and syphilis mother-to-child transmission in midwifery interns is still poor after practice.It is suggested to take measures to strengthen pre-job training,including refining teaching,training of professional trainers and establishment of the midwife's service awareness related to health education by midwives.
作者
陈顺萍
张荣莲
CHEN Shunping;ZHANGRonglian(Fujian Health College,Fuzhou 350101,Fujian,China;Fujian Maternal and Children's Health Care Hospital,Fuzhou 35000,Fujian)
出处
《中国艾滋病性病》
CAS
CSCD
北大核心
2018年第12期1244-1246,1257,共4页
Chinese Journal of Aids & STD
基金
福建卫生职业技术学院课题项目(2010109)~~
关键词
助产专业
艾滋病
梅毒
母婴传播
知晓率
Midwifery profession
AIDS
Syphilis
Mother-to-child transmission
Awareness rate
