Chao Stephanie D, Cheung Chrissy M, Yang Elizabeth J, So Samuel K S, Chang Ellen T
Department of Surgery, Stanford Hospital and Clinics, Stanford, CA, USA.
J Obstet Gynecol Neonatal Nurs. 2012 Jul-Aug;41(4):494-505. doi: 10.1111/j.1552-6909.2012.01379.x. Epub 2012 Jun 14.
To evaluate current levels of hepatitis-B-related knowledge and clinical practice among perinatal nurses.
Cross-sectional study.
Santa Clara County, California, home to one of the largest U.S. populations at risk of perinatal hepatitis B transmission.
Perinatal nurses (N = 518) from eight birthing hospitals.
In 2008-2010, nurses completed a baseline survey evaluating existing hepatitis-B-related knowledge and preventive clinical practices, participated in an educational seminar, received instructional materials about hepatitis B, and completed a follow-up knowledge survey.
Eighty percent of perinatal nurses had provided health care to a pregnant woman with chronic hepatitis B, but only 51% routinely provided patients with educational information about hepatitis B. While 75% routinely informed patients about effective methods to prevent mother-to-child transmission, only a small minority (17-34%) educated infected women about standard recommendations for protecting themselves and household members. One fourth or fewer nurses correctly answered most questions about hepatitis B prevalence, risks, and symptoms. After the educational seminar, knowledge increased statistically significantly.
Existing knowledge about hepatitis B is limited, and nationally recommended preventive clinical practices are commonly overlooked by perinatal nurses. This lack of knowledge and preventive care represents a noteworthy gap and an opportunity for targeted training and education to improve perinatal hepatitis B prevention and medical management of infected mothers.
评估围产期护士对乙肝相关知识的掌握程度及临床实践情况。
横断面研究。
加利福尼亚州圣克拉拉县，这里是美国围产期乙肝传播高危人群最多的地区之一。
来自八家分娩医院的围产期护士（N = 518）。
在2008 - 2010年期间，护士们完成了一项基线调查，评估其现有的乙肝相关知识和预防性临床实践，参加了一次教育研讨会，收到了关于乙肝的指导材料，并完成了一次随访知识调查。
80%的围产期护士曾为患有慢性乙肝的孕妇提供过医疗护理，但只有51%的护士会定期为患者提供有关乙肝的教育信息。虽然75%的护士会定期告知患者预防母婴传播的有效方法，但只有一小部分（17 - 34%）会向感染乙肝的女性介绍保护自己和家庭成员的标准建议。四分之一或更少的护士能正确回答大多数关于乙肝流行率、风险和症状的问题。教育研讨会之后，知识水平有了显著的统计学提高。
围产期护士对乙肝的现有知识有限，国家推荐的预防性临床实践常被忽视。这种知识和预防护理的缺乏是一个值得关注的差距，也是进行有针对性培训和教育以改善围产期乙肝预防及对感染母亲的医疗管理的机会。
