尼日利亚明纳综合医院针对艾滋病毒患者开展的结核病健康教育干预在改善其知识、态度和行为方面的效果——一项随机对照试验
Effectiveness of health education intervention in improving knowledge, attitude, and practices regarding Tuberculosis among HIV patients in General Hospital Minna, Nigeria - A randomized control trial.
作者信息
Bisallah Chindo Ibrahim, Rampal Lekhraj, Lye Munn-Sann, Mohd Sidik Sherina, Ibrahim Normala, Iliyasu Zubairu, Onyilo Michael Ochigbo
机构信息
Department of Community Health, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor, Malaysia.
Department of Public Health, Ministry of Health, Minna, Niger state, Nigeria.
出版信息
PLoS One. 2018 Feb 22;13(2):e0192276. doi: 10.1371/journal.pone.0192276. eCollection 2018.
INTRODUCTION
The risk of development of active TB in HIV-infected individuals is 20-37 times higher than those that are HIV negative. Poor knowledge of TB amongst people living with HIV has been associated with high transmission.
OBJECTIVES
To determine the effectiveness of a new health education intervention module in improving knowledge, attitude, and practice (KAP) regarding tuberculosis among HIV patients in General Hospital Minna, Nigeria.
METHODS
A randomized control trial was carried out from July 2015 to June 2017. A random number generating program was used to allocate 226 respondents into 2 groups. The intervention group received health education regarding tuberculosis using the developed module. The control group received the normal services provided for HIV patients. Data were collected from December 2015 to September 2016 at baseline, immediate post intervention, three, six and nine months. The outcome measures were knowledge, attitude, and practice.
RESULTS
There was no significant difference with respect to socio-demographic characteristics, KAP of the respondents in the intervention and control group at baseline. However, there was significant improvement in knowledge in the intervention group compared to the control group, group main effect (F = (1,218) = 665.889, p = 0.001, partial ἠ2 = 0.753, d = 5.4); time (F = (3.605, 218) = 52.046, p = 0.001, partial ἠ2 = 0.193, d = 1.52) and interaction between group with time (F = (3.605, 218) = 34.028, p = 0.001, partial ἠ2 = 0.135, d = 1.23). Likewise, there was significant improvement in attitude, group main effect (p = 0.001, d = 1.26) and time (p = 0.001, p, d = 0.65). Similarly, there was improvement in practice, group main effect, time, and interaction of group with time (p < 0.05).
CONCLUSION
The health education intervention program was effective in improving KAP regarding tuberculosis among HIV patients.
引言
HIV感染者患活动性结核病的风险比HIV阴性者高20至37倍。HIV感染者对结核病的认知不足与高传播率有关。
目的
确定一种新的健康教育干预模块在提高尼日利亚明纳总医院HIV患者对结核病的知识、态度和实践（KAP）方面的有效性。
方法
于2015年7月至2017年6月进行了一项随机对照试验。使用随机数生成程序将226名受访者分为两组。干预组使用开发的模块接受关于结核病的健康教育。对照组接受为HIV患者提供的常规服务。在2015年12月至2016年9月期间，于基线、干预后即刻、三个月、六个月和九个月收集数据。结果指标为知识、态度和实践。
结果
在基线时，干预组和对照组受访者的社会人口学特征、KAP方面没有显著差异。然而，与对照组相比，干预组的知识有显著改善，组主效应（F = (1,218) = 665.889，p = 0.001，偏η² = 0.753，d = 5.4）；时间（F = (3.605, 218) = 52.046，p = 0.001，偏η² = 0.193，d = 1.52）以及组与时间之间的交互作用（F = (3.605, 218) = 34.028，p = 0.001，偏η² = 0.135，d = 1.23）。同样，态度有显著改善，组主效应（p = 0.001，d = 1.26）和时间（p = 0.001，p，d = 0.65）。类似地，实践也有改善，组主效应、时间以及组与时间的交互作用（p < 0.05）。
结论
健康教育干预项目在提高HIV患者对结核病的KAP方面是有效的。
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