The Research Of Promoting The Oral Cavity Health Measures Of Rural AIDS Patients/HIV-carriers

Objective In order to understand the status of oral cavity hygiene knowledge (K)﹑ attitude (A)﹑ behavior (P) (KAP: Knowledge, Attitude and Practice) and oral diseases of rural AIDS patients and HIV carriers, corresponding intervention measures were laid down to improve the oral cavity hygiene KAP and reduced the prevalence of oral diseases, and to compare direct interventions and indirect interventions in two ways of improving the results of oral cavity hygiene KAP, and to explore more effective, more economical, more convenient and more durable interventions to improve the level of their oral health.Methods It was adopted the method of anonymous one-on-one questionnaire and oral examination at the scene to carry out the baseline survey from May to August in 2009, which was about the oral cavity hygiene KAP and the status of oral diseases of 82 cases of rural AIDS patients/HIV carriers in a county of Anhui province. According to the result of the survey, it was to make intervention measures,(including①The direct interventions: It were the standard interventions, According to the baseline survey, The interventions were laid down and demonstrated by experts, which were used by the training of professionals to intervene the rural AIDS patients and HIV carriers one-on-one;②The indirect interventions: It were the interventions of rural doctors, which was referred to as the interventions of village doctors, those doctors were on-one-on trained by professionals, and then the rural AIDS patients/HIV carriers were intervened by village doctors to its jurisdiction),which was compared the mend matters and intervention effects of oral cavity hygiene KAP of AIDS patients/HIV carriers before and after the intervention, and compared the effectiveness of direct and indirect interventions before and after their interventions respectively, and also compared effects of interventions between direct interventions and indirect interventions.Results Through the investigation of total 82 AIDS patients and HIV-carriers from four administrative villages in city of northern Anhui province, "①The oral health status of AIDS patients and HIV-carriers were in poor before the intervention, and the knowledge of AIDS-related oral health of 76 AIDS patients and HIV-carriers was promoted after interventions," Scaling can spread AIDS "was 22 cases (27%), and after the intervention 41 patients (54%) think that can spread(χ2= 20.066, p<0.001);②The oral diseases of related AIDS were decreased dramatically, 68 patients (83%) had "gingivitis" before intervention and 47 cases (62%) after the intervention (χ2=8.852, p=0.003). The personal oral cavity hygiene and related oral KAP of AIDS and HIV-carriers caused by subjective factors had improved to different extent. For example,"brushing teeth over 3 minutes at every turn", there were over 36 cases (44%) before intervention and 45 patients after intervention (59%) (χ2=4.017, p=0.045)."④AIDS patients and HIV-carriers had improved their oral cavity hygiene KAP direct interventions and indirect interventions( The group of direct interventions:"knowledge"P〈0.05)(The group of indirect interventions:"Examination of The Oral Cavity"P=0.017), the level of oral health had enhanced ,there was no significant difference in effect (P>0.05).Conclusions It was in poor condition that oral cavity hygiene KAP of rural AIDS patients and HIV-carriers. The oral cavity hygiene KAP of oral health of AIDS patients /HIV-carriers had been improved and the prevalence of oral diseases had reduced after the interventions, and then the level of oral health had raised. The oral cavity hygiene KAP of oral health of AIDS patients and HIV-carriers had been improved and the prevalence rate of oral diseases had dropped after each of direct interventions and indirect interventions. The effects had no difference between direct interventions and indirect interventions, It said that direct interventions was roughly equivalent to indirect interventions. oral health education in AIDS patients and HIV carriers was enhanced by taking advantage of village doctors, It was a good and easy methods to improve oral cavity hygiene KAP ,which could save time and save manpower, material and financial resources.