Evaluation Of The Effect Of Individualized Health Education In Aids Associated Psm Family Caregivers

ObjectiveTo explore the cognitive knowledge,health education needs of AIDS and penicilliosis marneffei,emotion and health situation by questionnaire and scale investigation of AIDS family caregivers accompanied by patients in hospital,to further design the establishment of individualized health education path and explore the effect on AIDS associated PSM family caregivers,to achieve effective health guidance.MethodsThis study was divided into two steps.The first step is to conduct a questionnaire survey of AIDS family caregivers.Chose 255 AIDS family caregivers as the research object who was accompanied by the patients in the AIDS department of a infectious disease hospital in Nanning from July 2015 to October 2015 by using convenience sampling method.After the questionnaire investigation on the admission day or the next day,to evaluate the cognitive ofAIDS and PSM related knowledge,the demand of health education,the cognitive attitude,the caregivers' health situation and mood because accompanied by the hospital.The second step was to plan and implement the individual health education path of AIDS associated PSM family caregivers.Chose 79 AIDS associated PSM family caregivers as the research object who was accompanied by the patients in the AIDS department of a infectious disease hospital of Nanning from November 2015 to June 2016.40 AIDS associated PSM family caregivers was to be the control group while the other 39 was the intervention group.The control group used the common conventional health education of the hospital,which is no provisions;And the intervention group based on the caregiver's own situation,the knowledge of cognitive and emotional condition,according to the individual health education path's process,which has the timing and planning health education,and timely inquiry,understanding and explanation of family caregivers doubts.Compared with two groups' disease related knowledge level of family caregivers,the implementation of nursing knowledge,anxiety and depression,satisfaction of health education.ResultsIn the first stage,255 AIDS family caregivers were investigated,and the valid questionnaires were collected in 253 cases.The effective recovery rate was 99.2%.1.AIDS family caregivers ranked the top four "strong demand" health education programs followed by disease infection and Prevention(96.8%),dietary guidance(90.9%),rest and activity(85.8%),and psychological support(83.8%)2.The compliance rate of AIDS basic knowledge and related nursing knowledge on AIDS family caregivers respectively was 27.7%,35.2%,PSM related knowledge compliance rate was only 0.8%.3.The way to know related knowledge of AIDS family caregivers in the top three were medical staff explanation(57.3%),network as well as television(48.2%),hospital publicity materials(42.3%).4.AIDS family caregivers have serious negative emotions(t,P < 0.05)in the early stage while accompanied the hospital,and the quality of life is relatively poor compared with ordinary people.In the second stage,the development and implementation of individualized health education path of AIDS associated PSM family caregivers.1.Before the intervention the knowledge of rate comparison between groups of two groups' AIDS patients with PSM family caregivers' was no difference;After the intervention the intervention group' knowledge rate was significantly higher than the control group(x2(Fisher),P < 0.05).The knowledge rate of the control group and the intervention group was compared by itself,but there was no significant difference between the control group(x2(Fisher),P > 0.05),while,the knowledge rate of the intervention group discharged was higher than that of admission(x2(Fisher),P < 0.05).2.The anxiety scores of the control group and intervention group were at a high level on admission;The anxiety scores on admission of two groups had no significant difference(t,P > 0.05),but at the time of week later and discharge two groups had difference(t,P < 0.05).Two groups' objects in different stages of anxiety scores were compared in pairs.And it shows that the scores of admission and one week later had no significant difference(F-LSD,P > 0.05),but the scores of admission anddischarge,as well as at the time of one week later and discharge had significant difference(F-LSD,P < 0.05).While in different stages the anxiety scores of three groups in the intervention group had significant difference(F-LSD,P < 0.05).3.The depression scores of the control group and intervention group were at a high level;The depression scores on admission of two groups' caregivers had no significant difference(P > 0.05),at the time of week later and discharge,two groups' caregivers had difference(P < 0.05).Two groups' objects in different stages of depression scores were compared in pairs.And it shows that the scores of admission and one week later,as well as at the time of one week later and discharge had no significant difference(F-LSD,P > 0.05),but the scores of admission and discharge had significant difference(F-LSD,P < 0.05).While in different stages the depression scores of three groups in the intervention group had significant difference(F-LSD,P < 0.05).4.The qualified rate of care work in intervention group was higher than that in control group(Fisher,P < 0.05).5.The satisfaction degree of health education in intervention group was higher than that in control group(t,P < 0.05).Conclusions1.AIDS family caregivers have negative attitudes towards AIDS relatives,and accompanied by a serious mood at the beginning of admission.2.AIDS family caregivers have a little knowledge of the basic knowledge of AIDS,but have little knowledge of PSM.And they pay high attention to the spread of HIV infection,and the demands of disease infection,prevention,diet guidance,rest and activity,psychological support were higher.3.AIDS family caregivers mainly through three ways to understand the knowledge when accompany the hospital which is medical personnel,network and television,hospital publicity materials,and medical care is an important way.4.Admitted to the AIDS associated PSM family caregivers had a certain impact on their own quality of life when accompanied AIDS patients.5.Individualized health education path ensure the health education's effectiveness of AIDS associated PSM family caregivers at hospital.6.Individualized education path can increase the related knowledge of AIDS associated PSM family caregivers,ease the anxiety and depression,at the same time improve the quality of care work and health education satisfaction.