Thay đổi kiến thức và thực hành tuân thủ điều trị của người bệnh lao tại Trung tâm y tế Cao Lộc tỉnh Lạng Sơn năm 2019 sau giáo dục sức khỏe

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Thông tin xuất bản: Tạp chí Khoa học Điều dưỡng, 2020

Mô tả vật lý: tr.96

Bộ sưu tập: Metadata

ID: 321507

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Mục tiêu: Đánh giá sự thay đổi kiến thức và thực hành về tuân thủ điều trị của người bệnh lao ngoại trú tại Trung tâm Y tế huyện Cao Lộc, tỉnh Lạng Sơn sau giáo dục sức khỏe. Đối tượng và phương pháp nghiên cứu: Thiết kế nghiên cứu can thiệp giáo dục sức khỏe có so sánh trước sau trên một nhóm đối tượng với cỡ mẫu là 60 người bệnh mắc lao điều trị giai đoạn củng cố trong thời gian từ tháng 3 đến tháng 5 năm 2019 tại Trung tâm Y tế huyện Cao Lộc, tỉnh Lạng Sơn. Kết quả: Trước can thiệp, tỷ lệ người bệnh có kiến thức về tuân thủ các nguyên tắc điều trị lao chiếm 58,3% nhưng sau can thiệp 1 tuần tỷ lệ này là 95% và sau can thiệp 1 tháng tỷ lệ này vẫn ở mức cao là 91,7%. Trước can thiệp, tỷ lệ người bệnh thực hành tuân thủ điều trị đạt là 48,3%. Nhưng sau can thiệp 1 tuần thì tỷ lệ này tăng lên 76,7%
sau can thiệp 1 tháng là 75%. Sự khác biệt này đều có ý nghĩa thống kê với p <
0,05. Kết luận: Kiến thức và thựchành về tuân thủ điều trị của người bệnh lao ở giai đoạn củng cố tại Trung tâm Y tế Cao Lộc được cải thiện đáng kể sau giáo dục sức khỏe. Do vậy, giáo dục sức khỏe cần được thực hiện như một nội dung thường quy tại phòng khám trung tâm y tế Cao Lộc để nâng cao kiến thức cũng như thực hành về tuân thủ điều trị lao cho người bệnh.Objective: To assess changes in knowledge and practice on outpatient treatment of tuberculosis patients at Cao Loc District Health Center, Lang Son Province after health education. Method: The design of a health education intervention study was compared before and after on a group of subjects with a sample size of 60 patients with tuberculosis in the stage of consolidation treatment for months from 3 to May 2019 at Cao Loc District Health Center, Lang Son Province. Results: Before the intervention, the proportion of patients who had knowledge of adherence to TB treatment principles accounted for 58.3% but 95% after 1 week intervention and 1 month after intervention. at a high level of 91.7%. Before the intervention, the proportion of patients practicing adherence to treatment reached 48.3%. But after 1 week of intervention, this rate increased to 76.7%
1 month after intervention, 75%. This difference is statistically significant with p <
0.05. Conclusion: The knowledge and practice of TB adherence at the consolidation stage at Cao Loc Health Center improved significantly after health education. Therefore, health education should be performed as a routine content at Cao Loc medical center clinic to improve knowledge and practice of TB treatment compliance for patients.

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