| Objective:To understand the sexual cognition,sexual attitude,sexual behavior and sex education needs of nursing interns in hospital,and to evaluate the intervention effect of empowerment based health education model on AIDS knowledge,belief and behavior of nursing interns in hospital.To improve the ability of nursing interns in sexual sex risk assessment,safe sexual negotiation and communication,and HIV occupational exposure risk prevention so as to provides reference for universities and clinical teaching hospitals to develop AIDS health education for medical students who are about to enter clinical practice.Methods:The convenience sampling method was used to select 240 nursing interns from a comprehensive hospital in Shanxi Province from 2021 to 2022 as the research objects.The baseline survey of sexual cognition,sexual attitude,sexual behavior and sexual education needs of nursing interns was conducted by using the Questionnaire on the Current Situation of College Sexual Cognition and Sex Education.Then the subjects were divided into intervention group and control group according to random number table method.The control group received routine AIDS health education,and the intervention group received empowerment health education.The questionnaire of AIDS Prevention and Treatment knowledge of nursing interns was used(before intervention and one month after intervention)to evaluate the knowledge of AIDS,the score of relevant attitude,the self-efficacy of condom use and the occupational prevention of clinical AIDS in the two groups.Results:1.Baseline Investigation stage:(1)Nature cognition and sexual behavior of nursing practice: 65 people(28.9%)were positive,168 people(73.04%)felt that they lacked sexual knowledge,58 people(25.2%)had sexual behavior experience,33 people(14.35%)suffered sexual harassment,There were 107(46.52%)who had not attended lectures related to AIDS,and 189(82.17%)who had not learned the proper use of condoms.(2)Demand of sex education for nursing interns: 141 people(61.30%)thought it was necessary to conduct sex education for interns in school,only 14 people(6.09%)had a good understanding of sex education,and 116 people(50.43%)wanted to receive more sex knowledge.(3)The attitude of nursing interns towards premarital sex: there were statistically significant differences in the attitude of nursing interns towards premarital sex in terms of education background,understanding of sex education,whether they think "sex" is something shameful to talk about,sexual views,whether they have had sexual experience and whether they have learned the correct use of condoms(P < 0.05).2.Intervention Stage:(1)Comparison of general data between the two groups: there was no statistically significant difference between the intervention group and the control group in terms of general data,such as gender,age,living environment,ethnicity,school type and residence style(P> 0.05).(2)Comparison of AIDS knowledge between the two groups before and after intervention: before intervention,there was no statistically significant difference in basic AIDS knowledge between the intervention group and the control group(P>0.05);One month after intervention,there was no statistically significant difference between the intervention group and the control group in the mastery of basic knowledge of AIDS(P >0.05),but there was statistically significant difference in the mastery of knowledge of occupational exposure to AIDS(P < 0.05).(3)Comparison of AIDS-related attitudes between the two groups before and after intervention: before intervention,there was no statistically significant difference in AIDS-related attitudes between the intervention group and the control group(P>0.05);One month after intervention,the scores of the intervention group and the control group were statistically significant in respect of AIDS-related attitudes(P < 0.001),and the intervention group had more positive AIDS-related attitudes than the control group.(4)Comparison of condom use self-efficacy between the two groups before and after intervention: before intervention,there was no significant difference in condom use self-efficacy between the intervention group and the control group(P > 0.05);One month after intervention,there was statistically significant difference in condom self-efficacy between the intervention group and the control group(P < 0.001).(5)Comparison of HIV clinical protective behavior between the two groups before and after intervention: before intervention,there was no significant difference in awareness rate of HIV clinical protective behavior between the intervention group and the control group(P > 0.05);One month after intervention,the awareness rate of AIDS clinical protection behavior between the intervention group and the control group was statistically significant(P < 0.001).Conclusion:Through the investigation,we found that the current nursing practice students’ relative lack of knowledge,the stronger sex education needs,and positive attitude to premarital sex,empowerment of nursing health education pattern could increase the awareness of HIV/AIDS nursing interns,change the intern’s attitude toward AIDS,enhance condom use behavior self-efficacy and safety consciousness.At the same time,it can improve the self-protection awareness of interns,so as to ensure the safety during the internship,which has certain positive significance for entering the society and going to the clinic in the future. |
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