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Effectiveness of AIDS education program on nursing students’ knowledge and attitudes in Sri Lanka
266
17th International Congress on Infectious Diseases / International Journal of Infectious Diseases 45S (2016) 1–477
Type: Poster Presentation
Type: Poster Presentation
Final Abstract Number: 42.126 Session: Poster Session II Date: Friday, March 4, 2016 Time: 12:45-14:15 Room: Hall 3 (Posters & Exhibition)
Final Abstract Number: 42.127 Session: Poster Session II Date: Friday, March 4, 2016 Time: 12:45-14:15 Room: Hall 3 (Posters & Exhibition)
Association of anti retroviral therapy with changes in peripheral arterial disease status and severity - a vision
Effectiveness of AIDS education program on nursing students’ knowledge and attitudes in Sri Lanka
A. Mukherjee 1,∗ , D. Khanra 2 , P. Ghosh 3 , A. Talukdar 3
G.N. Nanayakkara 1,∗ , E.-O. Choi 2
1
Medical College Kolkata India, Kolkata, West Bengal, India 2 GVSM Medical College Kanpur India, kanpur, India 3 Medical College Kolkata, Kolkata, India Background: HIV infection causes direct endothelial dysfunction or damage and premature atherosclerosis. HIV induced endothelial dysfunction may manifest as peripheral arterial disease (PAD). Understanding PAD scenario and its relation with antiretroviral therapy (ART) may help to improve quality of life and to prevent critical limb ischemia or amputation. Till date no follow up study has shown the effect of ART on PAD. This study explores association of ART with changes in PAD status and severity. Methods & Materials: In this ART clinic based cohort study conducted at a tertiary care hospital in eastern India, 193 consecutive ART eligible HIV positive patients of age between 18-49 years underwent ankle brachial pressure index (ABPI) measurement before ART initiation and after one year of receiving ART to examine the effect of ART on PAD. ABPI values less than 0.9 or more than 1.4 at rest were taken as abnormal. Results: Prevalence of PAD before the initiation of ART was 30.57%. The prevalence dropped to 12.95% after 6 months and to 3.62% after 1 year of treatment. Mean age of the patients whose ABPI improved was lower than those in whom low ABPI persisted (p value 0.05). ABPI improvement was significant among people who were asymptomatic, belonged to urban population, had normal BMI, good functional status, lower WHO stage and who had no history of tuberculosis (p value< 0.05). Conclusion: Prevalence of PAD decreased significantly after one year of ART. Routine ABPI measurement and early initiation of ART may reduce PAD morbidity and improve quality of life. http://dx.doi.org/10.1016/j.ijid.2016.02.592
1 National School of Nursing, Sri Jayawardenapura, Sri Lanka 2 Inje University, Busan, Korea, Republic of
Background: Stigmatization and discrimination of HIV/AIDS patients is an important issue in health care institutions. Nurses, who play a key role in health care of people living with HIV (PLHIV), should be professionally competent in AIDS knowledge and AIDS attitudes. This is necessary to minimise the stigmatization and discrimination towards PLHIV and to protect patients’ dignity. In Sri Lanka, like in many other countries, nurses’ AIDS knowledge and attitudes are not satisfactory. Various interventions used to correct this in many countries had in-consistent results. Hence the need for good intervention prevails. Methods & Materials: We assessed the effect of an educational intervention using Quasi-experimental control group pretest post-test model which was done on second year nursing students in National School of Nursing, Sri Lanka from January to March 2015. Recruits completed self-administered instruments of HIV/AIDS knowledge scale and a HIV/AIDS attitude scale at preintervention and post-intervention points and were randomized to experimental group (N=65) and control group (N=64). AIDS education intervention, which had six two hour sessions, was done for the experimental group over 5 weeks. Teaching strategies included lecturers, small group activities and discussions and testimony of PLHIV. After the intervention, post-test was held for both groups. Collected data were analyzed using SPSS WIN 18.0. Results: Both AIDS knowledge (p<0.00) and AIDS attitudes (p<0.00) of the student nurses improved significantly after the intervention of AIDS educational program. In AIDS knowledge subdomain scale of HIV course and manifestations (t=-6.84, p<0.00), HIV Transmission (t=-7.28.44, p <0.00), occupational risk of HIV and prevention (t=-10.59, p<0.00) and management of HIV and anti-retroviral treatment (t=-12.81, p<0.00) all showed significant improvement in the experimental group. In the subdomains of the AIDS attitude scale, namely blame and judgment (t=-3.35, p<0.001), attitude towards imposed measures (t=-5.44, p<0.00) and attitudes in comfortable in dealing with a HIV/AIDS patients (t=-4.25, p<0.00) there was significant improvement in experimental group compared to control group who had only the traditional education program. Conclusion: Intervention showed statistically significant improvement in AIDS knowledge and attitudes. This model could be the basis for a standard module on HIV/AIDS in student nurses’ curriculum in Sri Lanka and in other countries. http://dx.doi.org/10.1016/j.ijid.2016.02.593
17th International Congress on Infectious Diseases / International Journal of Infectious Diseases 45S (2016) 1–477
Type: Poster Presentation
Type: Poster Presentation
Final Abstract Number: 42.126 Session: Poster Session II Date: Friday, March 4, 2016 Time: 12:45-14:15 Room: Hall 3 (Posters & Exhibition)
Final Abstract Number: 42.127 Session: Poster Session II Date: Friday, March 4, 2016 Time: 12:45-14:15 Room: Hall 3 (Posters & Exhibition)
Association of anti retroviral therapy with changes in peripheral arterial disease status and severity - a vision
Effectiveness of AIDS education program on nursing students’ knowledge and attitudes in Sri Lanka
A. Mukherjee 1,∗ , D. Khanra 2 , P. Ghosh 3 , A. Talukdar 3
G.N. Nanayakkara 1,∗ , E.-O. Choi 2
1
Medical College Kolkata India, Kolkata, West Bengal, India 2 GVSM Medical College Kanpur India, kanpur, India 3 Medical College Kolkata, Kolkata, India Background: HIV infection causes direct endothelial dysfunction or damage and premature atherosclerosis. HIV induced endothelial dysfunction may manifest as peripheral arterial disease (PAD). Understanding PAD scenario and its relation with antiretroviral therapy (ART) may help to improve quality of life and to prevent critical limb ischemia or amputation. Till date no follow up study has shown the effect of ART on PAD. This study explores association of ART with changes in PAD status and severity. Methods & Materials: In this ART clinic based cohort study conducted at a tertiary care hospital in eastern India, 193 consecutive ART eligible HIV positive patients of age between 18-49 years underwent ankle brachial pressure index (ABPI) measurement before ART initiation and after one year of receiving ART to examine the effect of ART on PAD. ABPI values less than 0.9 or more than 1.4 at rest were taken as abnormal. Results: Prevalence of PAD before the initiation of ART was 30.57%. The prevalence dropped to 12.95% after 6 months and to 3.62% after 1 year of treatment. Mean age of the patients whose ABPI improved was lower than those in whom low ABPI persisted (p value 0.05). ABPI improvement was significant among people who were asymptomatic, belonged to urban population, had normal BMI, good functional status, lower WHO stage and who had no history of tuberculosis (p value< 0.05). Conclusion: Prevalence of PAD decreased significantly after one year of ART. Routine ABPI measurement and early initiation of ART may reduce PAD morbidity and improve quality of life. http://dx.doi.org/10.1016/j.ijid.2016.02.592
1 National School of Nursing, Sri Jayawardenapura, Sri Lanka 2 Inje University, Busan, Korea, Republic of
Background: Stigmatization and discrimination of HIV/AIDS patients is an important issue in health care institutions. Nurses, who play a key role in health care of people living with HIV (PLHIV), should be professionally competent in AIDS knowledge and AIDS attitudes. This is necessary to minimise the stigmatization and discrimination towards PLHIV and to protect patients’ dignity. In Sri Lanka, like in many other countries, nurses’ AIDS knowledge and attitudes are not satisfactory. Various interventions used to correct this in many countries had in-consistent results. Hence the need for good intervention prevails. Methods & Materials: We assessed the effect of an educational intervention using Quasi-experimental control group pretest post-test model which was done on second year nursing students in National School of Nursing, Sri Lanka from January to March 2015. Recruits completed self-administered instruments of HIV/AIDS knowledge scale and a HIV/AIDS attitude scale at preintervention and post-intervention points and were randomized to experimental group (N=65) and control group (N=64). AIDS education intervention, which had six two hour sessions, was done for the experimental group over 5 weeks. Teaching strategies included lecturers, small group activities and discussions and testimony of PLHIV. After the intervention, post-test was held for both groups. Collected data were analyzed using SPSS WIN 18.0. Results: Both AIDS knowledge (p<0.00) and AIDS attitudes (p<0.00) of the student nurses improved significantly after the intervention of AIDS educational program. In AIDS knowledge subdomain scale of HIV course and manifestations (t=-6.84, p<0.00), HIV Transmission (t=-7.28.44, p <0.00), occupational risk of HIV and prevention (t=-10.59, p<0.00) and management of HIV and anti-retroviral treatment (t=-12.81, p<0.00) all showed significant improvement in the experimental group. In the subdomains of the AIDS attitude scale, namely blame and judgment (t=-3.35, p<0.001), attitude towards imposed measures (t=-5.44, p<0.00) and attitudes in comfortable in dealing with a HIV/AIDS patients (t=-4.25, p<0.00) there was significant improvement in experimental group compared to control group who had only the traditional education program. Conclusion: Intervention showed statistically significant improvement in AIDS knowledge and attitudes. This model could be the basis for a standard module on HIV/AIDS in student nurses’ curriculum in Sri Lanka and in other countries. http://dx.doi.org/10.1016/j.ijid.2016.02.593