TRAINING OF 4TH YEAR MEDICAL STUDENTS ON HEPATITIS B
Journal Name:
- İstanbul Tıp Fakültesi Dergisi
Key Words:
Keywords (Original Language):
| Author Name | University of Author | Faculty of Author |
|---|---|---|
Abstract (2. Language):
Objective: The aim of this study was to enhance the level of knowledge of the 4th year students of Istanbul Faculty
of Medicine on Hepatitis B from the public health point of view by a training practice, and to measure their
knowledge levels before and after the practice and compare these results.
Materials and methods: This is an intervention study. In the 2nd term of the academic year 2003 – 2004 (in January
20, March 16, April 27, 2004), 95 students were given interview forms consisting of 30 items which were related
to the ways of infection of Hepatitis B and the means of protection from the disease. At the beginning of the
practice, students were asked whether they had been vaccinated before. After 20 minutes of interactive training, the
same forms were applied again. The scores of the students were recorded before and after the practice and compared
using the Wilcoxon Sign Test.
Results: The median value of 95 students was 28 (min:25; max:30) before the practice; and median:30 (min:26;
max:30) after it. It was found that there were statistically significant increases in the knowledge levels of the students
after the practice (z=7.3, p=0.0001). 87.4 % of the students had been vaccinated against Hepatitis B at least
once. 4.8 % of the vaccinated students were vaccinated 2 times; 86.7 % 3 times; 7.2 % 4 times; and 1.2 % 5 times.
Conclusion: In the field of preventive medicine, people should have sound knowledge about the ways of infection
of and means of protection from Hepatitis B. Medical students in Turkey should be well informed of this subject
and the vaccination rates should be increased as Turkey is a country having a medium level of endemic rate regarding
this disease. Our study has shown that the level of knowledge of our students was high and their lack of knowledge
concerning the subject was made up for thoroughly after the interactive training practice. Furthermore, students
were also tested for HBsAg and HbsAc and reminded to get vaccinated.
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Abstract (Original Language):
Amaç: Bu araflt›rmada, ‹stanbul T›p Fakültesi 4. s›n›f ö¤rencilerinin Halk Sa¤l›¤› bak›fl aç›s› ile Hepatit B konusundaki
bilgi düzeylerini belirlemek, e¤itim vererek art›rmak, e¤itim öncesi ve sonras›ndaki bilgi düzeylerini ölçerek
karfl›laflt›rmak amaçland›.
Gereç ve yöntem: Bu çal›flma 2003-2004 ö¤retim y›l›nda gerçeklefltirilmifl bir müdahale araflt›rmas›d›r. 2. yar›y›lda
20 Ocak, 16 Mart ve 27 Nisan 2004 tarihlerinde derse devam eden 95 ö¤renciye 30 soruluk Hepatit B den korunma
ve hastal›¤›n bulaflma yollar› ile ilgili haz›rlanan görüflme formlar› uygulanm›flt›r. Dersin bafl›nda afl›l› olup
olmad›klar› sorgulanarak 20 dakikal›k interaktif e¤itimden sonra ayn› formlar yeniden uygulanm›flt›r. E¤itim öncesinde
ve sonras›nda ö¤rencilerin ald›klar› puanlar Wilcoxon ‹flaret Testi ile karfl›laflt›r›lm›flt›r.
Bulgular: 95 ö¤rencinin e¤itim öncesi puan ortancas› 28 (minumum:25;maksimum:30), e¤itim sonras› ortanca
30(minumum:26; maksimum:30) olarak bulunmufltur. Ö¤rencilerin e¤itim sonras›ndaki bilgi düzeylerinde istatistik
anlaml›l›k verecek derecede art›fl oldu¤u saptanm›flt›r (z=7,3, p=0,0001). Ö¤rencilerin % 87,4 ü daha önce Hepatit
B afl›s› olmufltu. Afl› olanlar›n %4,8 i 2 kez, % 86,7 si 3 kez, % 7,2 si 4 kez, % 1,2 si de 5 kez afl› olmufltu.
Sonuç: Koruyucu hekimlikte bulafl›c› hastal›klar›n bulaflma yollar›n›n ve hastal›ktan korunma yöntemlerinin bilinmesi
önemlidir. Hepatit B aç›s›ndan orta derecede endemik olan Türkiye’de bu konuda t›p ö¤rencilerinin bilgi düzeylerinin
yüksek olmas› ve afl›lama oranlar›n›n art›r›lmas› hedeflenmelidir. Çal›flmam›zda ö¤rencilerin bu konudaki
bilgi düzeylerinin yüksek oldu¤u ve interaktif e¤itimden sonra eksik bilgilerin tamamland›¤› saptanm›fl, afl›s› olmayan
ö¤rencilerin HBsAg ve HbsAc na bakt›rarak afl› olmalar› hat›rlat›lm›flt›r.
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