摘要
目的观察在成年男性中采用“血吸虫病检查和化疗依从性教育+防护技能培训”干预模式的效果。方法选择鄱阳湖区3个血吸虫病重疫区村为推广应用现场,应用前期研究的“血吸虫病检查和化疗依从性教育+防护技能培训”模式对目标人群进行干预,比较干预前后目标人群知信行的变化。结果干预后,3村目标人群血防知识及格率分别由干预前73.79%、67.97%、79.56%提高到93.29%、96.88%、94.16%(P<0.005);检查态度正确率分别由干预前53.05%、42.97%、49.64%提高到92.07%、88.28%、90.51%(P<0.005);治疗态度正确率分别由干预前57.93%、52.34%、62.77%提高到95.73%、91.41%、94.16%(P<0.005);检查行为依从率分别由干预前41.46%、31.25%、37.23%提高到90.24%、85.16%、88.32%(P<0.005);化疗行为依从率分别由干预前46.95%、38.28%、40.88%提高到92.07%、89.84%、93.43%(P<0.005)。干预前后目标人群接触疫水主要方式均为捕鱼,未发生变化,血吸虫感染率均未见下降。结论该血防健康教育模式可显著提高目标人群血吸虫病检查和治疗依从性,具有很好的现场推广应用价值。
Objective To observe the effects of an expanded application of health education for schistosomiasis control in adult men. Method 3 hyper-endemic villages around Poyang Lake were selected and health education of compliance in case screen and chemotherapy plus training in prevention of infection was adopted in target population. Result Among target population in 3 villages and compared the results before and after intervention, the passed rates of schistosomiasis control knowledge increased from 73.79%, 67.97% and 79.56% to 93.29% ,96.88% and 94. 16% , the correct rates of attitude in case screen from 53.05%, 42. 97%, and 49.64% to 92. 07% ,88.28% and 90. 51% ,the correct rates of attitude in treatment from 57.93% ,52. 34% and 62. 77% to 95.73%, 91.41% and 94. 16%, the compliance rates in stool examination increased from 41.46%,31.25% and 37.23% to 90. 24%,85.16% and 88.32%, the compliance rates in treatment from 46.95%, 38.28% and 40. 88% to 92. 07%, 89.84% and 93.43% respectively. There was no significant changes in main mode of water-contact （for adult men being fishing） and the frequency of contacting infested-water and schistosome infection rate. Conclusion This health education pattern could improve compliance with regard to examination and treatment of schistosomiasis among target population, and the authors suggest that this education pattern merits expanded application in endemic areas.
出处
《寄生虫病与感染性疾病》
CAS
2006年第4期173-176,共4页
Parasitoses and Infectious Diseases
