| 基于社区的两级血吸虫病健康教育模式干预效果 |
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| 引用本文： | 张瑕,胡合华,刘雄,张华明,贺世豪,肖传云,田荣,张维荣,崔彩霞,文晓红,刘军,杨立英,陈美,曹淳力,李石柱.基于社区的两级血吸虫病健康教育模式干预效果[J].中国血吸虫病防治杂志,2016,28(4):370-374. |
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| 作者姓名： | 张瑕 胡合华 刘雄 张华明 贺世豪 肖传云 田荣 张维荣 崔彩霞 文晓红 刘军 杨立英 陈美 曹淳力 李石柱 |
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| 作者单位： | 1 湖北省江陵县血吸虫病防治所、 中国疾病预防控制中心寄生虫病预防控制所湖沼型血吸虫病防治科研基地 （江陵 434100）；2 湖
北省江陵县卫生和计划生育局；3 中国疾病预防控制中心寄生虫病预防控制所、 卫生部寄生虫病原与媒介生物学重点实验室、 世
界卫生组织热带病合作中心 |
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| 基金项目： | 国家自然科学基金(81101280);国家科技重大专项(2012ZX10004220、2008ZX10004-011、2012ZX10004-201);中英全球卫生项目(202708);卫生部寄生虫病原与媒介生物学重点实验室开放课题(WSBKTKT201406);湖北省卫生计生委2015-2016年度科研项目(WJ2015XB023);湖北省荆州市医药卫生科技计划项目(20121PE1-1);湖北省荆州市2013年医药卫生科技计划项目(20131PE1-1) |
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| 摘 要： | 目的 目的 运用基于社区的两级健康教育模式对湖沼型血吸虫病流行区居民进行干预， 探索低流行水平下的健康
教育模式。方法 方法 在湖北省江陵县选取两个血吸虫病流行村， 干预村实施以社区为基础的两级健康教育干预模式和常
规防治措施， 对照村仅实施常规防治措施， 比较干预前后两村村民血防知识知晓率、 健康行为率、 查病和治病依从性等。
结果 结果 2014年基线调查结果显示， 干预组与对照组血防知识知晓率分别为84.00%和77.45%， 正确行为率分别为72.00%
和63.73%， 治病依从率分别为80.36%和82.28%， 差异均无统计学意义 （P均 > 0.05）。干预后， 干预组与对照组行为正确
率分别为92.31%和80.37%， 查病依从率分别为95.11%和82.55%， 化疗依从率分别为84.13%和63.64%， 差异均有统计学
意义 （P均 < 0.05）； 与干预前相比， 干预组干预后查病、 治病及化疗依从率增幅分别为20.97%、 15.33%、 23.29%， 对照组增
幅分别为14.27%、 4.17%、 -3.77%， 干预组均高于对照组。结论 结论 基于社区的两级健康教育模式可有效提高目标人群的
查、 治病依从性， 适宜在湖沼地区推广应用。
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| 关 键 词： | 血吸虫病 社区 健康教育 两级模式 知晓率 依从性 |
Effect of two-level community-based health education pattern on schistosomiasis control |
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| ZHANG Xia;HU He-hua;LIU Xiong;ZHANG Hua-ming;HE Shi-hao;XIAO Chuan-yun;TIAN Rong;ZHANG Wei-rong;CUI Cai-xia;WEN Xiao-hong;LIU Jun;YANG Li-ying;CHEN Mei;CAO Chun-li;LI Shi-zhu.Effect of two-level community-based health education pattern on schistosomiasis control[J].Chinese Journal of Schistosomiasis Control,2016,28(4):370-374. |
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| Authors: | ZHANG Xia;HU He-hua;LIU Xiong;ZHANG Hua-ming;HE Shi-hao;XIAO Chuan-yun;TIAN Rong;ZHANG Wei-rong;CUI Cai-xia;WEN Xiao-hong;LIU Jun;YANG Li-ying;CHEN Mei;CAO Chun-li;LI Shi-zhu |
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| Affiliation: | 1 Jiangling County Institute of Schistosomiasis Control|Hubei Province|Jiangling 434100|China；2 Jiangling County Bureau of Health and Family Planning|Hubei Province|China；3 National Institute of Parasitic Diseases|Chinese Center for Disease Control and Prevention|Key Laboratory on Parasite and Vector Biology|Ministry of Health|WHO Collaborating Center for Tropi? cal Diseases|China |
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| Abstract: | Objective Objective To implement a two?level community?based health education pattern of schistosomiasis in residents of
endemic areas in marshland and lake regions，so as to explore the suitable pattern of health education under hypo?endemic situa?
tion. Methods Methods Two schistosomiasis endemic villages in Jiangling County，Hubei Province were collected as study areas，and
among which，one village was treated as an intervention group，where the two?level community?based health education pattern
as well as regular control measures was implemented；the other village was a control group，where only regular control measures
were implemented. The awareness rates on schistosomiasis control，the rates of correct behavior and the compliance rates of ex?
amination，treatment and chemotherapy of the two groups before and after the intervention were compared. Results Results According
to the results of the baseline survey in 2014，the awareness rates of schistosomiasis control of the intervention and control groups
were 84.00% and 77.45%，respectively，the correct rates of behavior of the two groups were 72.00% and 63.73%，respectively，
and the compliance rates of the treatment were 80.36% and 82.28%，respectively，there were no statistically significant differences between all the above rates of the two groups （all P > 0.05） . After the intervention of the two?level community?based health
education，the correct rates of behavior，and the compliance rates of examination and chemotherapy of the two groups were
92.31% and 80.37%，95.11% and 82.55%，84.13% and 63.64%，respectively，and the differences between all the rates above
of the two groups were statistically significant（all P < 0.05） . When compared to those before intervention，the growing rates of
the compliance rates of examination，treatment and chemotherapy of the intervention group were 20.97%，15.33% and 23.29%，
respectively，while those of control group were 14.27%，4.17%，-3.77%，respectively，the growing rates of the intervention
groups were higher than those of the control groups. Conclusions Conclusions Through the two?level community?based pattern of health edu?
cation，the compliance rates of examination and treatment of the residents have improved，and therefore，the pattern is suitable
for popularization and application in marshland and lake regions. |
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| Keywords: | Schistosomiasis Community Health education Two?level pattern Awareness rate Compliance |
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