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目的 :探讨健康教育对血吸虫病流行区成年妇女防治血吸虫感染所起的作用。方法 :在鄱阳湖流行区 ,应用视听教育和技能培训对 16岁— 60岁妇女进行血吸虫病健康教育。结果 :实验组在教育干预后 ,血吸虫病防治知识及格率和对预防及化疗态度正确率分别由 55.3%和 68.0 %提高到 84 .8%和 91.9% ,比对照组分别提高 32 .5%和 2 1.8% ;疫水接触率和血吸虫感染率分别由9.5%和 19.4 %下降到 6.7%和 7.1% ,比对照组分别减少 4 2 .0 %和 66.1% ;对子女进行血吸虫病预防教育的人数百分率由 4 8.4 %提高到 96.9% ,比对照组提高 35.0 % ;携子女接触疫水率和 3岁- 5岁儿童血吸虫感染率分别由 54.8%和 17.6%下降到 6.3%和 2 .7% ,比对照组同龄组儿童分别减少 87.9%和 86.0 %。对照组在同期内上述各项指标均无明显变化。结论 :健康教育可有效地控制湖区成年妇女及其儿童的血吸虫感染。
Objective: To investigate the effect of health education on the prevention and treatment of schistosomiasis among adult women in schistosomiasis endemic areas. Methods: Health education of schistosomiasis was carried out in women aged 16 - 60 years in audio-visual education and skills training in the Poyang Lake area. Results: After the educational intervention, the passing rate of schistosomiasis control and the correct rate of prevention and chemotherapy were increased from 55.3% and 68.0% to 84.8% and 91.9% respectively in the experimental group, 32.5% and 32.5% higher than that in the control group 2 1.8%; the contact rate of infected water and the infection rate of schistosomiasis decreased from 9.5% and 19.4% to 6.7% and 7.1% respectively, which were 42.0% and 66.1% lower than that of the control group respectively; the number of children who had schistosomiasis prevention education The percentage of contact with the infected children and the prevalence of schistosomiasis among children aged 3 to 5 decreased from 54.8% and 17.6% to 6.3% and 2.7% respectively, from 4 8.4% to 96.9%, which was 35.0% higher than that of the control group. Compared with the control group, children in the same age group decreased by 87.9% and 86.0% respectively. The control group in the same period of the above indicators did not change significantly. Conclusion: Health education can effectively control schistosomiasis among adult women and their children in the lake.