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目的探讨切实有效的血吸虫病健康教育干预模式。方法 １９９２～１９９８年在江西省１５个疫区县（市）的１８个疫区村２４ ６８７名居民中进行血吸虫病健康教育试点研究、扩大应用研究和推广应用研究。结果干预后目标人群血防知识水平显著提高，血防意识明显增强，绝大多数成年妇女克服了用疫水洗衣的错误血防价值观，学生及成年妇女疫水接触率和血吸虫感染率显著下降，居民血吸虫病化疗的依从性大幅度上升，从而推出了以健康教育为主，结合人群化疗的血吸虫病防治新策略，并论述了该策略的有效性、可行性和推广应用价值；阐明了不同目标人群接触疫水的主要方式和血吸虫感染的主要原因；创建了血吸虫病健康教育的目标人群分组方法；研制出了不同目标人群的针对性干预模式和措施；提出了现阶段不同目标人群的血吸虫病健康教育目标；建立了一套完整的血吸虫病健康教育评价指标体系。结论以健康教育为主，结合人群化疗的防治新策略能够有效地控制居民血吸虫新感染和再感染。
Objective To explore the practical and effective schistosomiasis health education intervention model. Methods A pilot study on schistosomiasis health education was conducted among 24 687 inhabitants in 18 outbreak villages in 15 epidemic-affected counties (prefectures) in Jiangxi Province from 1992 to 1998, and expanded application research and popularization and application research. Results After the intervention, the knowledge level of blood-armor was significantly increased and the awareness of blood-armor was significantly increased. Most adult women overcame the wrong blood-proof values of using water-washing, the contact rate of infected water and schistosomiasis among students and adult women were significantly decreased, The compliance of chemotherapy increased significantly, thus introducing a new strategy of prevention and treatment of schistosomiasis with health education as the mainstay, combined with population chemotherapy, and discussed the effectiveness, feasibility and application value of this strategy; The main way of water and the main reason of schistosomiasis infection; the grouping method of target population for schistosomiasis health education was established; the targeted intervention modes and measures for different target groups were developed; the goal of health education for schistosomiasis for different target groups was put forward ; Established a complete index system of health education evaluation of schistosomiasis. Conclusion Based on health education, combined with the new strategy of population chemotherapy control can effectively control the residents of new infections and re-infection of schistosomiasis.