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目的探讨个性化健康教育对深圳女劳务工生殖健康状况的影响。方法 7 888例女劳务工随机分为两组:观察组和对照组(每组3 944例)。观察组受试者采取个性化健康教育措施(包括健康教育、随访、在线咨询、QQ群服务等),对照组仅实施1次常规的健康知识教育。观察两组受试者干预前后生殖道感染率、掌握生殖健康知识的情况。结果干预后5个月,观察组相关生殖健康知识掌握情况优于对照组(P<0.05)。观察组生殖道感染率(6.8%)与对照组(17.8%)比较差异有统计学意义(P﹤0.05)。观察组细菌性阴道炎发生率1.0%(41/3 944),对照组为4.1%(162/3 944);观察组外阴阴道假丝酵母菌病发生率(0.91%)与对照组(3.5%)比较,差异有统计学意义(χ~2=74.02、61.99,P=0.000)。观察组性病发生率(0.08%)与对照组(3.5%)比较,差异有统计学意义(χ~2=4.58,P=0.03)。结论个性化健康教育可显著提高女劳务工对生殖道感染知识的掌握,降低生殖道感染率,提高满意度,值得临床推广。
Objective To explore the effect of personalized health education on the reproductive health status of female workers in Shenzhen. Methods 7 888 female laborers were randomly divided into two groups: observation group and control group (3 944 in each group). Subjects in the observation group took personalized health education measures (including health education, follow-up, online counseling, QQ group services, etc.). The control group only carried out one routine health education. Observe the prevalence of genital tract infection before and after intervention in two groups of subjects and get knowledge of reproductive health. Results At 5 months after intervention, the knowledge of reproductive health related to observation group was better than that of control group (P <0.05). The incidence of genital tract infection in observation group (6.8%) was significantly different from that in control group (17.8%) (P <0.05). The incidence of bacterial vaginosis was 1.0% (41/3 944) in the observation group and 4.1% (162/3 944) in the control group. The incidence of vulvovaginal candidiasis in the observation group (0.91%) was significantly higher than that in the control group (3.5% ), The difference was statistically significant (χ ~ 2 = 74.02,61.99, P = 0.000). The incidence of STD in observation group (0.08%) was significantly higher than that in control group (3.5%) (χ ~ 2 = 4.58, P = 0.03). Conclusion Individualized health education can significantly improve the mastery of female labor workers knowledge of genital tract infection, reduce the rate of genital tract infection and improve satisfaction, worthy of clinical promotion.