健康教育对宫颈炎治疗方式选择的影响

Influence of health education on choice of treatment mode of cervicitis

目的对宫颈中、重度糜烂患者开展相关健康教育,评价健康教育的效果,探讨宫颈炎治疗过程中的健康教育模式。方法对广州地区部分厂矿企业、学校、事业单位等长期在广州市妇婴医院参加妇女病普查并连续两年被诊断为宫颈中、重度糜烂的220例患者进行问卷调查。了解患者接受健康教育前、后对宫颈糜烂的治疗依从性、危害及防治知识的认知程度,次年对患者的治疗依从性、治疗效果、认知水平等进行追踪,以此评价健康教育的效果。结果健康教育前患者的治疗依从性较差,约90.0%未按医嘱正确治疗,对宫颈炎危害及防治知识认知不足是导致她们没有及时正确治疗的主要原因(占72.3%),通过健康教育干预,这些患者的治疗依从性和健康意识明显提高,从而获得了满意的治疗效果。结论开展群体性健康教育和个性化指导、普及妇女常见病防治知识,是提高广大妇女的健康知识水平,明显改善宫颈炎患者的治疗依从性、降低宫颈炎患病率的有效措施。

Objective To conduct related health education among the medium and heavy cervical erosion patients, to evaluate the result of the health education and to explore the mode of conducting health education on the treatment of cervicitis. Methods Two hundred and twenty cases diagnosed as medium and heavy cervical erosion over two years were investigated. They were the employees from the factories, schools and other organization in Guangzhou area and participate in the general survey of women＇s diseases in our hospital for a long time. The patients＇ compliance with the treatment and their knowledge on the hamafulness and prevention and treatment of cervicitis before and after the health education were surveyed. In the next year, we followed up the patients＇ compliance with the treatment, the result of treatment and their knowledge level on the prevention and treatment of cervicitis, so as to evaluate the result of the health education on cervicitis. Results The compliance with the treatment of the cervical erosion patients was low. 90% of the patients did not complied with doctors＇ advices. Poor knowledge on the hamafulness and prevention and treatment of cervicitis were the main reasons that they did not undergo correct treatments promptly in time （up to 72.3 per cent） . After health education these patients＇ compliance with the treatment advices and their consciousness on health had been improved distinctly, the effectiveness of the treatment had been enhanced satisfiedly. Conclusion Conducting mass health education and individual instruction, popularizing the knowledge on the prevention and treatment of corrtmon gynaecological diseases are effective measures of enhancing mass women＇s health knowledge level, improving the cervical erosion patients＇ compliance with treatment advices and reducing the incidence of cervicitis.