深圳市南山区育龄妇女生殖道感染知识及求医行为干预效果分析

Analysis on intervention effect of reproductive tract infection knowledge and related behavior of seeing doctors among married women in Nanshan District of Shenzhen City

目的评价南山区社区育龄妇女的生殖道感染(RTI)相关知识知晓率及求医行为的综合干预效果。方法2005年1月,采用随机抽样方法对600名社区育龄妇女开展基线调查。在实施1年半的社区生殖道感染综合干预后,2006年7月使用统一方法进行终点调查。结果干预后,育龄妇女对RTI症状、传播途径、RTI感染的不良后果及其他相关知识的知晓率均达80%以上,与干预前相比有显著性差异(P<0.01)。正确求医行为明显提高,患病后一周内就医的比例(90.3%)和接受规范治疗比例(61.3%)较干预前有显著提高(P<0.01),每周至少做一次阴道冲洗比例为13.4%,较干预前显著减少(P<0.01)。结论通过社区生殖道感染综合干预,育龄妇女对RTI相关防治知识的知、信、行有了不同程度的改变,说明利用计划生育服务开展社区RTI防治服务是非常有效的途径。

Objective To evaluate the comprehensive intervention effect of reproductive tract infection （RTI） health education and related behavior of seeing doctors. Methods Simple random sampling was adopted in this study. In January of 2005, 600 women at reproductive age in Nanshan District were selected as the baseline. They were intervened comprehensively with the concerned knowledge of RTI. Then in July of 2006, one and half year later, a result investigation was carried out among them. Results The correct understanding rates on symptom, prevalence way, results of RTI were all over 80 %, which had statistics difference compared with the situation before intervention （P 〈 0.01 ）. And the behavior of seeing doctors became more popular. 90.3% of them had seen doctors within a week after infection, 61.3% had got the standardized treatment. 13.4% of them washed their vaginas at least once a week. The right behaviors of seeing doctors had significant difference compared with situation before intervention （P 〈 0.01 ）. Conclusion By community comprehensive intervention on RTI, women at reproductive age had great improvements in their knowledge, confidence and behavior concerning with RTI. So, it was an effective way to provide prevention and cure services by the local family planning centers in communities.