深圳市妊娠梅毒固定性伴通知方法及引导策略效果初探

Effectiveness of Partner Notification and Guidance of Pregnant Women with Maternal Syphilis in Shenzhen

目的探讨妊娠梅毒固定性伴通知方法、引导策略的应用并检验其效果。方法运用患者通知和约定通知二种性伴通知方法和包括健康教育、心理及通知技巧辅导、检验结果讨论等三阶段引导策略,对251名妊娠梅毒患者进行性伴通知,观察其性伴通知意愿改变情况以及其性伴就诊率。结果实施分阶段引导策略后,妊娠梅毒患者固定性伴(含法定配偶)信息引出率达100%,愿意通知性伴的患者比例由29.88%上升到88.84%(P<0.01),通知的确定性由33.3%上升到71.7%(P<0.01)。通知成功率达88.78%,性伴就诊率达78.88%。结论患者通知与约定通知结合的性伴通知方法以及三阶段引导策略的应用可提高妊娠梅毒患者性伴就诊率,对控制梅毒传播具有重要意义。

Objeelive To access effectiveness of the notification methods d steady sexual partners of pregnancy women with maternal syphilis. Methods notitication methods, including patient notification and appointed notifica- tion, were adopted together with the three-step-guidance to notify partners of 2.51 pregnancy syphilis patients reerulted in the antenalul syphilis screening programme.Pregnant women＇s improvements of willingness to notify their partners and partners＇visiting rate were observed. Results After gnidanee, steady partner （ ineluding legal partner） notification was induced sueeessfully by 100%. The rate of pregnant patients willing to notify their partoers rose titan 29.88% to 88.84% （ P 〈 0.01 ）, while confirmation rate of those notifications rose from 33.3% to 71.7% （P 〈0. 01 ）. Nolification rate was 88.78%, while the visiting rate of informed sexual partners was 78.88%. Conclusion the combination of patient nolification and appointed notification, together with guidance, could inerease maternal syphilis patients＇ partners visiting rate, which will play a significant role in syphilis control.