健康教育提高村民血吸虫病化疗依从性研究

STUDY ON ENHANCEMENT OF SCHISTOSOMIASIS CHEMOTHERAPY COMPLIANCE BY HEALTH EDUCATION

目的研究健康教育能否提高血吸虫病流行区村民血吸虫病化疗的依从性。方法在四川省一、二、三层疫区各选1个村作实验村，另各选1个村作对照村，3层疫区共6个村，2100人以上作目标人群。通过基线调查，对化疗依从性差的原因进行分析，并筛选出具有针对性的血防信息及适合当地条件的传播途径进行干预。结果干预后的实验村村民知－信－行程度得到提高，化疗依从性从50．0％，上升到90．6％，感染率及感染度也得到有效的控制。结论通过健康教育的干预措施，提高了村民血吸虫病化疗的依从性。

Objectives To study the chemotherapy compliance before and after health educa tion. Methods Six villages with over 2100 target population, including 2 villages from 1 experimen tal village and 1 control village from in each Zone Ⅰ, Ⅱ, Ⅲ in schistosomiasis endemic areas,Sichun province. Through baseline investigation, and analysis of the reasons of poor chemotherapy compli ance in the study areas, the most appropriate intervention rneasures were taken through suitable publiclty approaches. Results The knowledge-attitude-practice of villages in experimental vil lages were enhanced after health education intervention, and the chemotherapy complience rate was increased from 50% to 90. 6 %. In addition,the schistosomiasis infection rate and intensity in experi mental villages were also controlled effectively. Conclusion The chemotherapy cornpliance was im proved through health education intervention in the study areas.