妇科门诊患者中开展宫颈癌机会性筛查健康教育的模式及效果

Effects of an enhanced health education intervention on the opportunistic screening of cervical cancer among gynaecological outpatients

目的探索提高宫颈癌机会性筛查的门诊现场健康教育模式．以进一步提高宫颈癌机会性筛查效率。方法选择2012年1—5月期间非因宫颈病变来本院妇科门诊就诊的育龄期患者1000名，根据病历号的单双号分成对照组与实验组，每组500人，分别对两组患者采取语言结合科普图片（实验组）和单纯语言（对照组）两种宫颈癌防治知识的健康教育。并对照分析两组的宫颈癌机会性筛查的干预效果。结果实验组宫颈癌机会性筛查接受率为79．2％，患者接受宫颈癌机会性筛查所用平均有效干预时间为（121．24＋21．39）S；对照组宫颈癌机会性筛查接受率为62．4％，患者接受宫颈癌机会性筛查所用平均有效干预时间为（165．67＋20．62）S；两组干预效果及平均有效干预时间比较差异均有统计学意义（x2=34．13，P=0．0000；t=-28．00，P=0．0000）。结论语言结合科普图片的健康教育模式不仅可提高妇科门诊患者的宫颈癌机会性筛查的接受度，还具有较高的干预效率，值得推广。

Objective To improve the opportunistic screening efficiency of cervical cancer from outpatients and assessed the impact of an enhanced, on-site health education intervention on the identification of patients with cervical cancer. Methods Between January and May 2012, this study recruited 1 000 women of childbearing-age who presented to a hospital gynecology clinic with non-cervical lesions. Participants were divided into experimental group and control group, according to odd and even medical record number.The experimental group patients received language-based health education combined with popular science pictures,while the control group patients received language-based health education only.The efficiency of cervical cancer opportunistic screening of the two groups of patients was analyzed. Results In the experimental group, the rate of phtients accepting cervical cancer opportunistic screening was 79.2% when compared to 62.4% in the control group.This difference was statistically significant （X2=34.13,P=0.0000）.The average time spent for effective intervention delivery was （121.2±21.39） seconds in the experimental group versus （165.67±20.62） seconds in the control group（t=-28.00,P=0.0000）. Conclusion Language health education combined with popular science pictures should be promoted for improving the acceptance of outpatient cervical cancer opportunistic screening and increasing the intervention efficiency.