社区预防女性恶性肿瘤干预效果评价

An Evaluation on the Effects of Comprehensive Intervention on Community Prevention for Female Malignant Tumors

目的探索女性恶性肿瘤社区综合干预的有效措施,为预防肿瘤发生及提高肿瘤早发现提供经验。方法选择平湖市6个城乡社区为干预组,采用整群对照的方法,选择条件相近的6个社区作为对照组;干预组社区采用健康教育、高危人群筛查和技术干预等综合措施,以问卷调查的方式获得两组目标人群肿瘤防治知识知晓率、健康行为形成率及肿瘤早发现,并比较两组差异。结果干预组目标人群肿瘤防治知识平均知晓率81.01%,对照组71.68%,差异有统计学意义(P<0.01);干预组目标人群平均健康行为形成率72.58%,对照组70.43%,差异有统计学意义(P<0.01);干预组目标人群新发肿瘤63例,肿瘤新发率269.02/10万,对照组新发肿瘤41例,肿瘤新发率260.51/10万,差异无统计学意义(P>0.05);干预组新发肿瘤中,Ⅰ+Ⅱ期占28.57%,对照组Ⅰ+Ⅱ期占24.39%,两者差异亦无统计学意义(P>0.05)。结论为期2年的女性肿瘤社区综合干预对目标人群的知晓率、健康行为形成率改变明显。

Objective To explore the effects of comprehensive intervention on community prevention for female malignant tumors. Methods 6 communities in both urban area and rural area were randomly selected as intervention group. With cluster - control method, other 6 communities were chosen as control group. Measures were taken in intervention group including health education, high - risk population screening and technology intervention. An interview with a questionnaire was conducted in both groups to acquire awareness rate of tumor prevention knowledge, possessing rate of health behaviors and early detection status of tumors. Results The awareness rate of tumor prevention knowledge of intervention group was higher than that of control group （81.01% vs 71.68%, P 〈 0. 01 ）, as well as the possessing rate of health behaviors （72.58% vs 70.43%, P 〈0. 01 ）. While no statistical significance was found in malignant incidence between the two groups （269.02/100000 vs 260.51/100000, P 〉 0. 05 ） , as well as the stages of newly diagnosed tumors （28.57 % vs 24. 39% , P 〉 0.05 ）. Conclusion The 2 - year community health intervention for female malignant tumors has significantly changed the awareness rate of tumor prevention knowledge and possessing rate of health behaviors.