对男男性接触者(MSM)肛门尖锐湿疣患者进行健康教育效果观察

Observation of health education effect for men who have sex with men(MSM) with anal condyloma acuminatum

目的：探讨对男男性接触尖锐湿疣患者进行健康教育预防性病/艾滋病的作用。方法对2012年8月-2013年3月在我院确诊的男男同性恋尖锐湿疣患者172例，将其随机分为观察组与对照组各86例。对照组按常规治疗、常规健康教育指导；观察组进行个人示教和集体指导、重复多次性的系统健康教育和行为指导。对照组于治疗后常规进行，观察组于系统健康教育3次后采用自行设计的调查表评估两组知识掌握情况；并随访患者6个月，观察两组患者疾病复发情况。结果观察组健康教育后知识掌握显著优于对照组，观察组患者随访6个月内复发率显著低于对照组（P＜0.01）。结论健康教育能有效促进同性恋尖锐湿疣患者对安全套的使用率，提高其对性病防治的知识掌握程度，对防治疾病复发起到了积极作用。

Objective To investigate the effect of health education in prevention of STD / AIDS for the MSM with condyloma acuminatum. Methods 172 MSM with condyloma acuminatum who were diagnosed from August 2012 to March 2013 in our hospital were randomly divided into the observation group and the control group,each group had 86 cases.The control group received the routine treatment and routine health education guidance;while the observation group was given individual teaching and collective guidance,repeated systemic health education and behavior guidance.The situation of mastering the knowledge of the control group was evaluated by using self-designed questionnaire after the treatment,while that of the observation group was evaluated after three times of systemic health education; And the patients of the two groups were followed up for 6 months,and the recurrence of the two groups were observed. Results The situation of mastering the knowledge of the observation group after the health education was significantly better than that of the control group, the recurrence rate of the observation group within following 6 months was significantly lower than that of the control group（P〈0.01）. Conclusion Health education can effectively promote the use of condoms for the MSM with condyloma acuminatum, improve their knowledge of STD prevention and control, and plays positive role to prevent the recurrence of the disease.