个性化健康教育对深圳女劳务工生殖健康状况的影响

Effect of individualized health education on reproductive health status of Shenzhen female laborers

目的探讨个性化健康教育对深圳女劳务工生殖健康状况的影响。方法 7 888例女劳务工随机分为两组:观察组和对照组(每组3 944例)。观察组受试者采取个性化健康教育措施(包括健康教育、随访、在线咨询、QQ群服务等),对照组仅实施1次常规的健康知识教育。观察两组受试者干预前后生殖道感染率、掌握生殖健康知识的情况。结果干预后5个月,观察组相关生殖健康知识掌握情况优于对照组(P<0.05)。观察组生殖道感染率(6.8%)与对照组(17.8%)比较差异有统计学意义(P﹤0.05)。观察组细菌性阴道炎发生率1.0%(41/3 944),对照组为4.1%(162/3 944);观察组外阴阴道假丝酵母菌病发生率(0.91%)与对照组(3.5%)比较,差异有统计学意义(χ~2=74.02、61.99,P=0.000)。观察组性病发生率(0.08%)与对照组(3.5%)比较,差异有统计学意义(χ~2=4.58,P=0.03)。结论个性化健康教育可显著提高女劳务工对生殖道感染知识的掌握,降低生殖道感染率,提高满意度,值得临床推广。

Objective To explore the influence of individualized health education on reproductive health of female laborers in Shenzhen. Methods 7 888 female laborers were randomly divided into two groups （3 944 each）： observation group and control group. Observation group received individualized health education and control group received routine health education. The reproductive tract infection rate of the two groups and their reproductive health knowledge were observed. Results After 5 months of intervention, on reproductive health knowledge, observation group was better than the control group （ P 〈 0. 05 ）. On the reproductive tract infection rate, observation group was 6.8% and control group was 17. 8%, the difference was statistically significant（P 〈 0. 05）. The incidence of bacterial vaginitis was 1.0% （41/3 944） in the observation group and g. 1% in the control group（ 162/3 944）. The incidence of vulvovaginal candidiasis was 0. 91% in the observation group and 3.5% in the control group, the difference was statistically significant（x^2=74. 02,61.99,P =0.000）. The incidence of STD was 0.08% in the observation group and 3.5% in the control group, the difference was statistically significant （x^2 = 4.58, P = 0.03 ）. Conclusion Individualized health education can significantly improve the health knowledge level of female laborers, reduce their reproductive tract infection rate and improve their satisfaction, which is worthy of clinical promotion.