滴虫性阴道炎患者配偶对疾病认知调查结果分析及对策研究

Analysis of cognition survey on spouses of patients with trichomonas vaginitis and countermeasure

目的:调查分析滴虫性阴道炎患者配偶对疾病认知情况,为提高临床滴虫性阴道炎的治疗效果,降低交叉传染及复发率提高参考。方法:选择2015年10月至2016年3月在我院接受治疗的120例滴虫性阴道炎女性及其丈夫作为研究对象,采用自制滴虫性阴道炎认知调查表对患者配偶进行调查,根据调查结果将患者及其丈夫分为认知合格组(48例)与认知不合格组(72例),比较两组患者配偶滴虫生殖器感染情况;两组患者及其配偶均进行滴虫性感染常规治疗,比较两组患者完成治疗疗程后的临床疗效,感染配偶治疗临床疗效,治疗结束后1个月的复发率及感染配偶复发率。结果:两组患者年龄、病程、对滴虫性阴道炎疾病的认知调查结果、合并疾病比较差异无统计学意义(P<0.05),认知合格配偶组生殖器的滴虫感染率10.42%。认知不合格配偶组生殖器滴虫感染率37.50%,认知合格组配偶生殖器滴虫感染率明显低于不合格组,组间差异比较有统计学意义(P<0.05)。两组患者经治疗7d后,合格组患者及滴虫感染配偶共计53例,临床总有效率90.57%,1个月后复查滴虫感染复发率9.43%;不合格组患者及感染滴虫配偶共计98例,临床总有效率79.59%,1个月后复查滴虫感染复发率28.57%。认知合格组患者及配偶治疗后临床总有效率明显高于认知不合格组,且复发率低于认识不合格组,组间比较差异均有统计学意义(P<0.05)。结论:滴虫性阴道炎患者配偶对疾病的认知情况影响患者的治疗及配偶自身对滴虫感染的预防和治疗效果,加强滴虫性阴道炎患者配偶的治疗及健康宣教是改善滴虫性阴道炎治疗质量的重要途径,临床应引起足够重视。

Objectives： To investigate and analyze the cognition of spouses of patients on trichomonas vagi- nitis, in order to improve the clinical effect in the treatment of trichomonas vaginitis and reduce cross infection and the recurrence rate. Methods： 120 patients with trichomonas vaginitis treated in our hospital from October 2015 to March 2016 and their husbands were selected as research objects. Self - made trichomonas vaginitis cognition ques- tionnaire survey was done among the patients＇ spouses. According to the results of the survey, they were divided in- to qualified group （48 cases） and unqualified group （72 cases ）. Genital trichomonas infection of the two groups was compared. Two groups were given routine treatment of trichomonas infection. Clinical curative effect of the pa- tients and their infected spouses after treatment was compared. The infection recurrence rate of the patients and their infected spouses at a month after treatment were compared. Results： The age, disease course and cognition result of two groups showed no significant difference （ P 〈 0.05 ）. The genital triehomonas infection rate of qualified group and unqualified group was 10.42% and 37.50% respectively, with statistically significant difference （P 〈 0. 05 ）. At 7 days after treatment, there were 53 cases of triehomonas infection in qualified group, a total efficiency of 90. 57%, and the recurrence rate was 9.43% at a month after treatment. At 7 days after treatment, there were 98 cases of trichomonas infection in unqualified group, a total efficiency of 79.59% , and the recurrence rate was 28. 57% at a month after treatment. The differences between the two groups were statistically significant （P 〈 0.05 ）. Conclusion： The cognition of trichomonas vaginitis of patients＇ spouses can affect the prevention and treatment of trichomonas infection. Strengthening the spouse＇ s health education on trichomonas vaginitis is an important way to improve the quality of trichomonas vaginitis treatment.