杭州市流动已婚男性泌尿生殖感染特征和健康教育效果

Urogenital infection feature and effect of health education in migrant married men in Hangzhou city

目的了解杭州市流动已婚男性泌尿生殖感染特征及健康教育干预效果。方法选取2018年1月至12月杭州市西溪医院诊治的873例排尿不适的已婚男性患者作为研究对象。采集患者生物样本,检测常见病原体。对感染阳性的患者进行健康教育,并在干预前后以自行设计的问卷进行问卷调查。结果研究期间共诊治排尿不适患者873例,395例(45.2%)病原体检出阳性。病原体检出如下:支原体127例(14.5%)、衣原体82例(9.4%)、人乳头状瘤病毒(HPV)68例(7.8%)、淋病奈瑟菌54例(6.2%)、生殖器疱疹病毒(HSV)23例(2.6%)、其他41例(4.7%)。健康教育后,研究对象对于性病知识、性病就医行为、安全套的使用等条目得分有显著的改善和提高,差异具有统计学意义(P<0.01)。结论高发的性传播疾病需要进一步重点关注,健康教育对于提高患者知识水平以及改善行为效果显著。

Objective To understand the urogenital infection feature and effect of health education in migrant married men in Hangzhou city.Methods Married male patients with urinary discomfort treated in Xixi Hospital from January to December 2018 were selected.Biological samples of patients were collected to detect common pathogens.The patients with positive infection were given health education and self-designed questionnaires survey were conducted before and after the intervention.Results 873 patients with urinary discomfort were collected and 395(45.2%)cases were positive for pathogens detection.Pathogens identified included mycoplasma(127 cases,14.5%),chlamydia(82 cases,9.4%),HPV(68 cases,7.8%),neisseria gonorrhoeae(54 cases,6.2%),HSV(23 cases,2.6%)and the others(41 cases,4.7%).Improvements in knowledge of sexually transmitted diseases,health-seeking behavior and the use of condoms were identified after the health education,with statistically significant differences(P<0.01).Conclusions Sexually transmitted diseases with high prevalence need further attention and health education has a significant effect on improving patients′knowledge level and behavior.