社区卫生服务中心与性病专科医院阴道分泌物异常就诊者求医行为比较  

Comparison of the patterns of healthcare seeking behavior between STD attendees at urban community health services and specialized STD clinic

作　　者：陈星宇[1] 陈树民[1] 邵娟[1] 

机构地区：[1]山东省皮肤病性病防治研究所,济南250022

出　　处：《中国麻风皮肤病杂志》2006年第8期652-655,共4页China Journal of Leprosy and Skin Diseases

摘　　要：目的：比较社区卫生服务中心和性病专科医院的阴道分泌物异常就诊者求医行为和首诊选择医疗机构的原因。方法：选择2005年5～11月山东省济南市清河社区卫生服务中心妇产科门诊和2005年7～9月山东省皮肤病性病防治研究所性病门诊初次就诊的阴道分泌物异常就诊者。采用半封闭式问卷。问卷内容包括人口学特征、STD／HIV知识和求医行为、既往性病和性行为史、安全套使用等。结果：阴道分泌物异常就诊者首次求医时间平均为14．20天，53．5％在7天内。社区门诊就诊者7天内首诊的比例高于性病专科（66．4％，40．4％，P〈0．001）。21．1％社区门诊和49．0％性病专科就诊者本次就诊前曾求诊于其它医疗机构。对就诊医疗机构的信任是首诊求医的最主要原因。结论：在社区内应宣传生理健康相关知识和提高妇女对症状的认识水平，提高性病医疗机构的服务质量有助于促进有症状患者早求医。Objective： To compare the differences of health seeking behavior between the attendees with vaginal discharge at urban community health services （CHS） and specialized STD clinic and to explore the reasons for the first care - seeking behavior. Methods： Clients with vaginal discharge attending CHS and specilized STD clinic were interviewed with a standized questionnaire after oral consent was obtained. Results： The average delay for having symptoms before the first care - seeking behavior was 14.20 days. More CHS attendees sought health care within the first 7 days （66.4% ,40.4%, P 〈 0.001 ）. 21.1% of the CHS attendees and 49.0% of the STDs clinic attendees had sought treatment elsewhere before visiting a study clinic. More CHS attendees chose self- medication （25.7 % ） and douching （11.2% ）. Trust was the main mason for attendees to select the health facility at their initial visit. Conclusion： Targeted health education should be directed at women with vaginal discharge in the community. And improvement of the quality of STD health services may promote early heath - seeking behavior to recognize the symptom of vaginal discharge.

关 键 词：性病 求医行为 阴道分泌物异常 

分 类 号：R197.1[医药卫生—卫生事业管理]