库区中学结核防治同伴教育与传统教育近、远期效果比较  

Instant and Long-term Effect Comparison between Peer Education and Traditional Health Education in Tuberculosis Prevention at Middle Schools of Chongqing Three Gorge Areas

作　　者：刘晓雪[1] 王宏[1] 黄睿睿[1] 刘琴[1] 汪洋[1] 

机构地区：[1]重庆医科大学公共卫生学院,重庆400016

出　　处：《中国循证医学杂志》2010年第4期449-453,共5页Chinese Journal of Evidence-based Medicine

基　　金：中国CDC结核病预防控制中心全球基金项目实施性研究课题(TB07-046)

摘　　要：目的通过探索结核防治同伴教育在中学校园的应用并与传统健康教育方式比较,为进一步制定中学生结核病防治的干预策略提供理论依据。方法随机选定库区四所中学分别为对照组、同伴教育组、传统教育组、同伴教育和传统教育结合组。于健康教育干预后1个月、6个月分别进行近期、远期效果评价与比较。结果干预后近期、远期评价发现,各干预组知识、态度、行为评分均高于对照组和自身干预前(P<0.01)。传统教育组近期知识、态度、行为得分均高于远期得分(P<0.01)。同伴教育组近期知识、态度得分高于远期得分(P<0.01);行为得分近期与远期差异无统计学意义。而同伴教育与传统教育结合组近期知识、态度、行为得分与远期得分差异无统计学意义。近期、远期两两横向比较结果显示,传统教育组近期效果在行为方面优于同伴教育组,而同伴教育组远期效果在知识方面优于传统教育组(P<0.01)。结论同伴教育与传统教育相结合的方式对受教育对象具有持久影响。传统健康教育有明显的即时效应,同伴教育对受教育对象的行为影响具有持久性。Objective To explore the application of peer education in TB prevention at middle schools in Kai County of Chongqing and compare it with traditional education, and to provide theory support for further policy making. Methods Four complete middle schools were randomly selected as the control group, the peer education group, the traditional education group and the combined group of peer education and traditional education, respectively. Effect evaluation was performed one month later （instant evaluation） and six months later （long-term evaluation）, respectively, after the intervention period. Results The instant and long-term evaluation showed that the knowledge, attitude and practice scores of the three intervention groups were higher than the scores before intervention or those of the control group （P〈0.01）. Besides, the behavior score of the peer education group had no significant difference between instant and longterm evaluation. All scores in the instant evaluation were higher than those of long-term evaluation both in the peer education group and the traditional education group （P〈0.01）. For the knowledge, attitude and practice scores, there was no significant difference between instant and long-term evaluation in the combined group of peer education and traditional education. Conclusion Compared with the peer education group and the traditional education group, the combined group achieves an enduring effect. There is obvious instant effect in the traditional education group, and peer education has a long-term influence on students’ behavior.

关 键 词：结核 学校 同伴教育 效果 

分 类 号：R193[医药卫生—卫生事业管理]