健康教育在劳务女工妇女病普查普治中的应用及效果评价  

Application and Efficacy Evaluation of Health Education in the Mass Screening and Mass Treatment on Work-woman with Gynocopathy

作　　者：马海丹 袁永明 刘灿华 曹姬 

机构地区：[1]广东省深圳市龙华新区人民医院高峰社康中心,广东深圳518109

出　　处：《中国医学创新》2016年第9期106-110,共5页Medical Innovation of China

基　　金：深圳市龙华新区科技计划社会公益项目(2013029)

摘　　要：目的：探讨健康教育在劳务女工妇女病普查普治中的应用及效果。方法：于2013年7月-2015年6月在高峰社区一工厂选取年龄18~49岁的女工100例,采用随机抽样法将其分为甲、乙两组,每组各50例。甲组两年内开展20次生殖健康教育。乙组不开展健康教育。课后发放无记名保健相关调查问卷。同时在2013年7月及2015年1月免费对甲乙两组女工应用B超及检验技术筛查各种妇科常见病及多发病发生情况。结果：甲组女工的生殖保健技能知晓度、早孕建卡比例均明显高于乙组,而婚前性行为、人流及更年期综合征比例均明显低于乙组,差异均有统计学意义（P〈0.05或P〈0.01）。甲组女工试验后霉菌性阴道炎、细菌性阴道炎、急性盆腔炎和哺乳期乳腺炎发生率均明显低于本组试验前及乙组试验后,差异均有统计学意义（P〈0.05或P〈0.01）。乙组试验前后妇女病发生率无明显改变,差异均无统计学意义（P〉0.05）。结论：健康教育在劳务女工妇女病普查普治中应用效果显著,可有针对性地帮助女工科学掌握妇女病健康知识,提高自护能力及意识,从而有效降低妇女病发生率,值得进一步推广应用。Objective：To investigate the application and efficacy of health education in the mass screening and mass treatment on work-women with gynocopathy.Method：One hundred work-women aged 18-49 years old in a factory of Gaofeng community from July 2013 to June 2015 were selected and divided into the group A and the group B by random sampling method,50 women in each group.The group A was given 20 times of reproductive health education in 2 years,while the group B was given nothing.After the classes,anonymous health-carerelated questionnaires were offered.Meanwhile,the occurrence of various commonly-occuring and frequentlyoccuring gynocopathy of women in both groups were screened by B-ultrasonography and inspection technologies without charge in July 2013 and January 2015.Result：The proportion of reproductive health awareness skills and cards in early pregnancy in the group A were significantly higher than the group B,the proportion of flow of people and premarital sex,menopause syndrome in the group A were significantly lower than the group B,the differences were statistically significant（P〈0.05 or P〈0.01）.The incidences of colpitis mycotica,bacterial vaginitis,acute pelvic inflammatory disease and mastadenitis in breast feeding period in the group A at post-test were significantly lower than before the test and the group B at post-test,the differences were statistically significant（P〈0.05 or P〈0.01）.The incidences of gynocopathy in the group B at post-test had statistically significant differences compared with those before（P〉0.05）.Conclusion：Health education has significant effects on the mass screening and mass treatment of gynocopathy in work-women.It is feasible to help work-women to scientifically master gynocopathy health knowledge pointedly,elevate the ability and consciousness of self-protection,thus effectively reduce the incidence of gynocopathy.It is worthy of further application.

关 键 词：健康教育 劳务女工 妇女病 普查普治 

分 类 号：R173[医药卫生—妇幼卫生保健]