集约式社区性病干预试点的效果评价  

Establishment and evaluation of intensive community STD intervention

作　　者：宋书仪[1] 白文海[1] 林志红[1] 李真 周国茂 瞿慧英 周小平[1] 

机构地区：[1]深圳市南山区人民医院,广东深圳518052 [2]深圳市南山区慢性病防治院,广东深圳518052

出　　处：《中国艾滋病性病》2016年第8期636-639,共4页Chinese Journal of Aids & STD

基　　金：深圳市科技创新基金项目(JCYJ20140411093600193)~~

摘　　要：目的建立集约式社区性病干预社区健康服务中心(简称社康中心)试点,观察实施效果。方法采取流行病学类实验研究方法,选择实验干预组和空白对照组。干预组开展性病综合干预,包括性病外展活动、筛查、治疗、病征处理、转诊和性病管理等,对照组按既往开展常规工作,比较1年后两组性病服务的水平,评价干预效果。结果两组社区社康中心员工无变动,两组社区人口及高危人群、脆弱人群分布差异无统计学意义(!2=1.864,P=0.172)。干预组开展性病病原学筛查1141例,临床诊疗748例,病征处理1306例,均明显高于对照组(!2=11.92,211.3,73.64;P=0.001,0,0);其中干预组淋球菌、念珠菌、滴虫、细菌性阴道病的筛查阳性率明显高于对照组(!2=4.45,134.85,48.7,17.08;P=0.035,0,0,0);干预组对支原体感染、尖锐湿疣、念珠菌、滴虫、细菌性阴道病的3日诊治疗效明显高于对照组(!2=17.61,4.055,136.88,48.70,17.08;P=0,0.44,0,0,0);两组对阴虱、疥疮筛查阳性率及疗效均为100%,但筛查出的人数干预组(14例)高于对照组(3例);干预组对尿道分泌物和阴道分泌物异常病征处理3日有效率明显高于对照组(!2=86.377,37.239;P=0,0)。干预组性病门诊量和总门诊量的增长率亦显著高于对照组(!2=82.87,7.44;P=0,0.006)。结论试点观察的干预组和对照组社区的性病防治需求相当,干预组社康中心的性病服务量、效果和性病服务工作效率高于对照组,良好的社康中心绩效表现有力支持了干预组社区性病服务的持续发展。Objective To establish intensive community pilot center of sexually transmitted Disease （STD） inter- vention, and to evaluate the effect of the intervention. Methods Community intervention group and the control group were formed with different intervention approaches conducted. Comprehensive intervention was conducted for the intervention group including STD outreach activities, screening, treatment, symptoms processing, referral and venereal disease management. And the control group was provided with the routine services as before. The effect of STD services was compared between the two groups after one year intervention. Results People of the two groups kept stable during the year and there was no significant difference in distribution of community population and high- risk groups, and vulnerable groups（χ2 = 1. 864, P = 0.172）. In the intervention group, 1141 people got STD patho- gen screening, with 748 cases of clinical diagnosis and treatment, and 1306 cases of syndromic approach, significant- ly higher than those of control group （χ2 =11.92,211.3,73.64;P=0. 001,0,0）. In the intervention group, positive rates of neisseria gonorrhoeae, candida, trichomonas, bacterial vaginosis screened were much higher than those of control group （χz =4. 45134.85,48.7,17.08; P=0. 035,0,0,0）. Intervention group had a better 3-day diagnosis and treatment effect of mycoplasma infection, condyloma acuminatum, candida, trichomonas, bacterial vaginosis than that of control group （χ2：17.6,4.055 136.8,48.7,17.08; P=0,0.44,0,0,0）. Both groups got 100% of curative effect in the screened pubic lice and scabies. The intervention group had an effective rate of urethral secre- tions and vaginal secretions syndromic treatment within 3 days,higher than that of the control group （C2= 86. 377,37. 239; P= 0, 0）. The number of daily outpatient visits and total visits to STD clinics in the intervention group was more than that in the control group （C2 = 82. 87,7. 44; P=0,0. 006）. Conclusion The observa- tion show

关 键 词：集约式 社区 性病 试点 评价 

分 类 号：R759[医药卫生—皮肤病学与性病学]