在性病门诊开设“悄悄话诊室”的管理及效果评价  

Organization and management of Whisper Consulting Room in sexually transmitted diseases clinic

作　　者：胡春华 陈亮 杨涛 

机构地区：[1]武汉市皮肤病防治院公共卫生科,430030 [2]武汉市皮肤病防治院性病防治科,430030

出　　处：《中华护理杂志》2017年第11期1338-1341,共4页Chinese Journal of Nursing

基　　金：湖北省全球基金艾滋病防治项目(GF6002)

摘　　要：目的探讨在性病门诊设立"悄悄话诊室"对性病患者疾病相关知识及性行为的影响。方法在性病门诊设立"悄悄话诊室",采用方便抽样法选取360例性病患者,由7名经过专业培训并考核合格的专职护士对患者进行一对一、面对面的健康教育和认知行为干预。结果干预后患者对性病相关知识、复发相关危险因素、预防措施和严重后果等知识掌握率显著提高(均P<0.001);每次性行为时使用安全套从干预前的8.9%提高到干预后51.9%,差异有统计学意义(P<0.001)。结论在性病门诊开设"悄悄话诊室",由护士对患者进行心理和认知行为干预,能帮助性病患者充分认识性病的危害,提高其对性病防治知识的掌握程度,有效促进其采取安全性行为,提高安全套的使用率,防止性病复发。Objective To explore the effects of establishing Whisper Consulting Room in sexually transmitted diseases （STD） clinic on knowledge and sexual behavior of STD patients. Methods Whisper Consulting Room was established in sexually transmitted diseases clinic,and 360 STD patients were selected by convenience sampling method. One-on-one,face-to-face health education and cognitive behavior intervention was conducted by seven pro- fessionally trained and qualified nurses. Results After intervention ,understanding of STD-related knowledge ,relapse- related risk factors,preventive measures and serious consequences were significantly improved（P〈0.001）;condom use during sexual behavior was increased from 8.9% to 51.9% after intervention,and there was significant difference before and after intervention （P〈0.001）. Conclusion Establishing Whisper Consulting Room in STD clinic and al- lowing nurses to perform psychological and cognitive behavior intervention,can help patients fully understand the harm of STDs,improve their knowledge of STD prevention and control,effectively promote their safe sexual behav- ior,improve condom use ,and prevent recurrence of STD.

关 键 词：性传播疾病 门诊部 医院 隐私空间 

分 类 号：R473.75[医药卫生—护理学]