棘球蚴病高流行区小学生健康教育新路径应用效果  

Effectiveness of a new health education pathway for echinococcosis control among primary school students in hyper⁃endemic regions

作　　者：蒉嫣 韩帅 刘白雪 田添 喻文杰[2] 姚人新 王旭 伍卫平 KUI Yan;HAN Shuai;LIU Bai-Xue;TIAN Tian;YU Wen-Jie;YAO Ren-Xin;WANG Xu;WU Wei-Ping(National Institute of Parasitic Diseases,Chinese Center for Disease Control and Prevention(Chinese Center for Tropical Diseases Research),NHC Key Laboratory of Parasite and Vector Biology,WHO Collaborating Centre for Tropical Diseases,National Center for International Research on Tropical Diseases,Shanghai 200025,China;Sichuan Provincial Center for Disease Control and Prevention,China)

机构地区：[1]中国疾病预防控制中心寄生虫病预防控制所(国家热带病研究中心)、国家卫生健康委员会寄生虫病原与媒介生物学重点实验室、世界卫生组织热带病合作中心、国家级热带病国际联合研究中心,上海200025 [2]四川省疾病预防控制中心

出　　处：《中国血吸虫病防治杂志》2021年第3期254-261,共8页Chinese Journal of Schistosomiasis Control

基　　金：中国疾病预防控制中心棘球蚴病防治示范项目(201908)。

摘　　要：目的探索棘球蚴病高流行区小学生健康教育新路径的应用效果。方法在棘球蚴病高流行区随机选择6所小学的13个班级作为干预组、9个班级作为对照组,以各班级内所有学生作为调查对象。干预组采取基于"评估现状-强化师资-强调实践"模式的棘球蚴病健康教育,对照组接受常规健康教育;采用问卷调查法调查健康教育干预前后调查对象棘球蚴病防治知识得分(包括理论知识得分和日常应用能力得分),评价该健康教育新路径的应用效果。结果基线调查时,调查对象棘球蚴病防治知识平均得分为(68.86±18.70)分,其中理论知识平均得分(40.97±10.75)分、日常应用能力平均得分(27.89±12.50)分。经聚类分析得到3类群体,分别为"差强人意"型、"活学活用"型、"死记硬背"型,分别占24.62%(240/975)、45.74%(446/975)和29.64%(289/975)。终评调查中,干预组棘球蚴病防治知识平均得分(81.08±18.15)分,其中理论知识平均得分(43.65±9.40)分、日常应用能力平均得分(37.43±12.22)分,均显著高于基线调查(t=-4.201、-15.202,P均<0.01)。对照组基线调查和终评调查时棘球蚴病防治知识平均得分分别为(70.55±19.46)分和(71.74±19.37)分,差异无统计学意义(t=-0.87,P> 0.05)。结论棘球蚴病高流行区小学生棘球蚴病防治知识掌握情况尚可,但需增强理论联系实际的能力。基于"评估现状-强化师资-强调实践"的健康教育路径模式对提高高流行区小学生棘球蚴病防治知识理解和运用具有显著促进效果。Objective To investigate the effectiveness of a new health education pathway for echinococcosis control among primary school students in regions highly prevalent for echinococcosis in China.Methods Six primary schools were randomly selected from echinococcosis hyper⁃endemic regions,with 13 classes assigned to the intervention group and 9 to the control group,and all students in these 21 classes were recruited as the study subjects.Echinococcosis health education was performed through the pathway of assessing the current status⁃strengthening the building of teaching resources⁃focusing on practices in the intervention group,while routine health education was given in the control group.A questionnaire survey was performed to assess the score of echinococcosis control knowledge(including theoretical knowledge score and mean daily practical capability score)before and after the health education interventions to evaluate the effectiveness of this new health education pathway for echinococcosis control.Results The mean score of echinococcosis control knowledge was 68.86±18.70 points at baseline,with the mean theoretical knowledge score of 40.97±10.75 points,and the mean daily practical capability score of 27.89±12.50 points.Clustering analysis showed three types of populations,including“unsatisfactory”,“learn and apply creatively”,and“rote learning”,which accounted for 24.62%(240/975),45.74%(446/975)and 29.64%(289/975),respectively.The mean score of echinococcosis control knowledge was 81.08±18.15 points in the intervention group during the final assessment,with the mean theoretical knowledge score of 43.65±9.40 points,and the mean daily practical capability score of 37.43±12.22 points,and both were significantly higher relative to baseline(t=-4.201 and-15.202,both P values<0.01).The mean score of echinococcosis control knowledge was comparable between at baseline(70.55±19.46 points)and final assessment(71.74±19.37 points)in the control group(t=-0.87,P>0.05).Conclusions The awareness of echinoc

关 键 词：棘球蚴病 小学生 健康教育 效果评价 

分 类 号：R532.32[医药卫生—内科学]