上海市嘉定区性病患者相关健康促进服务获得情况调查  

Investigation on health promotion services of sexually transmitted diseases patients in Jiading District of Shanghai

作　　者：张永[1] 殷方兰[1] 钟培松[1] ZHANG Yong;YIN Fang-lan;ZHONG Pei-song(Jiading Center for Disease Control and Prevention,Shanghai 201800)

机构地区：[1]上海市嘉定区疾病预防控制中心,上海201800

出　　处：《生殖医学杂志》2021年第9期1196-1201,共6页Journal of Reproductive Medicine

基　　金：上海市嘉定区科委项目(JDKW-2017-W08)。

摘　　要：目的了解上海市嘉定区性传播疾病(STD)患者健康促进服务的获得情况,以期为提高STD诊疗机构健康促进服务水平提供参考。方法采用横断面调查方法,对2018年7月至2019年6月嘉定区4家综合医院首次确诊的符合条件的STD患者开展问卷调查,对获得资料采用一般统计描述,并采用多因素Logistic回归分析患者获得安全套促进、性伴告知及HIV检测等健康促进服务的影响因素。结果发放528份问卷调查共获得有效问卷502份,177例患者(35.26%)未获得医务人员提供的安全套健康促进服务,仅29例患者(5.78%)获得“讲解如何使用安全套和注意事项”服务。“医院3”患者的性伴告知率为77.91%;“医院2”患者性伴告知率最低,仅42.53%;皮肤性病科患者的性伴告知率为70.28%,泌尿科患者的性伴告知率最低,仅44.44%。“医院3”患者的HIV抗体检测率为82.56%,“医院4”患者HIV抗体检测率最低,仅56.71%;皮肤性病科患者的HIV抗体检测率为83.20%,妇产科患者的HIV抗体检测率最低,仅26.67%。患者希望通过医务人员讲解、宣传折页、微信获得STD相关知识的比例较高,分别为58.57%、38.25%、31.27%。结论不同医院、不同科室STD患者获得健康促进服务情况存在差异,应加强对医务人员特别是泌尿科、妇产科医务人员培训,提升服务质量,同时应利用宣传折页、微信等方式让患者更加便捷地获取STD相关健康知识。Objective:To investigate the status of health promotion services for patients with sexually transmitted diseases(STD)in Jiading District of Shanghai,so as to provide a basis for improving the level of health promotion in these clinics.Methods:A cross-sectional survey method was used to conduct relevant investigations on eligible STD patients diagnosed for the first time in four general hospitals in Jiading District from July 2018 to June 2019.The data was analyzed by general statistical description.Multivariate logistic regression analysis was used to analyze the influencing factors of condom promotion,sexual partner notification and HIV testing.Results:A total of 528 questionnaires were distributed and 502 valid questionnaires were obtained.Among them,177 patients(35.26%)did not receive condom health promotion services provided by medical staff,and only 27 patients(5.78%)received service of explaining how to use condom.The sexual partners notification rate of“Hospital 3”patients was 77.91%,while that of“Hospital 2”patients was lowest,only 42.53%.The sexual partners notification rate of the patients in Department Dermatology of Venereal Disease was 70.28%,and that of the patients in Urological Department was the lowest,only 44.44%.The HIV antibody detection rate of“Hospital 3”patients was 82.56%,and that of“Hospital 4”patients was the lowest,only 56.71%.The HIV antibody detection rate of the patients in Department Dermatology of Venereal Disease was 83.20%,and that of the patients in Department of Obstetrics and Gynecology was the lowest,only 26.67%.The proportion of patients who hoped to obtain STD related knowledge through medical staff’s explanation,leaflet and WeChat was higher,and the rates of these three ways were 58.57%,38.25%,31.27%respectively.Conclusions:STD patients in different hospitals and departments have different access to health promotion services.The training the medical staff especially urology,obstetrics and gynecology staff should be strengthened,in order to improve service

关 键 词：性传播疾病 健康促进 安全套 性伴告知 HIV检测 

分 类 号：R759[医药卫生—皮肤病学与性病学]