喀什地区妇女宫颈癌预防认知现状及综合性健康教育干预效果  

Cognition status of cervical cancer prevention among women in Kashgar and intervention effect of comprehensive health education

作　　者：努尔比亚·阿布拉 派尔旦木·那斯 祖米然·热西提尔 古再力努尔·艾白 NUERBIYA·Abula;PAIERDANMU·Nasi;ZUMIRAN·Rexitier;GUZAILINUER·Aibai(Department of Gynecology,The First People's Hospital of Kashgar,Xinjiang Kashgar 8440o0,China)

机构地区：[1]喀什地区第一人民医院妇科一病区,新疆喀什844000

出　　处：《中国妇幼健康研究》2023年第9期47-51,共5页Chinese Journal of Woman and Child Health Research

基　　金：省部共建中亚高发病成因与防治国家重点实验室开放课题(SKL-HIDCA-2021-KS7)。

摘　　要：目的 调查喀什地区妇女宫颈癌预防认知现状,并观察综合性健康教育干预效果。方法 2022年1月至5月使用整群随机抽样法选取喀什地区医护人员、非医护职工人员、农民或无业人员共1 896例女性为研究对象,依据随机数字表法将所选对象分为干预组、常规对照组和空白对照组,各632例。空白对照组完全不予以健康教育干预,常规对照组予以常规健康教育,干预组予以综合性健康教育,比较三组入组时、入组2个月后宫颈癌预防认知、人乳头瘤病毒(HPV)疫苗接种意愿。结果 参与本研究的妇女对宫颈癌认知评分为(8.04±1.28)分、对HPV认知评分为(6.69±1.07)分、HPV疫苗接种态度评分为(7.99±1.25)分;医护人员、非医护职工人员、农民或无业人员对宫颈癌认知、对HPV认知、HPV疫苗接种态度评分均依次降低,差异有统计学意义(F值分别为1 553.041、2 896.563、2 868.080,P<0.05);入组2个月后,干预组、常规对照组、空白对照组对宫颈癌认知、对HPV认知、HPV疫苗接种态度评分均依次降低,差异有统计学意义(F值分别为427.199、549.610、589.831,P<0.05);入组2个月后,干预组、常规对照组、空白对照组自愿接种疫苗比例依次降低,差异有统计学意义(χ^(2)=75.377,P<0.05)。结论 喀什地区妇女宫颈癌预防认知水平普遍不高,尤其是农民或无业人员评分最低,综合性健康教育干预可有效提高其认知水平及自愿接种HPV疫苗率,具有重要的应用价值。Objective To investigate the cognition status of cervical cancer prevention among women in Kashgar,and to observe the intervention effect of comprehensive health education.Methods From January to May 2022,a total of 1,896 females,including medical staff,non-medical staff,farmers and the unemployed in Kashgar were selected by cluster random sampling method.According to the random number table method,the subjects were divided into the intervention group,the routine control group and the blank control group with 632 cases in each group.The blank control group was not given health education intervention,the routine control group was given routine health education,and the intervention group was given comprehensive health education.The cognition of cervical cancer prevention and willingness to human papillomavirus(HPV)vaccination in the three groups at inclusion and 2 months after inclusion were comparatively analyzed.Results Among the women who participated in this study,the scores for cognition of cervical cancer,cognition of HPV and attitude toward HPV vaccination were(8.04±1.28),(6.69±1.07)and(7.99±1.25),respectively.The scores of medical staff,non-medical staff,farmers and the unemployed decreased in order and the differences were statistically significant(F=1553.041,2896.563 and 2868.080,respectively,P<0.05).2 months after inclusion,the scores decreased in order from the intervention group,the routine control group to the blank control group and the differences were statistically significant(F=427.199,549.610 and 589.831,respectively,P<0.05).The proportion of voluntary vaccination decreased in order from the intervention group,the routine control group to the blank control group and the differences were statistically significant(χ^(2)=75.377,P<0.05).Conclusion The cognition level of cervical cancer prevention is not high among women in Kashgar,especially farmers or the unemployed.Comprehensive health education intervention can effectively improve their cognitive level and voluntary HPV vaccination rate,which

关 键 词：喀什地区 宫颈癌 认知 综合性健康教育 

分 类 号：R173[医药卫生—妇幼卫生保健]