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目的评价键康教育(健康促进策略)对高校校医结核病防治知识信念医疗行为以及学校结核病防治工作的影响。方法采取分层整群系统抽样方法,抽出西安市辖区47所高校中的3所,辖区外23所中的2所,按相似条件1∶1配对,随机分为2组,对其中一组进行干预,率进行χ2检验。结果干预前对照组和干预组的现代结核病知识总知晓率分别为37.3%、37.7%,态度持有率分别为42.5%、42.5%,行为持有率分别为38.7%、47.0%,病人转诊率分别为40.9%、44.6%,转诊到位率分别为44.4%、41.5%,P值均>0.05;干预后各率依次为42.2%、86.0%,49.2%、90.0%,49.2%、80.0%,44.6%、97.2%,44.8%、83.1%,P值均<0.01。结论对校医进行现代结核防治知识的系统健康教育、业务技能培训、辅以健康促进策略能提高医生的结核病防治知识水平,改变工作态度,强化正性医疗行为,推动学校现代结核控制工作。
Objective To evaluate the influence of Keyang Education (health promotion strategy) on the medical beliefs and behaviors of TB prevention and treatment and university tuberculosis prevention and control in universities. Methods The stratified cluster system sampling method was used to extract three out of 47 colleges and universities in Xi’an and two out of 23 hospitals outside the jurisdiction. The patients were divided into two groups according to the similar conditions 1: 1, and randomly divided into two groups Intervention, the rate of χ2 test. Results The total awareness rate of modern TB knowledge in the control group and intervention group before intervention was 37.3% and 37.7% respectively, and the attitudes were 42.5% and 42.5% respectively. The behavioral holding rates were 38.7% and 47.0% The rates of referral were 44.4% and 41.5% respectively, the P values were all> 0.05. After intervention, the rates were 42.2%, 86.0%, 49.2%, 90.0%, 49.2% and 80.0%, respectively , 44.6%, 97.2%, 44.8%, 83.1%, P <0.01. Conclusions The systematic health education and business skills training of school doctors on knowledge of TB prevention and control, combined with health promotion strategies, can improve doctors’knowledge of tuberculosis prevention and control, change their work attitudes, strengthen positive medical behaviors and promote modern TB control in schools.