摘要
目的评价配偶参与高危型人乳头瘤病毒（HPV）感染女性健康教育的效果，提高女性对HPV的认知水平。方法选择2014年6月～2015年9月在华北石油管理局总医院确诊为生殖道高危型HPV感染女性820例，分为配偶陪伴组（372例）和常规教育组（448例）。配偶陪伴组夫妻共同参与健康教育全过程，常规教育组仅女性单独接受健康教育。教育前后填写知识调查问卷，同时凋查配偶陪伴组男性参与疾病防治的意愿。结果健康教育前常规教育组及配偶陪伴组女性HPV传播途径及易感因素（50．2％、48．4％）、与宫颈癌相关性（53．3％、50．8％）、筛查知识（45．1％、47.3％）、预防与治疗（42．0％、39．5％）、疫苗知识（33．9％、36．3％）5项知识合格率均低于60％，健康教育后常规教育组及配偶陪伴组传播途径及易感因素（81．7％、85．3％）、与宫颈癌相关性（88．5％、95．3％）、筛查知识（83．2％、89．4％）、预防与治疗（87．3％、87．7％）、疫苗知识（80．3％、88．3％）合格率均大于80％，与教育前比较差异均有高度统计学意义（均P〈0．01）。健康教育后配偶陪伴组的与宫颈癌相关性、筛查知识和疫苗知识3项合格率高于常规教育组，差异均有统计学意义（χ^2=11．349、6．117、8．830，均P〈0．05）。健康教育后配偶陪伴组男性参与疾病防治的意愿较健康教育前明显改善。结论高危型HPV感染女性对HPV的认知水平较低，配偶参与健康教育可明显提高健康教育的效果，也有助于男性主动参与到HPV防治中。
Objective To evaluate the effect of health education which husband participated on women infected with high risk HPV, and improve cognitive level of HPV among the women. Methods 820 women who had infected with high risk HPV confirmed in General Hospital of Huabei Petroleum from June 2014 to September 2015 were selected as study objects. 372 women in male accompanying group were received health education with their husbands and 448 women in conventional education group were received health education alone. They were asked to complete a question- naire about HPV knowledge before and after the education, and the men＇s willingness of participating in disease prevention were investigated at the same time. Results The qualified rates in 5 items such as female HPV transmission way and the susceptible factors （50.2%, 48.4%）, the correlation between HPV and cervical cancer （53.3%, 50.8%）, screening knowledge （45.1%, 47.3%）, prevention and treatment （42.0%, 39.5%）, vaccine knowledge （33.9%, 36.3%） of the conventional education group and the male accompanying group were lower than 60% before the education, after health education, HPV transmission way and the susceptible factors （81.7%, 85.3%）, the correlation between HPV and cervical cancer （88.5%, 95.3%）, screening knowledge （83.2%, 89.4%）, prevention and treatment （87.3%, 87.7%）, vaccine knowledge （80.3%, 88.3%） of the conventional education group and the male accompanying group were higher than 80%, the differences before and after the education were statistically significant （all P 〈 0.01）. After health education, qualified rates in some items such as correlation between HPV and cervical cancer, screening knowledge and vaccine knowledge were higher in male accompanying group than those of the conventional education group, the differences were statistically significant （χ^2 = 11.349, 6.117, 8.830, all P 〈 0.05）. Men＇s willingness to participate in HPV prevention in male accompanying group was improved obviously after the education. Conclusion The cognitive level of HPV in women with high-risk HPV infection is low. Male participating in health education can improve the effect of health education significantly, it is helpful for male participated in the prevention of HPV actively too.
出处
《中国医药导报》
CAS
2016年第2期54-56,68,共4页
China Medical Herald
基金
河北省医学科学研究研重点课题计划项目(20150823)
关键词
人乳头瘤病毒
感染
认知
健康教育
Human papillomavirus
Infection
Cognitive
Health education
