摘要
目的探讨循证式健康教育对复发性外阴阴道假丝酵母菌病(RVVC)妇女健康行为的影响。方法将2019年1月至12月浙江中医药大学附属温州市中医院收治的100例RVVC患者,随机分为两组,对照组50例采用常规健康教育,观察组50例采用循证式健康教育。比较两组健康教育前后的健康知识掌握情况、健康行为变化及治疗效果。随访6个月,记录复发率。结果观察组健康教育后在外阴护理、饮食、性生活、用药、情绪控制等健康知识得分高于对照组,差异均有统计学意义(t值分别为4.750、4.174、4.014、4.168、3.023,均P<0.05)。健康教育后,观察组患者在1~2天更换1次内裤、经期不同房、性行为前后清洗外阴、遵医嘱用药、遵医嘱复查等健康行为所占比例均高于对照组,差异均有统计学意义(χ2值分别为6.645、5.647、9.265、4.070、6.028,均P<0.05)。观察组的临床疗效好于对照组,6个月后的复发率低于对照组,差异均有统计学意义(χ2值分别为6.956、4.159,均P<0.05)。结论循证式健康教育能够提高RVVC患者对健康知识的掌握,促进健康行为形成,提高治疗效果,降低复发率。
Objective To explore effect of evidence-based health education on health behavior of women with recurrent vulvovaginal candidiasis(RVVC). Methods A total of 100 patients with RVVC who admitted to The Affiliated Wenzhou Hospital of Traditional Chinese Medicine,Zhejiang University of Chinese Medicine and Drugs from January to December 2019 were randomly divided into observation group and control group. 50 patients in the control group received conventional health education,and other 50 patients in the observation group received evidence-based health education. The mastery of health knowledge,changes in health behavior and therapeutic effect before and after health education were compared between the two groups. The patients were followed up for 6 months and the recurrence rate was recorded. Results After health education,the scores in health knowledge such as vulva care,daily diet,sexual life,medication,emotional control of the patients in the observation group were higher than those in the control group,the differences were statistically significant(t=4.750,4.174,4.014,4.168 and 3.023 respectively,all P<0.05). After health education,the proportions of patients in the observation group with healthy behaviors including changing their underwear once every 1 to 2 days,having not sexual intercourse during menstruation,vulva cleaning before and after sexual intercourse,medication in doctor’s order,and reexamination in doctor’s order were higher than these in the control group,the differences were statistically significant(χ~2=6.645,5.647,9.265,4.070 and 6.028,all P<0.05). The clinical efficacy of evidence-based health education for the patients in the observation group was better than that in the control group,and the recurrence rate after 6 months was lower than that in the control group,the differences were statistically significant(χ~2=6.956 and 4.159 respectively,both P<0.05). Conclusion The evidence-based health education can improve mastery of health knowledge of the patients with RVVC,promote cultivation of their healthy behaviors,improve therapeutic effect and reduce recurrence rate of vulvovaginal candidiasis(VVC).
作者
陈葛朝阳
林梅瑟
CHENGE Zhaoyang;LIN Meise(Department of Internal Cardiology,The Affiliated Wenzhou Hospital of Traditional Chinese Medicine,Zhejiang University of Chinese Medicine and Drugs,Zhejiang Wenzhou 3325000,China)
出处
《中国妇幼健康研究》
2020年第12期1725-1730,共6页
Chinese Journal of Woman and Child Health Research
关键词
循证式健康教育
外阴阴道假丝酵母菌病
健康行为
复发
evidence-based health education
vulvovaginal candidiasis(VVC)
health behavior
recurrence
