职业高危人群布鲁杆菌病健康教育干预效果评价
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摘要
目的评价健康教育对职业高危人群布鲁杆菌病(布病)的干预效果,为有针对性地开展布病精准防控提供科学依据。方法按照分层抽样的方法,对职业暴露人群健康教育干预前、后采用现场问卷形式进行调查,干预过程采用专题讲座、手机网络、微信平台等13种健康教育方式,以布病基本知识、危险因素、预防知识与良好行为习惯为主要内容,为期2年。对健康教育效果进行评价。结果通过2年的强化健康教育,职业高危人群布病基本知识、危险因素、预防知识知晓率、良好行为习惯发生率由干预前的29.03%、52.19%、70.51%、55.79%增加为44.75%、65.13%、80.31%、67.78%,分别增加了15.72%、12.94%、9.80%、11.99%,三者知晓率和良好行为习惯发生率干预前后差异有统计学意义(P<0.01)。结论有针对性地开展健康教育干预能有效提高农村地区布病防控相关知识,降低布病相关的危险行为,减少布病发生。
Objective To evaluate of health education intervention on professional high-risk groups of brucellosis and provide scientific evidences for the accurate control of the brucellosis. Method Adopting questionnaire to investigate the difference of health education for occupational exposure population before and after intervention according to the stratified sampling method. In the process of intervention,thirteen methods of health education were used for two years,including basic knowledge of brucellosis,risk factors,preventive knowledge and good habits. Result Through two-year strengthening of health education,the awareness rate of basic knowledge of brucellosis,risk factors and preventive knowledge,and the incidence of good habits for professional high-risk groups before intervention were increased by 15.72%,12.94%,9.80% and 11.99% respectively from 29.03%,52.19%,70.51%,55.79% to 44.75%,65.13%,80.31%,67.78%. The difference of awareness rate and incidence of good habits between before and after intervention was statistically significant(P<0.01). Conclusion Targeted to carry out health education intervention can improve the awareness of prevention and control related knowledge of brucellosis effectively in rural areas,reduce the risk of brucellosis related dangerous behavior,decrease the happening of brucellosis.
Objective To evaluate of health education intervention on professional high-risk groups of brucellosis and provide scientific evidences for the accurate control of the brucellosis. Method Adopting questionnaire to investigate the difference of health education for occupational exposure population before and after intervention according to the stratified sampling method. In the process of intervention,thirteen methods of health education were used for two years,including basic knowledge of brucellosis,risk factors,preventive knowledge and good habits. Result Through two-year strengthening of health education,the awareness rate of basic knowledge of brucellosis,risk factors and preventive knowledge,and the incidence of good habits for professional high-risk groups before intervention were increased by 15.72%,12.94%,9.80% and 11.99% respectively from 29.03%,52.19%,70.51%,55.79% to 44.75%,65.13%,80.31%,67.78%. The difference of awareness rate and incidence of good habits between before and after intervention was statistically significant(P<0.01). Conclusion Targeted to carry out health education intervention can improve the awareness of prevention and control related knowledge of brucellosis effectively in rural areas,reduce the risk of brucellosis related dangerous behavior,decrease the happening of brucellosis.
引文
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[7] 刘武,李连升,曾同霞,等.甘肃省靖远县职业暴露人群和布鲁菌病患者对布鲁杆菌病认知及行为习惯调查[J].中华地方病学杂志,2017,36(7):528-532.DOI:10.3760/cma.j.issn.2095-4255.2017.07.015.Liu Wu,Li lianshen,Zeng Tongxia,et al.Knowledge and perceptions of brucellosis and human behavior of occupational exposure person and patients with brucellosis in Jingyuan County,Gansu Province[J].Chin J Endemiol,2017,36(7):528-532.DOI:10.3760/cma.j.issn.2095-4255.2017.07.015.
[8] 刘武,曾同霞,胡晓斌,等. 甘肃省农村地区影响职业人群感染布鲁菌病因素的病例-对照研究[J].中华地方病学杂志,2017,36(6):418-421.Liu W,Zeng TX,Hu XB,et al.The case - control study of brucellosis for occupational groups In rural areas,gansu province[J].chin J Endemiol,2017,36(8):570-573.
[9] 陈丹,柳晓琳. 布鲁杆菌病职业人群高危行为习惯调查及健康教育效果评价[J]. 中国地方病防治杂志,2011,26 (2):208-210.
[10] 刘晓丽,黄志刚,麻春雷,等.布病传播与农民生活习惯和行为关系调查分析[J].中国地方病防治杂志,2008,23(3):205 -206.
[2] 崔步云.中国布鲁菌病流行状况及防治对策[J].中华预防医学杂志,2014,48(12):1035-1038.DOI:10.3760/cma.j.issn.0253-9624.2014.12.003.Cui BY.The situation of brucellosis epidemic and prevention countermeasures in China[J].Chin J Prev Med ,2014,48(12):1035-1038.DOI:10.3760/cma.j.issn.0253-9624. 2014.12.003.
[3] 杨树博,高维义,魏久生,等.甘肃省靖远县布鲁杆菌病高危人群血清学检测结果分析[J].疾病预防控制通报,2015,30(6)35-36.DOI:10.13215/j.cnki.jbyfkztb.1508020.Yang SB,Gao WY,Wei JS,et al. Brucellosis high-risk groups serological test results analysis in jingyuan County,Gansu province[J]. Bull Dis Control Prev(China)2015,30(6)35-36.DOI:10.13215/j.cnki.jbyfkztb.1508020.
[4] 汤洪洋,闭志友,林健燕,等. 南宁市职业人群布鲁杆菌病防治知识知晓率情况调查[J]. 现代预防医学,2013,40(8):1470-1474. Tang HY,BI ZY,LIN JY,et al.Analysis on prevention knowledge and awareness of brucellosis among occupational groups in Nanning[J].Modern Preventive Medicine,2013,40(8):1470-1474.( in Chinese)
[5] 黄志刚.布鲁杆菌病健康教育和行为干预的核心问题和特点[J]. 中国初级卫生保健,2007,21 (6): 28-29.
[6] 吴殚,张松建,李长青,等.北京市顺义区布鲁菌病重点人群防治知识及防护行为调查[J].中国健康教育,2014,30(9)846-848.Wu D,ZHang SJ,Li ChQ,et al.Analysis on prevention behaviour and knowledge related brucellosis among occupational groups in Shunyi District of Beijing[J].Chinese Journal of Health Education,2014,30(9)846-848.
[7] 刘武,李连升,曾同霞,等.甘肃省靖远县职业暴露人群和布鲁菌病患者对布鲁杆菌病认知及行为习惯调查[J].中华地方病学杂志,2017,36(7):528-532.DOI:10.3760/cma.j.issn.2095-4255.2017.07.015.Liu Wu,Li lianshen,Zeng Tongxia,et al.Knowledge and perceptions of brucellosis and human behavior of occupational exposure person and patients with brucellosis in Jingyuan County,Gansu Province[J].Chin J Endemiol,2017,36(7):528-532.DOI:10.3760/cma.j.issn.2095-4255.2017.07.015.
[8] 刘武,曾同霞,胡晓斌,等. 甘肃省农村地区影响职业人群感染布鲁菌病因素的病例-对照研究[J].中华地方病学杂志,2017,36(6):418-421.Liu W,Zeng TX,Hu XB,et al.The case - control study of brucellosis for occupational groups In rural areas,gansu province[J].chin J Endemiol,2017,36(8):570-573.
[9] 陈丹,柳晓琳. 布鲁杆菌病职业人群高危行为习惯调查及健康教育效果评价[J]. 中国地方病防治杂志,2011,26 (2):208-210.
[10] 刘晓丽,黄志刚,麻春雷,等.布病传播与农民生活习惯和行为关系调查分析[J].中国地方病防治杂志,2008,23(3):205 -206.