生殖道感染干预工程对农村生殖道感染妇女就医行为影响的研究

目的:评价生殖道感染干预工程对农村生殖道感染妇女就医行为的干预效果。方法:对江西省4个县随机抽取的12个乡的12个行政村进行基线调查后实施干预,干预过程中重复进行4次问卷调查、妇科检查和实验室检测,另选取这4个县的一个行政村作为对照,观察方法同干预组。全部数据应用Epidata2.0建库管理,用SPSS10.0及SAS6.12软件进行统计分析。结果:已婚育龄妇女生殖道感染症状现患率及患者无症状比例下降,就医率由干预前31·5%上升为69·0%,较对照组39·6%有明显提高,且立即就诊比例由第一次干预时的46·7%升高到第4次干预时的75·6%,患者的治愈率、好转率大幅度提高。结论:生殖道感染的干预改善了农村已婚育龄妇女的就医行为,提高了就诊率和治愈率。

Impact of Reproductive Tract Infection Intervening Project on Behaviors of Seeking for Medical Advice among Married Women with Reproductive Tract Infections

Objective: To evaluate the impact of reproductive tract infections (RTIs ) intervening project on the behaviors of seeking for medical advice among married women with reproductive tract infectons in rural area. Methods: 12 villages of 4 counties were randomly selected and investigated primarily. Investigations were done four times during intervening. In addition, one village of each 4 counties was chosen as the contrast group. Database was managed by Epidata2.0 and data were analyzed by SPSS10.0 and SAS6.12 software. Results: The incidence of RTI and non-symptom rate among married child-bearing women dropped. The women who saw a doctor on their own initiative accounted for 69.0%, higher than that (39.6%) in the contrast group, since RTIs intervening project implementation. The proportion of going to a doctor immediately rose from 46.7% during the first interventing to 75.6% during the forth interventing. Conclusion: The RTI intervention project play an important role of encouraging the married women to see a doctor on their own initiative.