生殖道感染干预工程对干预对象“知、信、行”影响的研究

目的:对比试点地区生殖道感染干预前后育龄妇女“知、信、行”的改变,为评价生殖道感染干预方案的实施效果提供基本依据。方法:采用分层整群随机抽样的方法,抽取江西省4个目标县中12个乡的12个行政村在进行基线调查后实施干预,干预后对已婚育龄妇女进行统一的生殖道感染“知、信、行”问卷调查。全部数据应用Epidata2.0建库管理,资料转换后用SPSS10.0软件进行统计分析。结果:共观察育龄妇女854名,干预后妇女对生殖道感染相关知识、态度问题的答对率普遍提高;月经正常率由干预前79.3%上升为干预后85.5%,经期下水田和干重活的人数比例明显下降,依次由干预前76.0%和67.1%下降为44.0%和39.3%;通过广播电视、个别咨询、报刊以及集体听课或宣教四条途径获得生殖道感染知识的人数比例也在升高;干预后使用单独浴巾、浴盆洗外阴、采用以淋浴为主的洗澡方式、由前向后的便后擦拭方式的人数比例增加,分别由干预前79.1%、23.4%和58.8%上升为84.0%、55.6%和64.0%。结论:经过干预,农村已婚育龄妇女对生殖道感染相关的知识、态度、行为均有明显改善,生殖道感染干预取得了一定效果。

Impact of Reproductive Tract Infection Intervening Project on Objects'''' Knowledge, Attitudes, Practice

Objective: To compare the changes of married women's knowledge, attitudes, practices between pre-intervention and post-intervention in intervening area so as to offer evidences for the overall implementation of RTI project. Methods: Base line investigations were completed in 12 villages of 4 counties which were selected by the method of cluster sampling before intervention. Questionnaires about women's knowledge, attitudes, practice were carried out after intervention. All data were stored in Epidata2.0 and analysed by software SPSS 10.0. Results: In 845 married women of child bearing age more women presented correct answer to questions about RTI knowledge and attitudes; and the normal rate of menstruation rised from 79.3% to 85.5% after intervening. The proportion of women who worked in the paddyfield and did heavy work during menstrual period obviously dropped from 76.0%, 67.1% to 44.0% , 39.3%, respectively. The proportion of women who acquired knowledge of RTI through TV, consulting, newspapers, magazines and lectures was ascending. The proportions of women who cleaned vulva using single tray and washcloth, had a shower and corrected cleaning method after defecation were rised from 79.1%, 23.4%,58.8% to 84.0%, 55.6% ,64.0%, respectively. Conclusion: Women's knowledge, attitudes and behavior related RTI are all improving obviously after intervention.