女教师生殖道感染转归社会心理影响因素

目的探讨影响女教师生殖道感染（RTIs）治疗依从性的社会心理因素。为有效防治生殖道感染提供依据。方法采用队列观察和问卷调查法。与妇科体检同步。对2000年确诊的286例生殖道感染患者。进行为期2年的疾病转归、治疗依从性及相关社会心理因素的队列分析。结果痊愈与好转者占抽样人群的55．24％．无变化与加重者占44．78％。2年间，系统治疗者仅为15．03％，未经治疗者34．97％．继续治疗者50％。影响治疗依从性因素顺次为：工作太忙（41．61％），小病无碍（28．32％），就医不便（14．69％），服务质量（9．09％），费用问题（6．29％）。结论女教师生殖道感染转归令人担忧，治疗依从性对生殖道感染转归至关重要。卫生服务质量等多种社会心理因素均可影响妇女RTIs治疗依从性及其转归。

Social- psychological factors of reproductive tract infections turnover in female teachers

Objective To explore multi-social-psychological factors that impact female teachers'compliance of Reproductive Tract Infections(RTIs),and to provide evidence for effectively preventing and curing RTIs.Methods Ancohort study and questionnaires were used with 286 RTIs cases diagnosed in 2000,meanwhile gynecologic inspection were done in order to make a cohort study on prognosis of disease,treatment compliance and related social-psychological factors.Results The group of recovery and mend cases accounts for 55.24% in the sample size,the ones of unchanged and worse in 44.78%.during two years,the treatment compliance among those people was systemically treatment(15.03%),without treatment(34.97%),discontinuous treatment(50%).The sequence of factors effecting compliance was busy routine work(41.61%)RTIs was not serious(28.32%),it was not convenient to see the doctor(14.69%),the quality of care(9.09%),the expenditure for treatments(6.29%).Conclusion RTIs among female teachers is a serious issue.The treatment compliance of RTIs is vital for the turnover of RTIs.Multi-social-psychological factors,namely,pressure from working and living,misunderstanding and attitudes about RTIs,the impact of traditional culture silence on sex,the ignorance of RTIs,light symptoms on RTIs,and the quality of health care would affect women's treatment compliance and RTIs tureover.