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目的观察在成年男性中采用“血吸虫病检查和化疗依从性教育+防护技能培训”干预模式的效果。方法选择鄱阳湖区3个血吸虫病重疫区村为推广应用现场,应用前期研究的“血吸虫病检查和化疗依从性教育+防护技能培训”模式对目标人群进行干预,比较干预前后目标人群知信行的变化。结果干预后,3村目标人群血防知识及格率分别由干预前73.79%、67.97%、79.56%提高到93.29%、96.88%、94.16%(P<0.005);检查态度正确率分别由干预前53.05%、42.97%、49.64%提高到92.07%、88.28%、90.51%(P<0.005);治疗态度正确率分别由干预前57.93%、52.34%、62.77%提高到95.73%、91.41%、94.16%(P<0.005);检查行为依从率分别由干预前41.46%、31.25%、37.23%提高到90.24%、85.16%、88.32%(P<0.005);化疗行为依从率分别由干预前46.95%、38.28%、40.88%提高到92.07%、89.84%、93.43%(P<0.005)。干预前后目标人群接触疫水主要方式均为捕鱼,未发生变化,血吸虫感染率均未见下降。结论该血防健康教育模式可显著提高目标人群血吸虫病检查和治疗依从性,具有很好的现场推广应用价值。
Objective To observe the effect of the intervention model of “schistosomiasis examination and chemotherapy compliance education + protective skills training” in adult men. Methods Three schistosomiasis epidemic areas in Poyang Lake area were selected for the promotion and application of the site. The previous study “Schistosomiasis inspection and chemotherapy compliance education + protective skills training” model was used to intervene in the target population to compare the target population before and after intervention. Variety. Results After the intervention, the schistosomiasis knowledge acceptance rate of target population in 3 villages was increased from 73.79%, 67.97%, 79.56% before intervention to 93.29%, 96.88%, 94.16% (P<0.005) respectively; the correct rate of inspection attitude was 53.05% before intervention respectively. , 42.97%, 49.64% increased to 92.07%, 88.28%, 90.51% (P<0.005); the correct rate of treatment attitudes increased from 57.93%, 52.34%, 62.77% before intervention to 95.73%, 91.41%, 94.16% (P <0.005); The compliance rate of examination behavior increased from 41.46%, 31.25%, and 37.23% before intervention to 90.24%, 85.16%, and 88.32% respectively (P<0.005); the compliance rate of chemotherapy behavior was 46.95% and 38.28% before intervention, respectively. 40.88% increased to 92.07%, 89.84%, 93.43% (P<0.005). Before and after the intervention, the main methods of contact with the epidemic water by the target population were all fishing, and no change occurred. The infection rate of schistosomiasis did not decrease. Conclusion The schistosomiasis control model can significantly improve the schistosomiasis inspection and treatment compliance of target population and has a good field promotion value.