摘要
目的探讨切实有效的血吸虫病健康教育干预模式。方法 １９９２～１９９８年在江西省１５个疫区县（市）的１８个疫区村２４ ６８７名居民中进行血吸虫病健康教育试点研究、扩大应用研究和推广应用研究。结果干预后目标人群血防知识水平显著提高，血防意识明显增强，绝大多数成年妇女克服了用疫水洗衣的错误血防价值观，学生及成年妇女疫水接触率和血吸虫感染率显著下降，居民血吸虫病化疗的依从性大幅度上升，从而推出了以健康教育为主，结合人群化疗的血吸虫病防治新策略，并论述了该策略的有效性、可行性和推广应用价值；阐明了不同目标人群接触疫水的主要方式和血吸虫感染的主要原因；创建了血吸虫病健康教育的目标人群分组方法；研制出了不同目标人群的针对性干预模式和措施；提出了现阶段不同目标人群的血吸虫病健康教育目标；建立了一套完整的血吸虫病健康教育评价指标体系。结论以健康教育为主，结合人群化疗的防治新策略能够有效地控制居民血吸虫新感染和再感染。
Objective To explore effective intervention modes of health education for schistosomiasis control. Methods The pilot studies, enlarging application studies and spread application studies on health education for schistosomiasis control were carried out respectively among 24 687 inhabitants residing in 18 endemic villages of 15 endemic counties (cities ) in Jiangxi Province in 1992 -1998. Results After the intervention modes application, anti-schistosomiasis knowledge level and anti-schistosomiasis consciousness among target population were raised greatly. Most of adult women corrected the wrong anti-schistosomiasis value concept of washing clothes in infested water. The obedience to examination and chemotherapy among inhabitants increased significantly. The rate of infested water exposure and infection rate among pupils and adult women declined remarkably. Consequently, the new strategy of schistosomiasis control, in which health education was main content combining with population chemotherapy, was suggested after expounding its effectiveness, feasibility and spread application value. Moreover, the main ways of infested water contact and main causes of infection among different target population were explained, the method of target population classification of health education for schistosomiasis control was created, the different intervention modes and measures which aimed at different tartget population were developed respectively. The current goal of health education on schistosomiasis control for different target population was proposed, and a complete system of evaluation indicators for assessing the effect of health education was established. Conclusion The strategy of health education combined with population chemotherapy can effectively control schistosome infection among population in endemic areas.
出处
《中国血吸虫病防治杂志》
CAS
CSCD
2000年第2期65-71,共7页
Chinese Journal of Schistosomiasis Control
基金
世界银行贷款中国血吸虫病控制项目联合科研管理委员会(JRMC)资助课题!No. 1994-6-17
世界银行贷款中国血吸虫病控制
关键词
血吸虫病
健康教育
干预模式
Schistosomiasis, Health education, Intervention modes
