摘要
目的评价托幼机构开展手卫生综合干预对预防手足口病效果。方法在宁波市海曙区选择2014—2018年手足口病发病率较高的15家托幼机构作为干预组,以1∶1匹配形式选择15家作为对照组,2019年4月至2020年3月开展手卫生综合干预,对小班儿童家长开展问卷调查。对干预前后两组家长手足口病知识知晓率和儿童手卫生行为持有率进行描述和比较,收集两组儿童手足口病发病数并计算发病风险RR值。结果887位儿童家长中干预组440人(49.61%),对照组447人(50.39%);父亲224人(25.25%),母亲639人(72.04%),(外)祖父母24人(2.71%);20~29岁组255人(28.75%),30~39岁组540人(60.88%),≥40岁组92人(10.37%)。干预组家长手足口病知识总知晓率干预前后分别为78.10%、85.57%,对照组为78.80%、81.80%;干预组儿童手卫生行为总持有率干预前后分别为43.13%、52.78%,对照组为44.07%、47.04%。干预前后干预组、对照组家长手足口病知识知晓率差异均具有统计学意义(χ^(2)=66.087,P<0.001;χ^(2)=10.119,P=0.001)。干预前后干预组儿童手卫生行为持有率差异有统计学意义(χ^(2)=32.896,P<0.001),对照组差异无统计学意义(χ^(2)=3.167,P=0.075)。与对照组相比,干预组手足口病发病风险RR值为0.739(95%CI:0.612~0.892)。结论托幼机构手卫生综合干预能够提高家长手足口病知识知晓率和儿童手卫生行为持有率,同时降低手足口病发病率。
Objective To evaluate the effect of hand hygiene comprehensive intervention on Hand-foot-mouth Disease(HFMD)prevention in kindergartens.Methods 15 kindergartens that had relatively high incidence rates of HFMD in Haishu District of Ningbo from 2014 to 2018 were selected as intervention group,and 15 kindergartens were selected as control group according to 1:1 matching form.Hand hygiene comprehensive intervention was conducted from April 2019 to March 2020,and parents of small class children were surveyed by questionnaires.The awareness rates of parents′HFMD knowledge as well as the holding rates of children′s hand hygiene behavior before and after intervention in the two groups were described and compared,and the children patients of HFMD in the two groups were collected to calculate the incidence risk of RR value.Results Among 887 parents,440(49.61%)were in the intervention group,and 447(50.39%)were in the control group.224(25.25%)were fathers,639(72.04%)were mothers,and 24(2.71%)were grandparents.255(28.75%)were aged from 20 to 29 years old,540(60.88%)were aged from 30 to 39 years old,and 92(10.37%)were aged 40 years old and above.The total awareness rates of parents′HFMD knowledge in the intervention group before and after intervention were 78.10%and 85.57%respectively,and these in the control group were 78.80%and 81.80%respectively.The total holding rates of children′hand hygiene behavior in the intervention group before and after intervention were 43.13%and 52.78%respectively,and these in the control group were 44.07%and 47.04%respectively.The difference of the awareness rates of parents′HFMD knowledge in the intervention group as well as in the control group before and after intervention was statistically significant(χ^(2)=66.087,P<0.001;χ^(2)=10.119,P=0.001).The difference of the holding rates of children′hand hygiene behavior in the intervention group before and after intervention was statistically significant(χ^(2)=32.896,P<0.001),and that in the control group before and after intervention
作者
袁月荣
李保军
高志杰
YUAN Yue-rong;LI Bao-jun;GAO Zhi-jie(Haishu District Center for Disease Control and Prevention of Ningbo City,Ningbo 315010,China)
出处
《中国健康教育》
北大核心
2021年第9期815-819,共5页
Chinese Journal of Health Education
基金
宁波市海曙区科技局社会发展科研计划项目(201804F025)。
关键词
手
卫生
干预
手足口病
Hand
Hygiene
Intervention
Hand-foot-mouth Disease
