妇科首次住院病人梅毒预防知识知晓状况及影响因素
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摘要
目的了解妇科首次住院病人梅毒防治知识知晓状况及影响因素,为制定护理干预措施提供参考。方法采用现场问卷调查法,使用梅毒预防知识知晓率调查问卷对348例妇科首次住院病人进行调查。结果 348名调查对象年龄最低18岁、最高60岁,以35～岁组为主,学历以高中或中专为主,职业以商业类为主,户籍以农村为主,婚姻状况以已婚/离异、丧偶为主,家庭人均月收入以1 000～3 000元为主,未接受梅毒宣教的病人占75. 9%;医疗费支付方式以医保为主。总体知晓率为53. 7%(187/348),各条目知晓率在32. 7%～66. 4%之间。不同学历、职业、户籍、家庭人均月收入、医疗费支付方式及是否接受过梅毒宣教的妇科首次住院病人梅毒防治知识知晓率比较,差异有统计学意义(χ~2=7. 837、13. 973、11. 212、19. 737、6. 918、24. 902,P <0. 05);学历越高,家庭人均月收入越高,对梅毒防治知识知晓率越高,差异有统计学意义(χ~2=6. 705、8. 653,P <0. 05);学历(OR=1. 322,95%CI=1. 214～4. 332)、职业(OR=2. 112,95%CI=1. 8. 54～6. 776)、户籍(OR=1. 711,95%CI=1. 323～4. 423)、家庭人均月收入(OR=0. 564,95%CI=0. 302～1. 423)、医疗费支付方式(OR=0. 664,95%CI=0. 321～1. 534)及是否接受过梅毒宣教(OR=0. 513,95%CI=0. 312～1. 387)等是妇科首次住院病人梅毒防治知识知晓的影响因素(P <0. 05)。结论妇科首次住院病人梅毒预防知识知晓率较低,学历、职业、户籍、家庭人均月收入、医疗费支付方式及是否接受过梅毒宣教等是妇科首次住院病人梅毒防治知识知晓的重要因素,应针对不同层次的病人开展针对性的护理宣教。
Objective To understand the status and influencing factors of knowledge about syphilis prevention andtreatment among first-time gynecologic inpatients,and to provide reference for nursing intervention. Methods A questionnaire survey was conducted among 348 first-time gynecologic inpatients using syphilis prevention knowledge questionnaire. Results The lowest age of 348 respondents was 18 years,the highest age was 60 years,with 35-year-old group as the main age group,high school or technical secondary school as the main educational background,occupation as the main type,household registration as the main type,marriage status as married/divorced,widowed mainly,family percapita monthly income of 1 000 ～ 3 000 yuan,75. 9%of the patients did not receive syphilis propaganda; medical payment is the main form of medical insurance. The overall awareness rate was 53. 7%(187/348),and the awareness rate of items was between 32. 7% and 66. 4%. The awareness rate of syphilis prevention and treatment among gynecologic first-time inpatients with different educational background,occupation,household registration,percapita monthly income of the family,payment methods of medical fees and whether they had received syphilis education was significantly different(χ~2= 7. 837,13. 973,11. 212,19. 737,6. 918,24. 902,P < 0. 05). The higher the educational background,the higher the monthly income percapita,the higher the awareness rate of syphilis prevention knowledge(χ~2= 6. 705,8. 653,P < 0. 05). Educational background(OR = 1. 322,95% CI = 1. 214 ～ 4. 332),occupation(OR = 2. 112,95% CI = 1. 8. 54 ～ 6. 776),household registration(OR = 1. 711,95% CI = 1. 323 ～ 4. 423),percapita monthly income of the family(OR = 0. 564,95% CI = 0. 302 ～ 1. 423),payment method of medical fee(OR = 0. 664,95% CI = 0. 321 ～ 1. 534) and whether or not to receive syphilis education OR = 0. 513,95% CI = 0. 312 ～ 1. 387) were the influencing factors of the knowledge of syphilis prevention and treatment among the first inpatients in gynecology department(P < 0. 05). Conclusion The awareness rate of syphilis prevention knowledge of first-time gynecologic inpatients was low. Education,occupation,household registration,per capita monthly income of family,payment method of medical fee and whether or not to receive syphilis education were important factors for the knowledge of syphilis prevention and treatment of first-time gynecologic inpatients.
Objective To understand the status and influencing factors of knowledge about syphilis prevention andtreatment among first-time gynecologic inpatients,and to provide reference for nursing intervention. Methods A questionnaire survey was conducted among 348 first-time gynecologic inpatients using syphilis prevention knowledge questionnaire. Results The lowest age of 348 respondents was 18 years,the highest age was 60 years,with 35-year-old group as the main age group,high school or technical secondary school as the main educational background,occupation as the main type,household registration as the main type,marriage status as married/divorced,widowed mainly,family percapita monthly income of 1 000 ～ 3 000 yuan,75. 9%of the patients did not receive syphilis propaganda; medical payment is the main form of medical insurance. The overall awareness rate was 53. 7%(187/348),and the awareness rate of items was between 32. 7% and 66. 4%. The awareness rate of syphilis prevention and treatment among gynecologic first-time inpatients with different educational background,occupation,household registration,percapita monthly income of the family,payment methods of medical fees and whether they had received syphilis education was significantly different(χ~2= 7. 837,13. 973,11. 212,19. 737,6. 918,24. 902,P < 0. 05). The higher the educational background,the higher the monthly income percapita,the higher the awareness rate of syphilis prevention knowledge(χ~2= 6. 705,8. 653,P < 0. 05). Educational background(OR = 1. 322,95% CI = 1. 214 ～ 4. 332),occupation(OR = 2. 112,95% CI = 1. 8. 54 ～ 6. 776),household registration(OR = 1. 711,95% CI = 1. 323 ～ 4. 423),percapita monthly income of the family(OR = 0. 564,95% CI = 0. 302 ～ 1. 423),payment method of medical fee(OR = 0. 664,95% CI = 0. 321 ～ 1. 534) and whether or not to receive syphilis education OR = 0. 513,95% CI = 0. 312 ～ 1. 387) were the influencing factors of the knowledge of syphilis prevention and treatment among the first inpatients in gynecology department(P < 0. 05). Conclusion The awareness rate of syphilis prevention knowledge of first-time gynecologic inpatients was low. Education,occupation,household registration,per capita monthly income of family,payment method of medical fee and whether or not to receive syphilis education were important factors for the knowledge of syphilis prevention and treatment of first-time gynecologic inpatients.
引文
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[12]刘明华,姜明东,姜珍霞.青岛市六类人群梅毒预防知识知晓率调查分析[J].中华预防医学杂志,2014,48(4):335-336.
[13]沈建芬,虞静,俞丽娜,等.海宁市不同人群梅毒预防知识知晓率调查[J].中国卫生检验杂志,2016,26(8):1188-1191.
[14]刘慧玲.流动人口对梅毒防治知识知晓情况及其防范策略[J].中国实用乡村医生杂志,2016,23(4):45-46.
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[16]高守芝,郑军,刘静,等.不同人群梅毒预防知识知晓率调查[J].中国预防医学杂志,2013,14(3):167-170.
[2]陶锐,曾霓,陈龙庆,等.某综合医院住院患者梅毒血清学检测结果分析[J].中国感染控制杂志,2017,16(2):138-141.
[3]徐萍,方筠,应春妹.妇产科住院病例传染病血清标志物检测结果趋势变化分析[J].现代预防医学,2016,43(12):2187-2189.
[4]李文娟,张月香,米东,等.妇产科139401例患者梅毒血清学抗体检测结果统计分析[J].中国皮肤性病学杂志,2017,29(7):760-763.
[5]刘晓丹,孙作岚,张慧娟.孕妇梅毒防治知识知晓情况调查[J].医学动物防制,2018,34(5):437-440.
[6]黄燕惠,刘开钳,黄志明,等.深圳市宝安区重点干预人群梅毒知识知晓率的现况调查[J].中国皮肤性病学杂志,2017,29(6):636-640.
[7]中华人民共和国卫生部.卫生部关于印发《中国预防与控制梅毒规划(2010-2020年)》的通知[Z]. 2010-06-03.
[8]官爱萍,胡萍,陈兰.孕妇对梅毒母婴传播防治知识知晓情况调查分析[J].中国性科学,2016,25(10):72-74.
[9]郑铁洪,朱红,帅俊,等. 2015年深圳市城市居民梅毒防治知识知晓情况调查分析[J].中国艾滋病性病,2017,23(4):326-329.
[10]徐增辉,计国平,洪涛,等.安徽省孕妇人群梅毒防治知识调查分析[J].中国艾滋病性病,2018,24(3):279-282.
[11]苏敏,乔亚萍,窦丽霞,等. 282例孕产妇预防梅毒母婴传播相关知识知晓情况调查[J].中国妇幼健康研究,2015,26(6):1153-1155.
[12]刘明华,姜明东,姜珍霞.青岛市六类人群梅毒预防知识知晓率调查分析[J].中华预防医学杂志,2014,48(4):335-336.
[13]沈建芬,虞静,俞丽娜,等.海宁市不同人群梅毒预防知识知晓率调查[J].中国卫生检验杂志,2016,26(8):1188-1191.
[14]刘慧玲.流动人口对梅毒防治知识知晓情况及其防范策略[J].中国实用乡村医生杂志,2016,23(4):45-46.
[15]还锡萍,王小亮,傅更锋,等.江苏省不同人群梅毒预防知识知晓率调查[J].南京医科大学学报(自然科学版),2012,32(9):1320-1323.
[16]高守芝,郑军,刘静,等.不同人群梅毒预防知识知晓率调查[J].中国预防医学杂志,2013,14(3):167-170.
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