家庭医师责任制结合健康教育对提高地中海贫血筛查依从性的探讨

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摘要目的探讨家庭医师责任制结合知信行教育对提高地中海贫血筛查阳性孕妇之丈夫(简称“地贫孕阳丈夫”)行地贫筛查依从性的影响。方法选择 2018年10月－2019年10月某街道卫生服务中心辖区内地贫孕阳丈夫100例,采用随机数字表法分为对照组和研究组,各50例,对照组进行常规健康宣教,研究组进行家庭医师责任制结合知信行教育模式宣教。对比分析两种健康教育模式下的地贫孕阳丈夫行地贫筛查依从性的影响。结果干预前两组地贫孕阳丈夫对地贫的相关知识、健康信念和依从性比较差异无统计学意义(P值均＞0.05)。进行干预后,研究组地贫的相关知识得分为(19.46±2.23)分、健康信念得分为(16.32±1.70)分、行为依从性为88%,均高于对照组的(14.62±3.20)分、(16.32±1.70)分、72%,差异有统计学意义(t值分别为-8.77,-6.52,χ2=10.8,P值均＜0.05)。结论将家庭医师服务结合知信行教育模式应用于地贫防控工作中,可有效提高地贫孕阳丈夫筛查依从性。　

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	王雪静

关键词 ：医师, 家庭, 健康知识, 态度, 实践, 地中海贫血, 孕妇

Abstract：Objective To explore the effect of family physician responsibility system combined with knowledge, attitude and practice education on improving the compliance of thalassemia screening for the husband of thalassemia screening positive pregnant women (referred to as "thalassemia pregnant positive husband"). Methods From October 2018 to October 2019, 100 thalassemia pregnant positive husbands in a street health service center were randomly divided into a control group and a study group, with 50 cases in each group. The control group received the routine health education and the study group received the family physician responsibility system combined with knowledge, attitude and practice education. The influence of two health education modes on the compliance of thalassemia screening for thalassemia pregnant positive husbands was investigated, analyzed and compared. Results Before the intervention, there was no significant difference in the related knowledge, health belief and compliance of the two groups (all P>0.05). After the intervention, the scores of knowledge, health belief and behavior compliance of the study group were (19.46±2.23), (16.32±1.70) and 88%, which were higher than those of the control group . The differences were statistically significant (t=- 8.77, - 6.52, χ2=10.8, P<0.05). Conclusion The application of the family physician service combined with knowledge, attitude and practice education mode in the prevention and control of thalassemia can effectively improve the screening compliance of thalassemia pregnant positive husbands.

Key words： physician family health knowledge, attitude, practice thalassemia pregnant woman

收稿日期: 2020-05-19

ZTFLH:

R556.5

作者简介: 王雪静(1980-),女,广西柳州人,主管护师,在职研究生,从事社区护理及护理教学工作。

引用本文:

王雪静. 家庭医师责任制结合健康教育对提高地中海贫血筛查依从性的探讨[J]. 中国校医, 2021, 35(8): 582-584,592.
WANG Xue-jing. Exploration of family physician responsibility system combined with health education to improve thalassemia screening compliance. Chinese Journal of School Doctor, 2021, 35(8): 582-584,592.

链接本文:

https://www.zgxyzz.org.cn/CN/ 或 https://www.zgxyzz.org.cn/CN/Y2021/V35/I8/582

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