目的 评估齐齐哈尔市梅里斯区布鲁杆菌病健康教育和行为干预效果,为布病防治提供科学依据.方法 采用分层抽样方法,在梅里斯区6个乡抽取目标人群开展布病常识知识问卷基线调查,抽取其中4个乡为干预乡,2个乡为对照乡,在干预乡开展健康教育和行为习惯干预,干预后,对干预乡和对照乡目标人群进行布病常识知识和高危行为问卷调查.结果 干预后干预乡目标人群感染常识知识平均知晓率84.33％(5237/6210)高于干预前53.56％(2003/3740,x2=112.49,P＜0.01).并且高于干预后对照乡平均知晓率54.15％(1787/3300,x2=101.53,P＜ 0.01).干预乡预防常识平均知晓率干预后82.13％(2550/3105)高于干预前58.77％(1099/1870,x2=57.19,P＜ 0.01),干预后预防常识平均知晓率干预乡明显高于对照乡的70.36％(1161/1650,x2=25.49,P＜ 0.01).干预前干预乡布病治疗常识知晓率知晓率为36.80％(116/299),干预后提高到76.36％(436/571,x2=119.38,P＜0.01)；干预后干预乡知晓率明显高于对照乡知晓率(33.72％,88/261,x2=139.69,P＜0.01).在干预乡布病高危行为调查,除了“牛羊定期免疫”正确率干预乡目标人群(35.91％,121/337)、对照乡目标人群(32.01％,97/303,x2=1.08,P＞0.05)没有差别外,其他“处理流产物”、“宰杀牲畜”、“给牛羊接生”、“剪羊毛”、“圈舍定期消毒”高危行为防护正确率都是干预乡明显高于对照乡的农民[89.83％(106/118)、91.07％(51/56)、84.75％(150/177)、66.67％(32/48)、73.78％(242/328),51.22％(42/82)、75.56％(34/45)、33.69％(63/187)、27.78％(15/54)、21.63％(61/282),x2值分别为38.00、5.82、103.84、15.84、173.67,P均＜0.05].结论 实施健康教育和行为干预措施后目标人群布病防治知识知晓率和高危行为正确率显著提高,达到了预期效果.
目的 評估齊齊哈爾市梅裏斯區佈魯桿菌病健康教育和行為榦預效果,為佈病防治提供科學依據.方法 採用分層抽樣方法,在梅裏斯區6箇鄉抽取目標人群開展佈病常識知識問捲基線調查,抽取其中4箇鄉為榦預鄉,2箇鄉為對照鄉,在榦預鄉開展健康教育和行為習慣榦預,榦預後,對榦預鄉和對照鄉目標人群進行佈病常識知識和高危行為問捲調查.結果 榦預後榦預鄉目標人群感染常識知識平均知曉率84.33％(5237/6210)高于榦預前53.56％(2003/3740,x2=112.49,P＜0.01).併且高于榦預後對照鄉平均知曉率54.15％(1787/3300,x2=101.53,P＜ 0.01).榦預鄉預防常識平均知曉率榦預後82.13％(2550/3105)高于榦預前58.77％(1099/1870,x2=57.19,P＜ 0.01),榦預後預防常識平均知曉率榦預鄉明顯高于對照鄉的70.36％(1161/1650,x2=25.49,P＜ 0.01).榦預前榦預鄉佈病治療常識知曉率知曉率為36.80％(116/299),榦預後提高到76.36％(436/571,x2=119.38,P＜0.01)；榦預後榦預鄉知曉率明顯高于對照鄉知曉率(33.72％,88/261,x2=139.69,P＜0.01).在榦預鄉佈病高危行為調查,除瞭“牛羊定期免疫”正確率榦預鄉目標人群(35.91％,121/337)、對照鄉目標人群(32.01％,97/303,x2=1.08,P＞0.05)沒有差彆外,其他“處理流產物”、“宰殺牲畜”、“給牛羊接生”、“剪羊毛”、“圈捨定期消毒”高危行為防護正確率都是榦預鄉明顯高于對照鄉的農民[89.83％(106/118)、91.07％(51/56)、84.75％(150/177)、66.67％(32/48)、73.78％(242/328),51.22％(42/82)、75.56％(34/45)、33.69％(63/187)、27.78％(15/54)、21.63％(61/282),x2值分彆為38.00、5.82、103.84、15.84、173.67,P均＜0.05].結論 實施健康教育和行為榦預措施後目標人群佈病防治知識知曉率和高危行為正確率顯著提高,達到瞭預期效果.
목적 평고제제합이시매리사구포로간균병건강교육화행위간예효과,위포병방치제공과학의거.방법 채용분층추양방법,재매리사구6개향추취목표인군개전포병상식지식문권기선조사,추취기중4개향위간예향,2개향위대조향,재간예향개전건강교육화행위습관간예,간예후,대간예향화대조향목표인군진행포병상식지식화고위행위문권조사.결과 간예후간예향목표인군감염상식지식평균지효솔84.33％(5237/6210)고우간예전53.56％(2003/3740,x2=112.49,P＜0.01).병차고우간예후대조향평균지효솔54.15％(1787/3300,x2=101.53,P＜ 0.01).간예향예방상식평균지효솔간예후82.13％(2550/3105)고우간예전58.77％(1099/1870,x2=57.19,P＜ 0.01),간예후예방상식평균지효솔간예향명현고우대조향적70.36％(1161/1650,x2=25.49,P＜ 0.01).간예전간예향포병치료상식지효솔지효솔위36.80％(116/299),간예후제고도76.36％(436/571,x2=119.38,P＜0.01)；간예후간예향지효솔명현고우대조향지효솔(33.72％,88/261,x2=139.69,P＜0.01).재간예향포병고위행위조사,제료“우양정기면역”정학솔간예향목표인군(35.91％,121/337)、대조향목표인군(32.01％,97/303,x2=1.08,P＞0.05)몰유차별외,기타“처리유산물”、“재살생축”、“급우양접생”、“전양모”、“권사정기소독”고위행위방호정학솔도시간예향명현고우대조향적농민[89.83％(106/118)、91.07％(51/56)、84.75％(150/177)、66.67％(32/48)、73.78％(242/328),51.22％(42/82)、75.56％(34/45)、33.69％(63/187)、27.78％(15/54)、21.63％(61/282),x2치분별위38.00、5.82、103.84、15.84、173.67,P균＜0.05].결론 실시건강교육화행위간예조시후목표인군포병방치지식지효솔화고위행위정학솔현저제고,체도료예기효과.
Objective To evaluate the effects of a health education and behavior intervention project,and to provide.a scientific basis for brucellosis control.Methods By stratified cluster sampling method,target population from 6 township in Meilisi District were randomly selected to carry out baseline survey.Of these 6 townships 4 were selected as intervention townships,and two as control townships.A health education and behavior intervention program was carried out in intervention townships,and after intervention target population from 6 township were participated in the questionnaire survey.Results Awareness rate of common sense knowledge of farmers in intervention townships was 84.33％ (5237/6210) after intervention which was significantly higher than 53.56％ (2003/3740),before the intervention (x2 =112.49,P ＜ 0.01),and also higher than 54.15 ％ (1787/3300) of the control after the intervention (x2 =101.53,P ＜ 0.01).Average awareness rate(82.13％,2550/3105) of common sense on prevention after intervention was significantly higher than 58.77％(1099/1870) before the intervention (x2 =57.19,P ＜ 0.01).After intervention,average awareness rate of common sense on prevention was significantly higher than that of the average of control townships (70.36％,1161/1650,x2 =25.49,P ＜ 0.01).The awareness rate of treatment before intervention was 36.80％ (116/299),which increased to 76.36％ (436/571)after intervention (x2 =119.38,P ＜ 0.01).After the intervention the awareness rate of intervention townships was significantly higher than that of the controls (33.72％,88/261,x2 =139.69,P ＜ 0.01).In survey of these high-risk behavior in intervention townships,in addition to "cattle and sheep which were regularly immunized" in the intervention townships(35.91％,121/337),and the control townships(32.01％,97/303,x2 =1.08,P ＞ 0.05) and their difference was not significant,other processing such as"apoblema","killing cattle","sheep,cattle to deliver","cutting the wool","regular disinfection",and accuracy of high-risk behavior protection were significantly higher than those of controls[89.83％(106/l18),91.07％(51/56),84.75％(150/177),66.67％(32/48),73.78％(242/328),51.22％(42/82),75.56％(34/45),33.69％(63/187),27.78％(15/54),21.63％(61/282),x2 value were 38.00,5.82,103.84,15.84 and 173.67,all P ＜ 0.05].Conclusion After implementation of health education and behavioral intervention,farmers brucellosis prevention knowledge and awareness of risk behaviors have significantly improved,which have achieved the desired effect.
