CAJ | 학술논문

目的：分析社区围绝经期妇女生殖道感染（ RTIs）状况，评估综合干预效果，为建立和完善社区卫生服务体系提供基层资料。方法随机选取45～65岁925名围绝经期妇女为研究对象，采取临床筛查和问卷的形式，对生殖道感染的知识、态度和行为；RTIs症状；医疗费用、妇科检查、医疗技术水平、服务态度、保健服务及时性和便利性等进行调查。了解和分析其生殖道感染状况及其影响因素。应用方差和多因素Logistic的方法对数据进行统计分析。在基线调查的基础上，实施为期1年的社区综合干预。结果 RTIs患病率为31．89％，依次为萎缩性阴道炎（9．30％）、宫颈炎（5．51％）、附件炎（4．97％）、外阴阴道假丝酵母菌病（4．54％）、慢性盆腔炎（3．78％）、滴虫阴道炎（2．92％）；经Logistic分析表明：年龄、不良卫生习惯和丈夫RTIs自觉症状是RTIs发生的危险因素，文化程度和公费医疗则是其保护因素。干预1年后，有关RTIs知识、态度、行为正确率及总患病率情况均有所改善（χ2值分别为27．948、16．750、82．137、8．256，均P＜0．01）。结论重视围绝经期RTIs，加强社区综合干预，有助于改善围绝经期妇女的生活质量，提高健康水平。
목적：분석사구위절경기부녀생식도감염（ RTIs）상황，평고종합간예효과，위건립화완선사구위생복무체계제공기층자료。방법수궤선취45～65세925명위절경기부녀위연구대상，채취림상사사화문권적형식，대생식도감염적지식、태도화행위；RTIs증상；의료비용、부과검사、의료기술수평、복무태도、보건복무급시성화편리성등진행조사。료해화분석기생식도감염상황급기영향인소。응용방차화다인소Logistic적방법대수거진행통계분석。재기선조사적기출상，실시위기1년적사구종합간예。결과 RTIs환병솔위31．89％，의차위위축성음도염（9．30％）、궁경염（5．51％）、부건염（4．97％）、외음음도가사효모균병（4．54％）、만성분강염（3．78％）、적충음도염（2．92％）；경Logistic분석표명：년령、불량위생습관화장부RTIs자각증상시RTIs발생적위험인소，문화정도화공비의료칙시기보호인소。간예1년후，유관RTIs지식、태도、행위정학솔급총환병솔정황균유소개선（χ2치분별위27．948、16．750、82．137、8．256，균P＜0．01）。결론중시위절경기RTIs，가강사구종합간예，유조우개선위절경기부녀적생활질량，제고건강수평。
Objective To analyze the situation of reproductive tract infections ( RTIs) in perimenopausal women and evaluate the effects of comprehensive intervention , so as to provide basic information for establishing and improving community health service system .Methods By using random sampling method , 925 perimenopausal women aged 45-65 years were recruited for study .Clinical screening and questionnaires were used to investigate their knowledge , attitude and practice ( KAP) on RITs, RTIs symptoms, medical cost, gynecological examination , medical technology level , service attitude and the immediateness and convenience of health care service .The infection status of reproductive tract and its influencing factors were analyzed .Chi-square test and multiple factor Logistic methods were used for data analysis .On the basis of the baseline investigation , community intervention was carried out for one year .Results The morbidity rate of RTIs was 31.89%.The main RTIs included atrophic vaginitis (9.30%), cervicitis (5.51%), appendagitis (4.97%), Candida vaginitis (4.54%), chronic pelvic inflammatory disease (3.78%) and Trichomonas vaginitis (2.92%).Logistic analysis showed that education and public health were protective factors , while age , poor health habits and husband ’ s RTIs symptoms were risk factors.There was significant improvement in knowledge , attitude, practice, and the incidence of RTIs after intervention (χ2 value was 27.948, 16.750, 82.137 and 8.256, respectively, all P<0.01).Conclusion Paying more attention to RTIs in perimenopausal women and strengthening community health service can improve the quality of life and health level of perimenopausal women .