CAJ | 학술논문

目的：探索入户访问健康教育方式在边疆少数民族地区疟疾预防和控制中的应用及效果。方法在云南省红河州2个县，采用多阶段整群抽样方法进行抽样调查。采取以定量调查为主，定性访谈为辅的评估方法，分别在健康教育干预前、后对项目区村民进行疟疾防治相关知识、态度、行为的调查，比较评价干预前、后的变化及效果。结果健康教育干预后，村民中知道疟疾症状、传播途径、预防知识和就医行为的比例为99.3%、98.9%、79.9%和99.3%，均高于干预前的39.2%、8.2%、47.0%和49.9%，差异均有统计学意义（P均＜0.01）。结论项目地区开展入户访问健康教育干预措施后，目标人群的疟疾相关知识、态度和行为有明显改善。
목적：탐색입호방문건강교육방식재변강소수민족지구학질예방화공제중적응용급효과。방법재운남성홍하주2개현，채용다계단정군추양방법진행추양조사。채취이정량조사위주，정성방담위보적평고방법，분별재건강교육간예전、후대항목구촌민진행학질방치상관지식、태도、행위적조사，비교평개간예전、후적변화급효과。결과건강교육간예후，촌민중지도학질증상、전파도경、예방지식화취의행위적비례위99.3%、98.9%、79.9%화99.3%，균고우간예전적39.2%、8.2%、47.0%화49.9%，차이균유통계학의의（P균＜0.01）。결론항목지구개전입호방문건강교육간예조시후，목표인군적학질상관지식、태도화행위유명현개선。
Objective To evaluate the effects of health education of house-to-house visit in malaria prevention and control in the border and minority areas. Methods A health education of house-to-house visit in malaria prevention and control was car-ried out,and baseline and follow up surveys were conducted by qualitative and quantitative methods to document the changes of local villagers’knowledge,attitudes and behaviors(KAP)of malaria prevention and control in 2 counties of Yunnan Province, and the results before and after the interventions were analyzed and compared. Results After the intervention,the cognition rates about malaria symptoms and signs,transmission mode,preventive measures and health-seeking behaviors were 99.3%, 98.9%,79.9%and 99.3%respectively in the local residents,and those were 39.2%,8.2%,47.0%and 49.9%respectively be-fore the intervention,and all the differences were statistically significant(P all<0.01). Conclusions KAP related to malaria among the targeting population has improved after the interventions and the house-to-house visit is an effective community-based health education approach.