国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2014年
14期
2040-2043
,共4页
计生、卫生联合%主动与全程管理和服务%"两癌"防治新模式
計生、衛生聯閤%主動與全程管理和服務%"兩癌"防治新模式
계생、위생연합%주동여전정관리화복무%"량암"방치신모식
Combination of family planning and health care%whole course and initiative management and service%New work pattern of women "two" cancers' pevention and treatment
目的 通过计生、卫生部门合作,利用各自资源优势互补,建立主动与全程管理和服务的“两癌”防治工作模式.方法 通过计生网络,利用查环查孕时机和深入村居的方式进行育龄群众对“两癌”防治的知识的问卷调查,同时加大教育宣传和动员力度,促使适龄妇女自愿到医疗保健机构参与“两癌”普查普治;利用妇幼保健机构的优质医疗资源进行“两癌”技术筛查,普查采用常规妇科检查、宫颈脱落细胞巴氏涂片和乳腺手检与乳腺彩超检查相结合,可疑者作进一步检查的方法.结果 通过计生网络功能,在宣传发动上取得了较大优势,年龄覆盖较广,直接影响群众对“两癌”防治知识知晓率、普查参与率和“两癌”早诊断率.经过3年主动和全程服务管理后,管理对象的知晓率、普查参与率、早诊断率由65.40％、44.03％和52.96％,分别上升到86.20％、71.34％和73.37％,差异有统计学意义(P＜0.01).结论 采用计生、卫生联合主动与全程管理和服务的“两癌”防治工作模式,群众“两癌”防治知晓率、参与率、早诊断率都比单纯妇幼部门开展“两癌”筛查要高.因此,计生和卫生部门联合,主动与全程管理和服务的“两癌”防治工作模式是可行且值得广大农村地区推广的.
目的 通過計生、衛生部門閤作,利用各自資源優勢互補,建立主動與全程管理和服務的“兩癌”防治工作模式.方法 通過計生網絡,利用查環查孕時機和深入村居的方式進行育齡群衆對“兩癌”防治的知識的問捲調查,同時加大教育宣傳和動員力度,促使適齡婦女自願到醫療保健機構參與“兩癌”普查普治;利用婦幼保健機構的優質醫療資源進行“兩癌”技術篩查,普查採用常規婦科檢查、宮頸脫落細胞巴氏塗片和乳腺手檢與乳腺綵超檢查相結閤,可疑者作進一步檢查的方法.結果 通過計生網絡功能,在宣傳髮動上取得瞭較大優勢,年齡覆蓋較廣,直接影響群衆對“兩癌”防治知識知曉率、普查參與率和“兩癌”早診斷率.經過3年主動和全程服務管理後,管理對象的知曉率、普查參與率、早診斷率由65.40％、44.03％和52.96％,分彆上升到86.20％、71.34％和73.37％,差異有統計學意義(P＜0.01).結論 採用計生、衛生聯閤主動與全程管理和服務的“兩癌”防治工作模式,群衆“兩癌”防治知曉率、參與率、早診斷率都比單純婦幼部門開展“兩癌”篩查要高.因此,計生和衛生部門聯閤,主動與全程管理和服務的“兩癌”防治工作模式是可行且值得廣大農村地區推廣的.
목적 통과계생、위생부문합작,이용각자자원우세호보,건립주동여전정관리화복무적“량암”방치공작모식.방법 통과계생망락,이용사배사잉시궤화심입촌거적방식진행육령군음대“량암”방치적지식적문권조사,동시가대교육선전화동원력도,촉사괄령부녀자원도의료보건궤구삼여“량암”보사보치;이용부유보건궤구적우질의료자원진행“량암”기술사사,보사채용상규부과검사、궁경탈락세포파씨도편화유선수검여유선채초검사상결합,가의자작진일보검사적방법.결과 통과계생망락공능,재선전발동상취득료교대우세,년령복개교엄,직접영향군음대“량암”방치지식지효솔、보사삼여솔화“량암”조진단솔.경과3년주동화전정복무관리후,관리대상적지효솔、보사삼여솔、조진단솔유65.40％、44.03％화52.96％,분별상승도86.20％、71.34％화73.37％,차이유통계학의의(P＜0.01).결론 채용계생、위생연합주동여전정관리화복무적“량암”방치공작모식,군음“량암”방치지효솔、삼여솔、조진단솔도비단순부유부문개전“량암”사사요고.인차,계생화위생부문연합,주동여전정관리화복무적“량암”방치공작모식시가행차치득엄대농촌지구추엄적.
Objective Through cooperation between Guangdong Women and Children Hosptial and National Health and Family Planning Commission of the People' s Republic of China and by complementing each other' s advantages,to establish a work mode which can offer initiative and whole range management and service to prevent and treat women' s " two cancers",including cervical cancer and breast cancer.Methods Taking the opportunity going deep among the villagers to check contraceptive device and test pregnancy for them and with the help of the website of family planning,we conducted a questionnaire survey of preventing and treating "two cancers" on fertiel women.Besides,we devoted great effort to make propaganda and instruction for women' s "two cancers" among the villagers and let them go to health care organizations for general investigation and therapy on their own will.Taking advantage of the high quality medical resources of maternity and child care institution,we provided the villagers with several examinations in order to early diagnose women's "two cancers".Gynecologic examination and cervical scraping smear are widely used in predicting and diagnosing cervical cancer.Breast examination and color Doppler ultrasound are valuable diagnosis methods on breast cancer.Suspect cases of women's "two cancers" should be further examined.Results Website of family planning plays a cruicial role in achieving greater advantage of propaganding and educating the masses about "two cancers".The ages of the participants that involled in this project cover a wide range.This work pattern directly influenced the awareness rate,census participation rate,early diagnosis rate,and early intervention rate among the masses.After the whole course and initiative management and service mode for three years,the awareness rate,census participation rate,early diagnosis rate increased from 65.40％,44.03％,and 52.96％ to 86.20％,71.34％,and 73.37％,with statistical differences(P ＜ 0.01).Conclusions Comparing with simply lauching women' s "two cancers" screening in maternity and child care institution,this new work pattern made the awareness rate,census participation rate and intervention rate among the masses higher.It is practicable and is worth being generalized in country side.
