CAJ | 학술논문

目的对居民血吸虫病防治服务需求进行调查,为推动基于公共卫生服务均等化的血吸虫病防治工作提供科学依据. 方法选择历史血吸虫病重流行区的湖北省江陵县为调查地点,分别以整群抽样方法调查健康人群、意图抽样方法调查慢性血吸虫病患者和晚期血吸虫病患者对防治血吸虫病的需求. 结果在湖北省江陵县的熊河镇跃进村、洋湖村和新河村等3个血吸虫病流行村共调查1 281名对象,其中男性53.8％(689/1 281),女性46.2％(592/1 281).在518名健康人中,95.6％ (495/518)的人要求了解血吸虫病预防知识;83.0％ (430/518)的人希望从县级血防机构获得查病和预防性治疗的信息;所有的调查对象表示希望获得血吸虫病的免费检查和治疗措施;92.1％(477/518)的人选择在家服药.在500名慢性血吸虫病患者中,99.0％ (495/500)的患者希望慢性血吸虫病检查免费;93.4％(467/500)的患者要求在县级血防机构进行血吸虫病检查;96.0％ (480/500)的患者希望同时实施病原和护肝治疗,86.0％(430/500)的患者希望国家免费提供病原治疗和护肝药物.263名晚期血吸虫病患者希望在开展救治时将合并症治疗纳入救治范围,希望免费药物包括护肝药物等. 结论应在公共卫生服务均等化体系中建立血吸虫病预防和救治管理内容,满足健康人群、慢性和晚期血吸虫病患者的血防需求,达到居民获得最有效基本公共卫生服务的目标.
목적 대거민혈흡충병방치복무수구진행조사,위추동기우공공위생복무균등화적혈흡충병방치공작제공과학의거. 방법 선택역사혈흡충병중류행구적호북성강릉현위조사지점,분별이정군추양방법조사건강인군、의도추양방법조사만성혈흡충병환자화만기혈흡충병환자대방치혈흡충병적수구. 결과 재호북성강릉현적웅하진약진촌、양호촌화신하촌등3개혈흡충병류행촌공조사1 281명대상,기중남성53.8％(689/1 281),녀성46.2％(592/1 281).재518명건강인중,95.6％ (495/518)적인요구료해혈흡충병예방지식;83.0％ (430/518)적인희망종현급혈방궤구획득사병화예방성치료적신식;소유적조사대상표시희망획득혈흡충병적면비검사화치료조시;92.1％(477/518)적인선택재가복약.재500명만성혈흡충병환자중,99.0％ (495/500)적환자희망만성혈흡충병검사면비;93.4％(467/500)적환자요구재현급혈방궤구진행혈흡충병검사;96.0％ (480/500)적환자희망동시실시병원화호간치료,86.0％(430/500)적환자희망국가면비제공병원치료화호간약물.263명만기혈흡충병환자희망재개전구치시장합병증치료납입구치범위,희망면비약물포괄호간약물등. 결론 응재공공위생복무균등화체계중건립혈흡충병예방화구치관리내용,만족건강인군、만성화만기혈흡충병환자적혈방수구,체도거민획득최유효기본공공위생복무적목표.
Objective To investigate the requirement of schistosomiasis control for the scientific reference of schistosomiasis control based on the equality of public health services.Methods Jiangling County,a schistosomiasis heavy endemic area,in Hubei Province was selected as research spot.The healthy people was enrolled by cluster sampling,the chronic schistosomiasis and advanced schistosomiasis patients were cenrolled by purposive smapling.The requirements of schistosomiasis control were researched by questionnaire.Results A population of 1 281 from Yuejin Village,Yanghu Village and Xinhe Village of Jiangling County was investigated,53.8％(689/1 281) male and 46.2％(592/1 281) female were included.Among healthy people,95.6％(495/518) needed the knowledge of schistosomiasis control,83.0％(430/518) wished to get the information of disease examination and preventive treatment from professional agency of schistosomiasis control,all hoped obtaining free schistosomiasis examination and treatment,92.1％(477/518) would like to take preventive medicine at home.In 500 chronic schistosomiasis patients,99％(495/500) wished to have free schistosomiasis examination,93.4％(467/500) to have schistosomiasis examination at county professional schistosomiasis control agency,96.0％(480/500) hoped the anti-pathogen and liver protection combined treatment,and 86.0％(430/500) wished to have free medicine of anti-pathogen and liver-protection.Two hundred and sixty-three advanced schistosomiasis patients all hoped that the schistosomiasis complication treatment will be included in the national health project and the liver-protection medicine will be included in free medicines.Conclusion For the achievement of people acquiring equality of public health services,the management program of schistosomiasis prevention and cure should be established and included into the system of equality of public health services so as to meet the requirements of schistosomiasis control of healthy people,chronic schistosomiasis,and advanced schistosomiasis patients.