中国健康教育
中國健康教育
중국건강교육
CHINESE JOURNAL OF HEALTH EDUCATION
2015年
4期
375-378
,共4页
郭田%丁贤彬%张春华%沈卓之
郭田%丁賢彬%張春華%瀋卓之
곽전%정현빈%장춘화%침탁지
健康指导员%农村%干预%效果评估
健康指導員%農村%榦預%效果評估
건강지도원%농촌%간예%효과평고
Health educator%Rural area%Intervention%Effect evaluation
目的：评估健康指导员在农村地区实施干预后的效果，为推广健康指导员干预模式提供依据。方法通过招募培训健康指导员，由健康指导员对所在辖区的居民进行干预，比较干预前后干预对象知识知晓率变化情况。结果干预前后900名居民接受了问卷调查，男女分别是412人与488人，平均年龄（58.9±14.1）岁，文化程度以小学及以下为主。干预后居民对高血压与糖尿病的诊断标准、影响因素、高危人群、预防措施、并发症的知晓率均较干预前明显提高，差异均有统计学意义（P ＜0.05）。干预后居民对的每人每天食盐摄入量不超过6 g 的知晓率比干预前提高了56.3％，差异具有统计学意义（χ2＝580.04，P ＜0.05）；对每人每天食用油摄入量为25～30 g 的知晓率，干预后比干预前提高了44.7％，差异具有统计学意义（χ2＝361.04，P ＜0.05）。干预后居民高血压病（73.0％）、糖尿病知晓率（65.2％）以及体重（91.9％）、腰围（87.7％）、血压（73.0％）、血糖（66.5％）的知晓率均较干预前（58.7％、30.3％、62.9％、54.8％、65.8％、59.9％）明显上升，差异有统计学意义（χ2值分别为11.22、35.25、216.28、237.49、7.89、36.00，P ＜0.05）。结论健康指导员干预可以有效提高居民慢性病防治知识认知水平，健康指导员干预模式是有效的与可推广的。
目的：評估健康指導員在農村地區實施榦預後的效果，為推廣健康指導員榦預模式提供依據。方法通過招募培訓健康指導員，由健康指導員對所在轄區的居民進行榦預，比較榦預前後榦預對象知識知曉率變化情況。結果榦預前後900名居民接受瞭問捲調查，男女分彆是412人與488人，平均年齡（58.9±14.1）歲，文化程度以小學及以下為主。榦預後居民對高血壓與糖尿病的診斷標準、影響因素、高危人群、預防措施、併髮癥的知曉率均較榦預前明顯提高，差異均有統計學意義（P ＜0.05）。榦預後居民對的每人每天食鹽攝入量不超過6 g 的知曉率比榦預前提高瞭56.3％，差異具有統計學意義（χ2＝580.04，P ＜0.05）；對每人每天食用油攝入量為25～30 g 的知曉率，榦預後比榦預前提高瞭44.7％，差異具有統計學意義（χ2＝361.04，P ＜0.05）。榦預後居民高血壓病（73.0％）、糖尿病知曉率（65.2％）以及體重（91.9％）、腰圍（87.7％）、血壓（73.0％）、血糖（66.5％）的知曉率均較榦預前（58.7％、30.3％、62.9％、54.8％、65.8％、59.9％）明顯上升，差異有統計學意義（χ2值分彆為11.22、35.25、216.28、237.49、7.89、36.00，P ＜0.05）。結論健康指導員榦預可以有效提高居民慢性病防治知識認知水平，健康指導員榦預模式是有效的與可推廣的。
목적：평고건강지도원재농촌지구실시간예후적효과，위추엄건강지도원간예모식제공의거。방법통과초모배훈건강지도원，유건강지도원대소재할구적거민진행간예，비교간예전후간예대상지식지효솔변화정황。결과간예전후900명거민접수료문권조사，남녀분별시412인여488인，평균년령（58.9±14.1）세，문화정도이소학급이하위주。간예후거민대고혈압여당뇨병적진단표준、영향인소、고위인군、예방조시、병발증적지효솔균교간예전명현제고，차이균유통계학의의（P ＜0.05）。간예후거민대적매인매천식염섭입량불초과6 g 적지효솔비간예전제고료56.3％，차이구유통계학의의（χ2＝580.04，P ＜0.05）；대매인매천식용유섭입량위25～30 g 적지효솔，간예후비간예전제고료44.7％，차이구유통계학의의（χ2＝361.04，P ＜0.05）。간예후거민고혈압병（73.0％）、당뇨병지효솔（65.2％）이급체중（91.9％）、요위（87.7％）、혈압（73.0％）、혈당（66.5％）적지효솔균교간예전（58.7％、30.3％、62.9％、54.8％、65.8％、59.9％）명현상승，차이유통계학의의（χ2치분별위11.22、35.25、216.28、237.49、7.89、36.00，P ＜0.05）。결론건강지도원간예가이유효제고거민만성병방치지식인지수평，건강지도원간예모식시유효적여가추엄적。
Objective To evaluate the effect of health educator’s intervention in rural area is to provide the evi-dence for promoting health educator’s intervention.Methods Health educators were recruited and trained.Health educators conducted health education,delivered health materials and instruct residents to reduce salt and oil.Questionnaire were con-ducted before and after the intervention to evaluate the effect.All data were entered and analyzed by SPSS 19.0.The rate of cognition about hypertension,diabetes and health indicators were compared by Chi-square test.Results A total of 900 resi-dents were interviewed before and after the intervention.Of them,the male and female were 412 and 488 respectively.The average age was (58.9 ±14.1)years old.Most of them just received primary education.The rate of cognition about diagnos-tic criteria,risk factors,risk population,prevention measure and complications of hypertension and diabetes after the inter-vention increased significantly compared to it before the intervention (P <0.05).The rate of cognition about the recommen-dation dose of salt (6 g per person per day)increased 56.3% after the intervention compared to it before the intervention (χ2 =580.04,P <0.05).The rate of cognition about the recommendation dose of oil (25 -30 g per person per day)in-creased 44.7% after the intervention compared to it before the intervention (χ2 =361.04,P <0.05).The rate of cognition about hypertension (73.0%),diabetes (65.2%),body weight (91.9%),waist circumference (87.7%),blood pressure (73.0%)and blood glucose (66.5%) increased significantly after the intervention compared to it (58.7%, 30.3%,62.9%,54.8%,65.8% and 59.9%) before the intervention (χ2 =11.22,35.25,216.28,237.49, 7.89,36.00,P <0.05).Conclusion Health educator’s intervention can raise the level of cognition about chronic non-communicable disease.This model should be effective and feasible.
