西藏大学生肺结核防治同伴教育近期效果评价

发布时间：2018-06-17 05:18

本文选题：结核 + 肺　；参考：《中国学校卫生》2017年03期

【摘要】：目的评价西藏大学生肺结核防治同伴教育近期效果,为西藏高校开展肺结核健康教育提供参考。方法采用分层整群抽样法,抽取西藏4所高校学生,按学校随机分为干预组(571人)和对照组(563人)。干预组开展同伴教育,对照组发放宣传页。采用自行设计的问卷调查两组干预前和干预后1个月的知识、态度和行为水平。结果干预组的肺结核防治知识知晓率、正确态度持有率和正确行为形成率分别由干预前的27.6%,73.7%,39.9%提高到干预后的58.4%,82.1%,45.4%;对照组分别由干预前的26.8%,64.1%,39.0%提高到干预后的40.7%,67.8%,44.8%。经双重差分模型检验,同伴教育使干预组知识知晓率和正确态度持有率分别提高了16.7和4.6百分点,且差异均有统计学意义(P值均0.05),对正确行为形成率无影响(P0.05)。结论同伴教育和发放宣传页均可提高大学生的肺结核防治知识、态度和行为水平,但前者效果优于后者,可作为西藏大学生肺结核健康教育的较好方法之一。
[Abstract]:Objective to evaluate the short-term effect of peer education on pulmonary tuberculosis among college students in Tibet, and to provide reference for health education on pulmonary tuberculosis in Tibetan colleges and universities. Methods four college students in Tibet were randomly divided into intervention group (n = 571) and control group (n = 563) by stratified cluster sampling. Peer education was carried out in the intervention group and propaganda pages were distributed in the control group. A self-designed questionnaire was used to investigate the knowledge, attitude and behavior of the two groups before and 1 month after intervention. Results in the intervention group, the awareness rate of pulmonary tuberculosis prevention and control knowledge, the correct attitude holding rate and the correct behavior formation rate were increased from 27.66.73.7% to 39.9% before and after intervention, respectively, to 58.4%, 82.1% and 45.45.45.45.45.40.The control group increased from 26.84.1% before intervention to 44.84.8% after intervention, respectively, and the control group increased from 26.87% to 44.8% after intervention. Through the double differential model test, peer education increased the knowledge awareness rate and the correct attitude holding rate of the intervention group by 16.7 and 4.6 percentage points, respectively, and the difference was statistically significant (P < 0.05), and had no effect on the correct behavior formation rate (P 0.05). Conclusion Peer education and dissemination of propaganda pages can improve the knowledge, attitude and behavior of pulmonary tuberculosis among college students, but the former is better than the latter, and can be used as one of the better methods of tuberculosis health education for Tibetan college students.
【作者单位】：西藏民族大学医学部基础医学院高原环境与相关疾病分子机制干预研究重点实验室;西藏民族大学医学部临床医学院;
【基金】：西藏自治区科技厅自然科学基金项目(12KJZRYMY06) 西藏民族大学校内项目(14my Q13)
【分类号】：R521

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