育龄女性下生殖道感染病原体的分布、危险因素及健康教育需求分析

发布时间：2018-06-20 10:53

本文选题：育龄女性 + 下生殖道感染　；参考：《中华医院感染学杂志》2017年02期

【摘要】：目的调查育龄女性下生殖道病原体感染分布、危险因素,分析其健康教育需求。方法选取2015年6月-2016年2月医院自愿参加调查的育龄女性526例为研究对象,自行设计调查问卷,采用现场问卷调查方式,统计分析育龄女性下生殖道感染情况及病原体分布,对育龄女性下生殖道感染的相关因素实施单因素、多因素logistic分析,并进行相应的健康教育需求分析。结果育龄女性下生殖道感染率为39.9%(210/526),共分离出病原体368株,其中革兰阳性菌、革兰阴性菌、真菌、解脲脲原体、沙眼衣原体、滴虫分别占28.8%、24.5%、10.1%、28.5%、5.7%和2.4%;单因素分析结果显示,育龄女性下生殖道感染与年龄、文化程度、性行为、流产史和避孕方式呈明显相关性(χ2=5.034、7.336、4.561、10.056和6.213,P0.05)。多因素logistic回归分析结果显示,文化程度和避孕方式是育龄女性下生殖道感染的独立危险因素(OR=3.689,6.597,P0.05);广播是育龄女性现有获取知识的主要途径,占27.0%;育龄女性希望获取知识途径前三位的是网络平台、医务人员和广播,分别占41.3%、28.3%和14.4%。结论育龄女性下生殖道感染以革兰阳性菌为主,文化程度和避孕方式是其发生的独立危险因素,可针对危险因素和健康教育需求进行干预,以降低育龄女性下生殖道感染的发生。
[Abstract]:Objective to investigate the distribution and risk factors of pathogens in the lower genital tract of women of reproductive age and analyze their health education needs. Methods 526 women of childbearing age who volunteered to participate in the investigation in hospitals from June 2015 to February 2016 were selected as the subjects. The questionnaire was designed by ourselves and the distribution of lower reproductive tract infections and pathogens among women of childbearing age was analyzed statistically by means of field questionnaire. Univariate and multivariate logistic analysis was performed to analyze the related factors of lower reproductive tract infection in women of childbearing age, and the corresponding health education needs were analyzed. Results the infection rate of lower reproductive tract in women of reproductive age was 39.9% and 210 / 5260.368 strains of pathogens were isolated. Among them, Gram-positive bacteria, Gram-negative bacteria, Fungi, Ureaplasma Urealyticum, Chlamydia trachomatis and Trichomonas trachomatis accounted for 28.85% and 2.4%, respectively. There was a significant correlation between lower reproductive tract infection and age, education, sexual behavior, history of abortion and contraceptive methods in women of reproductive age (蠂 ~ 2 = 5.034 / 7.336 / 4.561/ 10.056 and 6.213P _ 0.05). The results of multivariate logistic regression analysis showed that education level and contraceptive method were independent risk factors of lower reproductive tract infection in women of childbearing age, and broadcasting was the main way for women of reproductive age to acquire knowledge. Women of childbearing age wanted to acquire knowledge in the first three places of the network platform, medical personnel and radio, accounting for 41.3% and 14.4% respectively. Conclusion Gram-positive bacteria is the main cause of lower genital tract infection in women of childbearing age. Education level and contraceptive method are independent risk factors, which can be interfered with risk factors and health education needs. To reduce the incidence of lower genital tract infection in women of childbearing age.
【作者单位】：华中科技大学附属同济医院妇产科;
【基金】：国家自然科学基金面上项目(81471459)
【分类号】：R711.3

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