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衡阳市某职业院校学生人乳头瘤病毒感染知识和态度及行为调查与干预研究

发布时间:2018-08-04 13:27
【摘要】:目的:了解湖南省衡阳市某职业院校学生人乳头瘤病毒(HPV)感染的相关知识和态度及行为的现状,分析影响职业院校学生HPV感染知信行水平的主要因素;研究HPV感染干预方法,分析干预效果,为在职业院校中开展HPV感染和宫颈癌防治健康教育提供参考依据。方法:以“知识-信念态度-行为”(KAP)理论为指导,利用自行设计的量表《职业院校学生HPV感染相关知识、态度和行为调查问卷》,采取横断面调查方法对湖南省衡阳市某职业院校900名学生HPV感染相关知识、态度和行为现状进行分析。将890份有效问卷数据录入EXCEL并导入SPSS18.0软件,分析主要影响职业院校学生HPV感染知识、态度和行为的因素。针对职业院校学生制定“HPV感染知信行干预措施”,运用平行对照设计,随机选取8个班学生共465名分为对照组和干预组,每组4个班,对照组231名,干预组234名,比较干预前后两组间HPV感染知信行的变化,评价干预效果。应用的统计学方法包括t检验、单因素方差分析和多因素线性回归以及重复测量方差分析等。结果:(1)在890名职业院校学生中,HPV感染知信行总均分为82.82±10.39,有154名(17.30%)听说过HPV,他们的HPV基本知识得分在23~45之间,平均分为37.43±6.77,各认知条目知晓率均低于50%;890名学生的态度得分在21~32之间,平均得分为26.71±4.96;行为得分在15~24之间,平均得分为19.53±3.53。(2)年龄组越大,职业院校学生HPV感染行为得分越低;态度得分以14~19年龄组最高,年龄组间比较差异有统计学意义(P0.05)。女生的知识、态度得分均明显高于男生(P0.05)。家住城市的职业院校学生在行为得分明显低于家住农村学生(P0.05)。在知识、态度、行为和知信行总分得分方面,中专组六年制中大专连读组三年制大专组五年制高职组,且不同年级的认知和知信行总得分差异均有统计学意义(P0.05)。比较不同学习成绩的行为得分差异均有统计学意义(P0.05);行为得分随着父亲文化程度升高而增加(P0.05)。不同母亲文化程度组学生的态度和行为得分比较,差异有统计学意义(P0.05)。不同性行为史组知信行总分比较,差异有统计学意义(P0.05)。(3)干预前,两组研究对象一般资料和HPV知信行得分比较差异无统计学意义(P0.05)。干预后,干预组与对照组的知信行总分和各维度得分比较均有显著性差异(P0.01),且干预组知信行总分和各维度得分均高于干预前(P0.01)。结论:(1)职业院校学生的HPV感染相关知识、态度信念、行为总得分处于中等水平。(2)职业院校学生HPV感染知信行主要受年龄、性别、家庭居住地、学习成绩、性行为史等因素影响。(3)以学校课堂讲授进行健康教育能有效提高职业院校学生HPV感染知信行水平,改善他们对HPV感染的态度。
[Abstract]:Objective: to investigate the knowledge, attitude and behavior of human papillomavirus (HPV) infection in students of a vocational college in Hengyang City, Hunan Province, analyze the main factors affecting the knowledge, behavior and intervention methods of HPV infection in vocational college students. To analyze the effect of intervention, to provide reference for health education on HPV infection and cervical cancer prevention in vocational colleges. Methods: under the guidance of (KAP) theory of "knowledge, belief, attitude and behavior", the self-designed scale < knowledge of HPV infection among vocational college students was used. Attitude and behavior questionnaire >. The knowledge, attitude and behavior of 900 students with HPV infection in a vocational college in Hengyang City, Hunan Province were analyzed by cross-sectional survey. The data of 890 valid questionnaires were inputted into EXCEL and imported into SPSS18.0 software to analyze the factors influencing the knowledge, attitude and behavior of HPV infection among vocational college students. For the students of vocational colleges and universities, the intervention measures of HPV infection knowledge and belief were designed. 465 students from 8 classes were randomly divided into control group and intervention group, each group was 4 classes, the control group was 231, and the intervention group was 234. To compare the changes of HPV infection between the two groups before and after intervention, and evaluate the effect of intervention. The statistical methods used include t-test, univariate ANOVA, multivariate linear regression and repeated measurement ANOVA. Results: (1) among the 890 students in vocational colleges and universities, all the students were divided into 82.82 卤10.39, 154 (17.30%) had heard of HPV, their basic knowledge of HPV was between 2345 and the average score was 37.43 卤6.77.The awareness rate of each cognitive item was lower than that of 50. 890 students' attitude score was between 21 and 32. The average score was 26.71 卤4.96 and the average score was 19.53 卤3.53. (2) the higher the age group, the lower the score of HPV infection behavior of vocational college students, and the highest score of attitude was 1419 age group (P0.05). The scores of knowledge and attitude of girls were significantly higher than that of boys (P0.05). The scores of students in vocational colleges and universities living in cities were significantly lower than those in rural areas (P0.05). In the aspects of knowledge, attitude, behavior and the total score of knowledge, belief and behavior, there were significant differences in the total scores of cognition and knowledge, belief and behavior among different grades in the six-year junior college continuous reading group of technical secondary school group, the three-year junior college group and five-year higher vocational school group (P0.05). There were significant differences in behavioral scores between different academic achievements (P0.05); behavioral scores increased with the increase of father's education level (P0.05). The scores of attitude and behavior of students with different mothers' education level were significantly different (P0.05). Before intervention, there was no significant difference in general data and HPV scores between the two groups (P0.05). After intervention, there was significant difference in the total score and dimension score between the intervention group and the control group (P0.01), and the total score and the dimension score of the intervention group were higher than those before the intervention (P0.01). Conclusion: (1) the total scores of HPV infection related knowledge, attitude, belief and behavior of vocational college students are at the middle level. (2) the knowledge and behavior of HPV infection among vocational college students are mainly affected by age, sex, family residence, learning achievement. (3) Health education in classroom teaching can effectively improve the level of knowledge, behavior and attitude towards HPV infection in vocational college students.
【学位授予单位】:南华大学
【学位级别】:硕士
【学位授予年份】:2014
【分类号】:R193;R737.33

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