摘要
目的了解咸阳城乡交界区已婚育龄妇女中各类生殖道感染的流行情况及感染的危险因素，为护理干预提供基础资料和依据。方法2010年5月至2011年5月，在陕西省咸阳市永寿城乡交界区设点，对接受妇科健康查体的501名已婚育龄妇女进行生殖道感染相关行为特征及认知状况调查。结果501名妇女中，丈夫外出打工与未外出打工的妇女宫颈感染率分别为42%和19%，差异有统计学意义（χ2=10.79，P=0.005）；既往有自然流产史和人工流产史的妇女宫颈感染率分别为26%和16%，差异有统计学意义（χ2=4.01，P=0.045）；被调查对象中对安全套预防感染认识正确率为38.7%，仅29.1%的妇女与配偶性生活前有清洗阴部的习惯，51.3%的妇女便后有正确的擦拭方式，50%的妇女无正确的求医行为。结论已婚育龄妇女生殖道感染患病率高，生殖健康知识不足，卫生习惯及求医行为较差，应加强对育龄妇女生殖健康知识的宣传教育，通过改变其对疾病的认知行为，做到疾病的早期发现、早期就诊、诊断和治疗，从而改善妇女生殖健康水平和生活质量。
Objective To study the prevalence and risk factors of various types of female genital tract infection （RTI） in semi-rural area of Xianyang, so as to provide basic data and evidence for the nursing intervention. Methods Totals of 501 married women at child-bearing age who were inhabited in Xianyang semi -rural area were attended into a normal gynecological exam between May 2010 and May 2011. And their medical history, the exam and lab test and corresponding treatment were observed. Results The cervical infection rate of women whose husband working outside and working inside were respectively 42% and 19% , and the differences was statistically significant （ χ2 = 10.79 ,P = 0. 005 ）, as well as the women who had previous history of ＇abortion and had not （26% vs 16% , χ2 = 4. 01 ; P = 0. 045 ）. The correcting rate of women to understand the condom prevention was 38.7% , 29.1% of the women had washing privates habit before sexual activity, 51.3% of the women had correct clean way after defecate, 50% of the women hadn＇t appropriate health care seeking behavior. Conclusions Married women at child-bearing age have high prevalence rate of genital trace, less knowledge on genital health. The reproductive health education and promotion should be enhanced to improve theirs cognitive behavior for RTI. Thus they could change their behavior on early RTI detection, early consult and got early diagnosis and treatment and consequently improved theirs life quality and the health level of female reproductive.
出处
《中华现代护理杂志》
2013年第10期1159-1162,共4页
Chinese Journal of Modern Nursing
关键词
生殖道
感染因素
护理对策
城乡交界区
Genital tract
Infection factors
Nursing strategies
Semi-rural area
