醫(yī)教結(jié)合對(duì)三年級(jí)小學(xué)生洗手知識(shí)行為干預(yù)效果評(píng)價(jià)
發(fā)布時(shí)間:2018-06-30 18:45
本文選題:洗手 + 健康知識(shí); 參考:《中國(guó)學(xué)校衛(wèi)生》2017年07期
【摘要】:目的了解醫(yī)教結(jié)合模式干預(yù)小學(xué)生洗手的效果,為推廣醫(yī)教結(jié)合健康教育模式提供依據(jù)。方法選取嘉定區(qū)15所外來(lái)務(wù)工人員子女學(xué)校小學(xué)三年級(jí)學(xué)生1 239名,每所學(xué)校以班級(jí)為單位分為干預(yù)組和對(duì)照組。對(duì)干預(yù)組開(kāi)展醫(yī)教結(jié)合的洗手教育1年時(shí)間,對(duì)照組不采取干預(yù)措施,干預(yù)后對(duì)效果進(jìn)行評(píng)估。結(jié)果干預(yù)后,干預(yù)組小學(xué)生總體洗手知識(shí)知曉率為92.4%,高于干預(yù)前(79.5%),差異有統(tǒng)計(jì)學(xué)意義(χ~2=39.750,P0.05);干預(yù)組1周內(nèi)飯前、便后及外出回家后洗手行為報(bào)告率分別為93.1%,94.1%,86.1%,均高于干預(yù)前(89.4%,89.0%,79.1%);"使用洗手用品""按六步法洗手""搓洗時(shí)間20 s以上""關(guān)水龍頭方法"及"干手方法"等現(xiàn)場(chǎng)洗手規(guī)范率分別為95.9%,83.0%,87.6%,88.1%,92.0%,均高于干預(yù)前(49.0%,41.7%,44.0%,17.1%,20.5%),差異均有統(tǒng)計(jì)學(xué)意義(P值均0.05);干預(yù)后,干預(yù)組與對(duì)照組比較,除飯前便后需洗手和不愿意洗手報(bào)告率差異無(wú)統(tǒng)計(jì)學(xué)意義外,干預(yù)組小學(xué)生洗手知識(shí)知曉、行為報(bào)告率及洗手規(guī)范率均高于對(duì)照組,阻礙洗手原因報(bào)告率均低于對(duì)照組,差異均有統(tǒng)計(jì)學(xué)意義(P值均0.05)。結(jié)論醫(yī)教結(jié)合模式是一種有效的小學(xué)生健康教育方式。
[Abstract]:Objective to investigate the effect of medical education combined with education on primary school children's hand washing, and to provide basis for popularizing the model of medical education and health education. Methods 1 239 third grade students from 15 migrant workers' children's schools in Jiading District were selected. Each school was divided into intervention group and control group. The intervention group carried out hand-washing education combined with medicine and education for one year, the control group did not take intervention measures, and the effect was evaluated after intervention. Results after intervention, the awareness rate of general knowledge of hand washing in the intervention group was 92.4, which was higher than that before intervention (79.5%), the difference was statistically significant (蠂 2, 39.750, P0.05). The reported rate of hand washing after toilet and after going home was 93.1 / 94.1, respectively, which was higher than that before intervention (89.4 / 89.0/ 79.1%), "washing hands by six steps", "washing time > 20 s", "turning off faucet method" and "dry hand method" were all higher than those before intervention (89.4 / 89.0 / 79.1%), "washing hands according to six-step method", "washing time > 20 s", "turning off faucet method" and "dry hand method" The rates of 92.9% and 87.6% were higher than those before the intervention (49.0% and 41.7%, 44.0% and 20.5%, respectively), and the differences were statistically significant (P < 0.05), after the intervention, there was no significant difference between the two groups (P > 0.05), and the difference was significant (P < 0.05), and the difference was significant (P < 0.05). Compared with the control group, there was no significant difference between the intervention group and the control group, except that there was no significant difference in the rate of hand-washing report before and after meals, the knowledge of hand-washing, the rate of behavior reporting and the rate of the norm of hand-washing in the intervention group were higher than those in the control group. The reported rate of the reasons of preventing hand washing was lower than that of the control group, and the difference was statistically significant (P < 0.05). Conclusion the combination of medical education and teaching is an effective way of health education for primary school students.
【作者單位】: 上海交通大學(xué)公共衛(wèi)生學(xué)院;上海市嘉定區(qū)疾病預(yù)防控制中心;
【分類號(hào)】:G627.8
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