【摘要】：目的:了解湖南省衡陽市某職業(yè)院校學(xué)生人乳頭瘤病毒(HPV)感染的相關(guān)知識和態(tài)度及行為的現(xiàn)狀,分析影響職業(yè)院校學(xué)生HPV感染知信行水平的主要因素;研究HPV感染干預(yù)方法,分析干預(yù)效果,為在職業(yè)院校中開展HPV感染和宮頸癌防治健康教育提供參考依據(jù)。方法:以“知識-信念態(tài)度-行為”(KAP)理論為指導(dǎo),利用自行設(shè)計的量表《職業(yè)院校學(xué)生HPV感染相關(guān)知識、態(tài)度和行為調(diào)查問卷》,采取橫斷面調(diào)查方法對湖南省衡陽市某職業(yè)院校900名學(xué)生HPV感染相關(guān)知識、態(tài)度和行為現(xiàn)狀進行分析。將890份有效問卷數(shù)據(jù)錄入EXCEL并導(dǎo)入SPSS18.0軟件,分析主要影響職業(yè)院校學(xué)生HPV感染知識、態(tài)度和行為的因素。針對職業(yè)院校學(xué)生制定“HPV感染知信行干預(yù)措施”,運用平行對照設(shè)計,隨機選取8個班學(xué)生共465名分為對照組和干預(yù)組,每組4個班,對照組231名,干預(yù)組234名,比較干預(yù)前后兩組間HPV感染知信行的變化,評價干預(yù)效果。應(yīng)用的統(tǒng)計學(xué)方法包括t檢驗、單因素方差分析和多因素線性回歸以及重復(fù)測量方差分析等。結(jié)果:(1)在890名職業(yè)院校學(xué)生中,HPV感染知信行總均分為82.82±10.39,有154名(17.30%)聽說過HPV,他們的HPV基本知識得分在23~45之間,平均分為37.43±6.77,各認知條目知曉率均低于50%;890名學(xué)生的態(tài)度得分在21~32之間,平均得分為26.71±4.96;行為得分在15~24之間,平均得分為19.53±3.53。(2)年齡組越大,職業(yè)院校學(xué)生HPV感染行為得分越低;態(tài)度得分以14~19年齡組最高,年齡組間比較差異有統(tǒng)計學(xué)意義(P0.05)。女生的知識、態(tài)度得分均明顯高于男生(P0.05)。家住城市的職業(yè)院校學(xué)生在行為得分明顯低于家住農(nóng)村學(xué)生(P0.05)。在知識、態(tài)度、行為和知信行總分得分方面,中專組六年制中大專連讀組三年制大專組五年制高職組,且不同年級的認知和知信行總得分差異均有統(tǒng)計學(xué)意義(P0.05)。比較不同學(xué)習(xí)成績的行為得分差異均有統(tǒng)計學(xué)意義(P0.05);行為得分隨著父親文化程度升高而增加(P0.05)。不同母親文化程度組學(xué)生的態(tài)度和行為得分比較,差異有統(tǒng)計學(xué)意義(P0.05)。不同性行為史組知信行總分比較,差異有統(tǒng)計學(xué)意義(P0.05)。(3)干預(yù)前,兩組研究對象一般資料和HPV知信行得分比較差異無統(tǒng)計學(xué)意義(P0.05)。干預(yù)后,干預(yù)組與對照組的知信行總分和各維度得分比較均有顯著性差異(P0.01),且干預(yù)組知信行總分和各維度得分均高于干預(yù)前(P0.01)。結(jié)論:(1)職業(yè)院校學(xué)生的HPV感染相關(guān)知識、態(tài)度信念、行為總得分處于中等水平。(2)職業(yè)院校學(xué)生HPV感染知信行主要受年齡、性別、家庭居住地、學(xué)習(xí)成績、性行為史等因素影響。(3)以學(xué)校課堂講授進行健康教育能有效提高職業(yè)院校學(xué)生HPV感染知信行水平,改善他們對HPV感染的態(tài)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 鹵10.39, 154 (17.30%) had heard of HPV, their basic knowledge of HPV was between 2345 and the average score was 37.43 鹵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 鹵4.96 and the average score was 19.53 鹵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.
【學(xué)位授予單位】：南華大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2014
【分類號】：R193;R737.33

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本文編號：2164032