摘要:
了解医教结合模式干预小学生洗手的效果,为推广医教结合健康教育模式提供依据.方法 选取嘉定区15所外来务工人员子女学校小学三年级学生1 239名,每所学校以班级为单位分为干预组和对照组.对干预组开展医教结合的洗手教育1年时间,对照组不采取干预措施,干预后对效果进行评估.结果 干预后,干预组小学生总体洗手知识知晓率为92.4%,高于干预前(79.5%),差异有统计学意义(x2=39.750,P<0.05);干预组1周内饭前、便后及外出回家后洗手行为报告率分别为93.1%,94.1%,86.1%,均高于干预前(89.4%,89.0%,79.1%);“使用洗手用品”“按六步法洗手”“搓洗时间20 s以上”“关水龙头方法”及“干手方法”等现场洗手规范率分别为95.9%,83.0%,87.6%,88.1%,92.0%,均高于干预前(49.0%,41.7%,44.0%,17.1%,20.5%),差异均有统计学意义(P值均<0.05);干预后,干预组与对照组比较,除饭前便后需洗手和不愿意洗手报告率差异无统计学意义外,干预组小学生洗手知识知晓、行为报告率及洗手规范率均高于对照组,阻碍洗手原因报告率均低于对照组,差异均有统计学意义(P值均<0.05).结论 医教结合模式是一种有效的小学生健康教育方式.
Abstract:
Objective To understand the effect of combining medical treatments with education on students' hand washing,and to provide evidence for the promotion of the health education model of combining medical treatments and education.Methods A total of 1 239 primary school students of third grade from 15 migrant children's schools were divided into study group and control group.The study group adopted the mode of combining medical treatments with education to carry out hand-washing education with unified courseware,and the effect was evaluated after the intervention.Results After intervention,the awareness rate of hand washing knowledge of the students in the study group(92.4%) was significantly higher than that before intervention(79.5%),and the difference was statistically significant(x2 =39.750,P<0.05);during one week,the reported rates of washing hands before meals,after toilet and after getting home were 93.1%,94.1%,86.1%,respectively,higher than those before intervention(89.4%,89.0%,79.1%);the standard rate of "using hand washing supplies","six-step washing method rubbing hands time" "turning off the faucet method" and "drying hands method" were 95.9%,83.0%,87.6%,88.1%,92.0%,respectively,higher than those before intervention(49.0%,41.7%,44.0%,17.1%,20.5%),difference was statistically significant(P<0.05);while the intervention effect on reluctance to wash was not obvious;The reported rate of knowledge and behavior of hand washing in the study group were higher than those of the control group,the reported rate of hindering the hand washing in the study group was lower than that of the control group,the differences were statistically significant(P<0.05).Conclusion It is effective to carry out hand washing intervention through combination medical treatments with education in primary school and such model is an effective way for primary school student health education.