首页> 中文期刊> 《中国健康教育》 >四川芦山地震灾后健康教育干预模式的效果评价

四川芦山地震灾后健康教育干预模式的效果评价

         

摘要

Objective To evaluate the effect of health education among citizens in earthquake areas,to test feasi-bility of health education intervention mode,and to provide scientific basis for health education.Methods With random sampling,through the intervention model that face-to-face transmission and fixed position propaganda and physical guide and the mass media,the concentrated settlements people and the villagers and the high school students from 4 counties as Lush-an,Tianquan,Baoxin and Yucheng were intervened and surveyed,and the effectiveness was evaluated.Results There are 1200 people as the respondents for the baseline and after the intervention of the object,after 6 months health education, according to the key information questionnaire,except the “how to do for coughing and aneezing”after the intervention the health knowledge reached more than 80%.citizens’health knowledge awareness improved significance in general (χ2 =40.0,P <0.05 ),education level for elementary school,junior high school,high school improved significance (P <0.05),students health literacy is better than others (9.8%).Health behavior formation improved significance in general (χ2 =484.2,P <0.05).“wash your hands before eating or using the toilet”is the most obvious increased by 35.0%, and “whether to drink the water not to boil”increased by 31.8%.Conclusion The health education intervention model that face-to-face transmission and fixed position propaganda and physical guide and the mass media have combined makes the effect,thus should be carried out continuously in the earthquake areas.%目的:评价芦山地震灾后健康教育干预效果,为日后地震灾后健康教育干预模式提供依据和方法。方法采用随机抽样的方法,对雅安市芦山县、天全县、宝兴县、雨城区4个地区的集中安置点受灾群众、城乡居民、高中生3类目标人群,通过面对面的参与式传播、固定阵地宣传、实物引导、大众媒体等多种干预方法,开展基线和干预后的终期调查,评价干预效果。结果基线和干预后的对象均调查1200人,经过半年左右的健康教育干预,除“咳嗽打喷嚏的处理方法”知晓率偏低外,干预后各知识知晓水平基本都达到了80.0%以上。安置点、常住居民、高中生3类目标人群的健康知识知晓率比干预前有显著性提高(χ2=40.0,P <0.05),其中文化程度从小学到初中、高中均有显著性提高(P <0.05),学生的健康知识底子较好(9.8%);同时在行为形成率方面比干预前亦有显著性提高(χ2=484.2,P <0.05),增加最明显的是“饭前便后洗手”提高了35.0%,“是否喝生水”提高了31.8%。结论以面对面的参与式传播;固定阵地宣传;实物引导;大众媒体组合的干预模式取得了一定效果,可在地震灾区推广应用。

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