摘要
目的:探讨以社区为中心的生殖健康服务对中老年男性生殖健康的知识、行为和心理的影响。方法:采用自身前后对照研究设计,于2019年7~8月在徐州市5个社区卫生服务中心招募136名中老年男性并开展健康服务项目。在干预前和干预后6个月采用一般情况调查表、生殖系统症状自评问卷、男性生殖健康知信行问卷、中文版心理弹性量表对研究对象进行测评以评价干预效果。结果:与干预前相比,136名中老年男性在干预后6个月的饮食习惯得分提高,不良健康行为得分降低,生殖系统症状阳性率降低,生殖健康认知水平提高,心理弹性得分提高,差异均有统计学意义(P<0.05)。该项目的成本效果的比值为7.75。结论:男性生殖健康服务可以有效改善中老年男性的饮食和行为习惯,减少生殖系统症状,提高其生殖健康认识水平和积极心理水平,成本效用高,值得在社区推广。
Objective: To explore the role of community-based reproductive health service in improving male reproductive health-related knowledge, behavior and psychology in middle-aged and elderly men. Methods: We recruited 136 men aged 40-69 years from 5 community health service centers in Xuzhou for this self-control study from July to August 2019. We carried out a 4-item health education among the subjects concerning reproductive health knowledge, reproductive system diseases, healthy life, and enjoying health. Before and at 6 months after education, we evaluated the effects of intervention using the General Condition Questionnaire, Reproductive System Symptoms Questionnaire, Male Reproductive Health-Related Knowledge, Attitude and Behavior Questionnaire, and the Chinese version of Connor-Davidson Resilience Scale. Results: At 6 months after intervention, the subjects showed significantly increased scores on healthy eating habits, male reproductive health cognation and psychological resilience, and decreased unhealthy behaviors and positive rate of reproductive system symptoms as compared with those before intervention(all P < 0.05). The cost-effectiveness ratio of the study was 7.75. Conclusion: Community-based reproductive health service can effectively improve the reproductive health-related knowledge and psychology, eating habits and healthy behaviors of middle-aged and elderly men. And it has a high cost-effectiveness ratio and is worthy of promotion in other communities.
作者
韩静
毛立军
刘云珍
张瑶
汤瑞金
刘继海
HAN Jing;MAO Li-jun;LIU Yun-zhen;ZHANG Yao;TANG Rui-jin;LIU Ji-hai(School of Nursing,Xuzhou Medical University,Xuzhou,Jiangsu 221004,China;Department of Urology,The Affiliated Hospital of Xuzhou Medical University,Xuzhou,Jiangsu 221000,China;Yunlong Community Health Center,Xuzhou,Jiangsu 221004,China)
出处
《中华男科学杂志》
CAS
CSCD
北大核心
2021年第7期630-634,共5页
National Journal of Andrology
基金
国家卫生健康委能力建设和继续教育中心2020年度立项课题(GWJJ2020100303)
江苏省高校哲学社会科学研究重大项目(2020SJZDA126)。
关键词
家庭医生
社区卫生服务
生殖健康
男性
心理弹性
family doctor
community health service
reproductive health
male
psychological resilience
