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題名 | 某兩所小學高年級男童包皮評估與衛生習慣之相關性探討=The Relationships between Preputial Condition and Personal Hygienic Practice of Senior School Boys in Two Primary Schools |
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作者 | 蘇健裕; 尹亞蘭; Su, Chien-yu; Yin, Ya-lan; |
期刊 | 臺灣家庭醫學雜誌 |
出版日期 | 20011200 |
卷期 | 11:4 2001.12[民90.12] |
頁次 | 頁153-163 |
分類號 | 415.861 |
語文 | chi |
關鍵詞 | 男童; 包皮; 衛生習慣; Prepuce; Hygienic practice; Senior school boy; Circumcision; |
中文摘要 | 「包皮衛生」一直是被忽略的知識,有鑑於國內對包皮衛生習慣的調查資料缺乏,及提醒醫療人員避免「非必要性」手術,故執行此研究。自民國90年3月1日至11月30日止,隨機抽樣選取高雄市兩所國小五、六年級男童為研究對象,共發出890份問卷,其中433位家長同意讓男童接受外生殖器評估與問卷調查。問卷結果為:男童獲得包皮知識的來源主要為父母(77.8%)、學校老師(26.9%)、醫護人員(21.8%)。包皮衛生認知總分6分,其平均值為3.41±1.70分,尚有很大衛教空間。男童外生殖器評估中,執行過包皮手術者佔7.6%,包皮沾粘者佔36.1%,有包皮垢者佔13.2%,而包皮容易下拉者佔56.8%,包莖程度正常者為38.3%,冠狀溝清潔者佔60.3%。以卡方檢定分析,包皮清潔頻次與包莖程度有關(p<0.05),與冠狀溝清潔度無關(p<0.05);包皮手術與包莖程度、包皮自行下拉程度、冠狀溝清潔度皆有相關(p<0.05)。包皮衛生認知以one-way ANOVA分析:與清潔頻次有關,事後檢定發現每天清洗及每星期清洗4-6次者與未洗者在認知上是有差異的。本文總結,既使男童的包皮衛生知識仍有待加強,但多數男童仍會自己每天清洗包皮並注意衛生問題。有足夠的包皮衛生認知確實會影響清潔包皮的次數,但若清洗方式不正確,也是無法將包皮垢完全清潔而減少包皮問題。故應加強及改正學童及家長的包皮衛生知識與認知,透過學校健康教育的教導,及醫護人員的提醒並提供正確諮詢,於生活中落實「包皮衛生」知識和做法,以減少不必要的包皮醫療問題發生。 |
英文摘要 | The preputial hygiene is always an ignored item to boys. The study is to remind the medical practitioners to avoid unnecessary surgery and to collect the useful data about preputial hygienic practice. This survey contained 890 subjects during 90-03-01 and 90-11-30, but just 433 parents, who accepted their boys enrolled into this study to fill in a guestionnaire and to receive external genital organs examination. The results indicated that the boys learned preputial hygienic knowledge mainly from their parents (77.8%), school teachers (26.9%)and medical practitioners (21.8%). The averaged score of the boy's hygienic perception is 3.41±1.70(with the full score 6), indicating that there is still room for educating the boys how to care about genital hygiene. For the genital organ evaluation, 7.6% of boys were circumcised, 36.3% of boys had foreskin adhesion, 13.2% of boys had smegma accumulation, 56.8% of boys had easily retractable foreskin, 38.3% of boys had normal degree of phimosis , and 60.3% of boys had normal coronary cleanliness. We use Chi-square test to assess the correlations-- the preputial cleaning frequency was correlated with degree of phimosis but not related to coronary cleanliness. There were also significiant correlations of the circumcision with the degree of phimosis, preputial retractability and coronary cleanliness. The preputial hygienic perception was related to cleaning frequency with one-way ANOVA analysis. Our conclusion: Although most of the boys surveyed cleaned their own foreskins daily and were aware of their hygienic problems, their genital hygienic knowledge still need to be enhanced. The boys' perception on preputial hygiene does influence their cleaning frequency. But the appropriate clearning practice plays more important role on the cleanliness of preputium penis than the mere frequency itself. We must strengthen and correct the boys' and parents' hygienic practice and perception, to implement the important role of school education and medical consulation so as to reduce the unnecessary preputial medical problems. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。