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中華民國泌尿科醫學會雜誌

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篇名 國小男童之包皮衛生習慣與認知
卷期 13:2
並列篇名 Preputial Hygienic Practices and Perceptions of Junior-high-school Boys
作者 蘇健裕尹亞蘭
頁次 051-056
關鍵字 包皮衛生習慣認知國小男童prepucehygienic practiceperceptionjunior-high-school boyTSCI
出刊日期 200206

中文摘要

研究目的:為了解國小男童的包皮衛生習慣與衛生認知,並給予家長、學童及醫護人員適當的照顧建議。材料與方法:自2001年3月1日至2001年8月31日,有許多國小高年級男童被隨機取樣而納入本研究。男童們皆被要求填寫一份問卷,問卷內容可分為兩部份:填寫者的基本資料;填寫者對包皮衛生的認知問答(共有六個題目)及知識來源。最後再以t-test與one-way ANOVA方法來進行統計分析。結果:共有848份問卷被收集來做分析,其中男童有91.7%為自已清洗包皮,每天清洗一次者佔68.9%,有18.2%的比例已接受過割包皮手術。手術的原因最常見是”無特殊原因,但醫師建議”(37.1%),而家長認為要割包皮的原因則以預防感染(84.4%)為主。男童包皮衛生知識主要來自父母(75.4%)、老師(26.3%)及醫護人員(20.8%)。滿分6分的認知題目中,平均得分為3.50±1.73分。統計學部份可確認年齡、包皮清洗頻次與有否割包皮皆與衛生之認知有相關(p<0.01)。結論:大多數的國小男童都已知道要維護自已的包皮衛生,但衛生的認知程度則有待加強。我們相信良好的衛生要求可如割包皮一樣預防包皮問題的發生,但是適當的包皮衛生維護對於未割包皮者而言也許是略有困難,因此,我們從醫療、衛生及教育方面來提供建言。

英文摘要

OBJECTIVE: To understand the preputial hygienic practices and perceptions of Taiwanese junior-high-school boys and to determine what adequate advice should be given to parents, the boys, and medical practiotioners. MATERIALS AND METHODS: Many junior-high-school boys were randomized and enrolled into our study from March 1 to August 31, 2001. They were asked to fill in a questionnaire, which was divided into 2 major parts, including the participant’s baseline data, the subject’s preputial hygienic perceptions (a total of 6 questions), and the origins of genital hygienic information of these boys. Data sheets were collected, and t-test analysis and one-way ANOVA methods were used to assess the correlations between reported hygienic practices and perceptions. RESULTS: In total, 848 questionnaires were collected for analysis. The subjects’ ages were between 10and 13 years old; 91.7% of boys cleaned the prepuce by themselves; 68.9% of boys cleaned their foreskin everyday; and 18.2% of boys were previously circumcised. The most common reason for circumcision was “no special problem but on the suggestion of the physician” (37.1%); the reason that parents favored circumcision for their boys was “to prevent infection”. Boys received their genital hygienic knowledge from their parents (75.4%), teachers (26.3%), and medical practitioners (20.8%). The average score of the 6 questions was 3.50±1.73. As to outcomes, there was a significant difference between age and the hygienic perceptions, cleaning frequency and hygienic perceptions, and circumcision and hygienic perceptions (p<0.01). CONCLUSIONS: Most boys know how to care for their own preputial hygiene, although the hygienic perceptions of boys were not excellent. We believe that good hygienic standards can prevent penile problems as well as situations requiring circumcision. Perhaps it may be difficult to ensure the adequate genital hygiene in uncircumcised boys, so we provide some recommendations on the medical, hygienic, and educational aspects to parents, boys, and medical practitioners.