摘要
目的探讨互联网式健康教育在提高手足口病患儿治疗依从性及患儿家长疾病认知度方面的应用效果。方法选取河南省某医院护理改进前(2014年3月-2015年3月)接受传统健康教育的手足口病患儿及其家长(每例患儿的家长仅1名被纳入)各160人为对照组,选取该医院护理改进后(2015年4月-2016年4月)接受互联网式健康教育的手足口病患儿及其家长各160人为观察组。对照组接受传统健康教育,观察组接受互联网式健康教育。干预期间评估2组患儿的治疗依从性,比较2组患儿症状好转时间与痊愈时间,比较2组患儿家长干预前后的疾病认知度及干预后的健康教育满意度。结果观察组患儿的治疗依从性总分及饮食、服药、运动、行为4个方面的得分均高于对照组(P<0.05);观察组患儿的症状好转时间、痊愈时间均短于对照组(P<0.05)。干预前,2组患儿家长的疾病认知度得分比较,差异无统计学意义(P>0.05);干预后,2组患儿家长的疾病认知度得分均显著升高,且观察组得分升高幅度大于对照组,差异有统计学意义(P<0.05)。此外,观察组患儿家长对健康教育的满意度得分高于对照组(P<0.05)。结论互联网式健康教育可显著改善手足口病患儿的治疗依从性,提高患儿家长的疾病认知度,还可缩短患儿痊愈时间,减少患儿痛苦,值得临床推广。
Objective To assess the effectiveness of Internet-based health education in improving treatment compliance of children with hand-foot-mouth disease(HFMD)and their parents′knowledge level of the disease.Methods One hundred and sixty children with HFMD and their parents(only one parent of each child was included)who received traditional health education prior to the nursing reform(from March 2014 to March 2015)in a Henan hospital were included as the control group,while160children with HFMD and their parents who received Internet-based health education after the nursing reform(from April 2015 to April 2016)in the same hospital were included as the trial group.The treatment compliance was assessed during intervention,and time to symptom improvement and time to recovery were recorded.Moreover,the parents′knowledge level of HFMD before and after intervention as well as their satisfaction about health education after intervention were compared between the two groups.Results The overall treatment compliance score,as well as the diet,medication,exercise,and behavior sub-scores were significantly higher in the trial group than those in the control group(P<0.05).The time to symptom improvement and time to recovery were significantly shorter in the trial group than those in the control group(P<0.05).Before intervention,the parents′knowledge level of HFMD was similar between the two groups(P>0.05);after intervention,the knowledge level was significantly improved in both groups,but with much greater increase in the trial group(P<0.05).Besides,the parents′satisfaction level about health education was higher in the trial group than that in the control group(P<0.05).Conclusion Internet-based health education seems to be effective in improving treatment compliance of children with HFMD,enhancing their parents′knowledge level of the disease,and accelerating symptom improvement and recovery,which deserves widespread clinical application.
作者
张小改
Zhang Xiaogai(Department of Pediatrics, Xin′an People′s Hospital of Luoyang, Luoyang Henan 471800, Chian)
出处
《保健医学研究与实践》
2018年第6期28-30,39,共4页
Health Medicine Research and Practice
关键词
互联网健康教育
手足口病患儿
治疗依从性
家属行为认知
Internet-based health education
Hand-foot-mouth disease
Treatment compliance
Parents′ behavioral perception
