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【目的】 了解健康教育干预在城区小儿腹泻病家庭治疗管理中的作用。【方法】 采用前瞻性调查研究,对干预组110 例5 岁以下腹泻患儿看护人进行腹泻病知识信息传播和治疗行为干预等健康教育,对照组仅接受常规治疗与咨询。干预前后采用自行设计的统一调查表,调查两组看护人的知识、态度、行为及腹泻再发率。【结果】 干预组经干预后看护人腹泻病知识合格率有不同程度提高,相关治疗行为也有不同程度改善,其中,腹泻后减少母乳喂养者由26 .5 % 降至2 .9 % ,正确配制ORS 者由6 .9 % 升至80 .4 % ,戒口率由95 .1 % 降至55 .9 % ;腹泻病再发率干预组为6 .86 % ,对照组为19 .16 % ,干预组明显低于对照组,差异有显著性意义。【结论】 城市腹泻病家庭治疗中存在的问题亟待解决,健康教育干预可明显改善腹泻病看护人的知识、态度、行为,并降低腹泻病再发率。
【Objective】 To understand the role of health education intervention in family therapy of infantile diarrhea in urban areas. 【Methods】 A prospective investigation was conducted to investigate the health education of 110 cases of children with diarrhea under 5 years of age who were treated with knowledge and information dissemination of diarrheal diseases and treatment behavior intervention. The control group received only routine treatment and counseling. Before and after intervention, a self-designed questionnaire was used to investigate the knowledge, attitude, behavior and rate of recurrence of caregivers in both groups. [Results] After the intervention, the pass rate of knowledge about diarrhea in the caregivers increased to some extent, and the related treatment behaviors also improved to some extent. Among them, those who reduced breastfeeding after diarrhea were 26. 5% down to 2. 9%, the correct preparation of ORS by 6. 9% rose to 80. 4%, ring mouth rate from 95. 1% down to 55. 9%; diarrhea recurrence rate was 6 in the intervention group. 86% in the control group and 19 in the control group. 16%, the intervention group was significantly lower than the control group, the difference was significant. 【Conclusion】 The problems in family therapy of urban diarrhea need to be solved urgently. Health education intervention can significantly improve the knowledge, attitude and behavior of caregivers of diarrheal diseases and reduce the recurrence rate of diarrhea.