文章摘要

门诊健康教育对居家隔离手足口病患儿家长认知行为和心理健康的影响

作者: 1徐慧蓉, 2杨璐, 2杨思敏, 1沈建丽, 3汪蓉
1 成都市第六人民医院儿科,成都 610051
2 成都市第六人民医院护理部,成都 610051
3 成都医学院第二附属医院·核工业四一六医院儿科,成都 610051
通讯: 汪蓉 Email: 369978203@qq.com
DOI: 10.3978/j.issn.2095-6959.2020.07.028
基金: 四川省护理学会护理科研课题(h18015)。

摘要

目的:探讨门诊健康教育对居家隔离手足口病(hand-foot-mouth disease,HFMD)患儿家长认知行为和心理健康的影响。方法:选取100例居家隔离HFMD患儿及其家长为研究对象,采用计算机随机分组软件分为对照组和观察组各50例。对照组给予传统模式的门诊健康教育,观察组在传统模式健康教育基础上,更加注重和充分发挥家长在HFMD患儿居家隔离的作用,开展一系列干预措施完善对患儿家长的门诊健康教育质量,均随访观察4周。比较两组患儿HFMD症状体征缓解情况,通过末次随访问卷调查等形式重点评估两组患儿家长干预前后HFMD的认知情况和遵医行为执行情况,采用焦虑自评量表(Self-Rating Anxiety Scale,SAS)、抑郁自评量表(Self-Rating Depression Scale,SDS)评估患儿家长的心理健康状况。结果:观察组HFMD患儿体温恢复正常、疱疹消退和食欲改善时间均显著短于对照组,差异有统计学意义(P<0.05);两组患儿家长干预4周后对“HFMD传播途径”“消毒隔离”“疱疹护理”“病情观察”“并发症预防”5项的认知评分均有显著提高(P<0.05),且观察组患儿家长干预4周后上述评分均高于对照组,差异有统计学意义(P<0.05);观察组患儿家长干预4周后“消毒隔离措施”“饭前便后洗手”“餐具被褥卫生”“居家开窗通风”行为遵医率均明显高于对照组,差异有统计学意义(P<0.05);两组患儿家长干预4周后SAS和SDS评分均较干预前明显下降(P<0.05),观察组患儿家长干预后SAS、SDS评分显著低于对照组,差异有统计学意义(P<0.05)。结论:重视家长在HFMD患儿居家隔离的主体作用,采取系列措施完善家长门诊健康教育质量,有助于缓解患儿症状体征,提高患儿家长疾病认知水平、居家隔离行为遵医率和改善心理健康状况。
关键词: 手足口病;居家隔离;家长;门诊健康教育;认知行为;心理健康

Influence of outpatient health education on cognitive behavior and mental health of parents of isolated children with HFMD

Authors: 1XU Huirong, 2YANG Lu, 2YANG Simin, 1SHEN Jianli, 3WANG Rong
1 Department of Pediatrics, Chengdu Sixth People’s Hospital, Chengdu 610051, China
2 Department of Nursing, Chengdu Sixth People’s Hospital, Chengdu 610051, China
3 Department of Pediatrics, 2nd Affiliated Hospital of Chengdu Medical College, Nuclear Industry 416 Hospital, Chengdu 610051, China

CorrespondingAuthor: WANG Rong Email: 369978203@qq.com

DOI: 10.3978/j.issn.2095-6959.2020.07.028

Foundation: This work was supported by Nursing Research Project of Sichuan Nursing Society Foundation, China (h18015).

Abstract

Objective: To explore the influence of outpatient health education on cognitive behavior and mental health of parents of children with hand-foot-mouth disease (HFMD). Methods: A total of 100 HFMD children and their parents were selected as the study objects. The software of computer random grouping was used to divide them into a control group and an observation group. The control group was given the traditional outpatient health education. The observation group paid more attention to and gave full play to the role of parents in the home isolation of HFMD children on the basis of the traditional health education. A series of intervention measures were carried out to improve the quality of outpatient health education for parents of HFMD children, all of which were followed up for 4 weeks. Compared with the remission of symptoms and signs of HFMD in the 2 groups, the cognitive status and compliance behavior of parents of the 2 groups before and after the intervention were mainly evaluated by the last follow-up questionnaire survey. The mental health status of parents of the two groups was evaluated by Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS). Results: The recovery of body temperature, disappearance of herpes and improvement of appetite of HFMD children in the observation group were significantly shorter than those in the control group (P<0.05). After 4 weeks of parent intervention, the cognitive scores of “HFMD transmission pathway” “disinfection and isolation” “herpes care”, “disease observation” and “complication prevention” in the 2 groups were significantly improved (P<0.05), and the above scores in the observation group were higher than those in the control group (P<0.05). The compliance rates of “disinfection and isolation measures” “washing hands before and after meals” “tableware and bedding hygiene” and “opening windows and ventilation at home” in the observation group were significantly higher than those in the control group (P<0.05). After 4 weeks of intervention, the scores of SAS and SDS in the parents of the two groups were significantly lower than those before intervention (P<0.05). After the intervention, the scores of SAS and SDS in the parents of the observation group were significantly lower than those in the control group (P<0.05). Conclusion: To pay attention to the main role of parents in home-based isolation of children with HFMD, and to take a series of measures to improve the quality of health education of parents’ outpatient service are helpful to alleviate children’s symptoms and signs, improve children’s parents’ disease cognition level, the compliance rate of home-based isolation behavior and improve mental health.
Keywords: hand-foot-mouth disease; home isolation; parents; outpatient health education; cognitive behavior; mental health

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