图文式健康教育对学龄重型地中海贫血患儿治疗依从性及并发症发生率的影响
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摘要
[目的]探讨图文式健康教育对学龄重型地中海贫血患儿治疗依从性及并发症发生率的影响。[方法]选取本院血液内科收治的重型地中海贫血患儿45例,根据随机数字表法将患儿分为对照组22例及观察组23例,对照组治疗期间行常规性健康教育,观察组治疗期间实施图文式健康教育,比较两组患儿干预前后自我效能、心理状况及疾病知识水平的变化,并记录两组治疗依从率、并发症发生率及家属满意率情况。[结果]观察组患儿干预后自我效能及疾病知识评分高于对照组(P<0.05),而患儿抑郁自评量表(CDI)评分、儿童焦虑量表(SCAS)评分较对照组明显下降(P<0.05)。观察组治疗依从率、家属满意率明显高于对照组(P<0.05),而并发症发生率明显低于对照组(P<0.05)。[结论]图文式健康教育能有效提高学龄重型地中海贫血患儿自我效能及疾病知识水平,减轻患儿焦虑感及抑郁感,提高患儿遵医行为,降低患儿并发症,有利于促进患儿预后,提高家属满意率。
Objective:To explore the effect of graphic health education on the compliance of treatment and the incidence of complications in school-age children with thalassemia major.Methods:45 cases of patients with thalassemia major were randomly divided into a control group(n=22)and an observation group(n=23)according to a random number table from December 2015 to December 2017.The control group was received with routine treatment during the treatment period and observation group was received with performed graphical and graphical health education during the treatment period.The changes of self-efficacy,psychological status,and disease knowledge before and after the intervention of two groups were compared.The treatment compliance rates,incidence of complications and satisfaction of family members of the two groups were recorded.Results:The scores of self-efficacy and disease knowledge of observation group were higher than control group(P<0.05),while the scores of the depression self-assessment scale(CDI)and the children′s anxiety scale(SCAS)of observation group were significantly lower than control group(P<0.05).The treatment compliance rate and family satisfaction rate of observation group were significantly higher than control group(P<0.05),and complication rate was lower than control group(P<0.05).Conclusions:Graphical health education can effectively improve the self-efficacy and disease knowledge of children with thalassemia major in school age,relieve anxiety and depression in children,improve the compliance behavior of children,reduce the complications of children,and promote the development of children.Prognosis,improve family satisfaction.
Objective:To explore the effect of graphic health education on the compliance of treatment and the incidence of complications in school-age children with thalassemia major.Methods:45 cases of patients with thalassemia major were randomly divided into a control group(n=22)and an observation group(n=23)according to a random number table from December 2015 to December 2017.The control group was received with routine treatment during the treatment period and observation group was received with performed graphical and graphical health education during the treatment period.The changes of self-efficacy,psychological status,and disease knowledge before and after the intervention of two groups were compared.The treatment compliance rates,incidence of complications and satisfaction of family members of the two groups were recorded.Results:The scores of self-efficacy and disease knowledge of observation group were higher than control group(P<0.05),while the scores of the depression self-assessment scale(CDI)and the children′s anxiety scale(SCAS)of observation group were significantly lower than control group(P<0.05).The treatment compliance rate and family satisfaction rate of observation group were significantly higher than control group(P<0.05),and complication rate was lower than control group(P<0.05).Conclusions:Graphical health education can effectively improve the self-efficacy and disease knowledge of children with thalassemia major in school age,relieve anxiety and depression in children,improve the compliance behavior of children,reduce the complications of children,and promote the development of children.Prognosis,improve family satisfaction.
引文
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[12]陈丽斐,梁焕兰,程建萍,等.图文手册联合阶段式健康教育在冠脉介入诊疗术患者中的应用[J].齐鲁护理杂志,2015,21(19):119-121.
[13]王文娟,金建岳,罗惠倩,等.图文式健康教育路径在绝经后骨质疏松症患者中的应用价值[J].中华现代护理杂志,2014,20(31):3944-3947.
[14]何志旭,金姣.地中海贫血的规范化管理[J].中华实用儿科临床杂志,2017,32(3):168-172.
[15]孙晓蓓,王巧桂.图文式健康教育对老年股骨粗隆间骨折患者术后功能恢复的影响[J].中华现代护理杂志,2015,21(22):2642-2644.
[2]陆青梅,韦桂源,班亮阶,等.护理干预对重型β-地中海贫血患儿家长社会支持及遵医行为的影响[J].中国实用护理杂志,2016,32(14):1076-1078.
[3]闻锦琼,林怡,王英姿,等.重型β-地中海贫血患儿治疗依从性与并发症发生关系分析[J].现代临床护理,2014,2(6):43-45.
[4]唐茜,傅荣,周菲菲,等.图文式健康教育路径对间质性肺病患者护理效果的影响[J].国际护理学杂志,2015,34(8):1095-1097.
[5]中华医学会儿科学分会血液学组.地中海贫血诊断标准及治疗指南[J].中华儿科杂志:2010,48(3):58-59.
[6]施俊琦,王垒.一般性自我效能量表的信效度检验[J].中国心理卫生杂志,2005,19(3):191-193.
[7]王君,张洪波,胡海利,等.儿童抑郁量表信度和效度评价[J].现代预防医学,2010,37(9):1642-1645.
[8]吴庆兴.儿童焦虑研究评述[J].校园心理,2011,9(5):351-352.
[9]潘丽华,雷永红,韦慧,等.重型地中海贫血患儿的家庭护理指导[J].中国实用护理杂志,2014,30(2):1-2.
[10]徐志芳,牛业来.地中海贫血目标人群知信行现状与健康教育研究进展[J].护理研究,2014,28(9C):3338-3339.
[11]徐志芳,冯锦贤,李晓霞,等.综合健康教育对地中海贫血患儿家属知信行及心理状况的影响[J].护理学报,2014,21(19):72-74.
[12]陈丽斐,梁焕兰,程建萍,等.图文手册联合阶段式健康教育在冠脉介入诊疗术患者中的应用[J].齐鲁护理杂志,2015,21(19):119-121.
[13]王文娟,金建岳,罗惠倩,等.图文式健康教育路径在绝经后骨质疏松症患者中的应用价值[J].中华现代护理杂志,2014,20(31):3944-3947.
[14]何志旭,金姣.地中海贫血的规范化管理[J].中华实用儿科临床杂志,2017,32(3):168-172.
[15]孙晓蓓,王巧桂.图文式健康教育对老年股骨粗隆间骨折患者术后功能恢复的影响[J].中华现代护理杂志,2015,21(22):2642-2644.