病毒性脑炎患儿家长照护知识需求程度的调查研究
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摘要
目的调查分析病毒性脑炎患儿家长照护知识需求程度。方法选取2015年7月至2018年3月于我院治疗的106例病毒性脑炎患儿家长作为研究对象,采用问卷调查的形式评估其照护知识需求程度,比较不同性别、年龄、文化程度、职业、居住地、社会支持程度、是否焦虑、抑郁、后遗症严重程度及后遗症发生情况对其照护知识需求程度的影响,将以上因素纳入多因素logistic回归分析,确定病毒性脑炎患儿家长照护知识需求程度的独立影响因素。结果 106例病毒性脑炎患儿家长照护知识需求程度较高、一般与较低者分别为61例、30例及15例,分别占57. 55%、28. 30%及14. 15%,其中不同年龄者的护理知识需求程度比较差异无统计学意义(P> 0. 05),不同性别、文化程度、职业、居住地、社会支持程度、是否焦虑抑郁、后遗症严重程度及后遗症发生情况者的护理知识需求程度比较差异有统计学意义(P <0. 05);多因素Logistic回归分析显示,女性、文化程度高中以上、工人、居住地为城镇、社会支持程度较高、无焦虑抑郁、后遗症严重程度低及无后遗症发生情况均是病毒性脑炎患儿家长照护知识需求程度的独立影响因素。结论病毒性脑炎患儿家长照护知识需求程度较高,影响因素较多,应给予充分重视,采取针对性护理干预对策。
Objective To investigate the nursing knowledge needs degree of parents whose children had viral encephalitis. Methods To select the parents of 106 children with viral encephalitis who were treated in our hospital from July 2015 to March 2018 as the study subjects. We used questionnaire survey to evaluate the nursing knowledge needs degree,and compared the influences of different genders,ages,education levels and occupations,the place of residences,the degrees of social support,whether anxiety,depression,the severity of sequelae and occurrence of sequelae on the degree of need for nursing knowledge. The above factors were included in multivariate logistic regression analysis to determine the independent influence factors for the nursing knowledge needs of parents whose children had viral encephalitis. Results Among the 106 parents whose child had viral encephalitis,61 parents' needs for nursing knowledge were high,30 parents' needs were general and 15 parents' needs were low,accounting for 57. 55%,28. 30% and 14. 15% respectively.There was no statistical significance in the comparative difference of parents with different ages for nursing knowledge needs( P > 0. 05). There were statistical significances in the differences of needs for nursing knowledge in parents with different genders,educational levels,occupations,places of residence,social support,anxiety or depression,severity of sequelae and occurrence of sequelae( P < 0. 05). Multivariate logistic regression analysis showed that women,education degree above high school,workers,urban residents,high social support,without anxiety and depression,low severity of sequelae and no sequelae occurrence were independent influencing factors for the degree of needs for nursing knowledge among parents whose child had viral encephalitis.Conclusion Parents who have child with viral encephalitis have higher needs for nursing knowledge. The influencing factors are multiple,so that we need to pay full attention to this and take targeted nursing interventions.
Objective To investigate the nursing knowledge needs degree of parents whose children had viral encephalitis. Methods To select the parents of 106 children with viral encephalitis who were treated in our hospital from July 2015 to March 2018 as the study subjects. We used questionnaire survey to evaluate the nursing knowledge needs degree,and compared the influences of different genders,ages,education levels and occupations,the place of residences,the degrees of social support,whether anxiety,depression,the severity of sequelae and occurrence of sequelae on the degree of need for nursing knowledge. The above factors were included in multivariate logistic regression analysis to determine the independent influence factors for the nursing knowledge needs of parents whose children had viral encephalitis. Results Among the 106 parents whose child had viral encephalitis,61 parents' needs for nursing knowledge were high,30 parents' needs were general and 15 parents' needs were low,accounting for 57. 55%,28. 30% and 14. 15% respectively.There was no statistical significance in the comparative difference of parents with different ages for nursing knowledge needs( P > 0. 05). There were statistical significances in the differences of needs for nursing knowledge in parents with different genders,educational levels,occupations,places of residence,social support,anxiety or depression,severity of sequelae and occurrence of sequelae( P < 0. 05). Multivariate logistic regression analysis showed that women,education degree above high school,workers,urban residents,high social support,without anxiety and depression,low severity of sequelae and no sequelae occurrence were independent influencing factors for the degree of needs for nursing knowledge among parents whose child had viral encephalitis.Conclusion Parents who have child with viral encephalitis have higher needs for nursing knowledge. The influencing factors are multiple,so that we need to pay full attention to this and take targeted nursing interventions.
引文
[1]胡文静,杨理明,廖红梅,等.小儿重症病毒性脑炎临床特点、预后及其相关因素分析[J].中国感染控制杂志,2018,17(3):241-242.
[2]任红,郭亚娟,王利,等.对病毒性脑炎患儿家长实施心理护理后对患儿的影响[J].国际精神病学杂志,2016,43(5):948-950.
[3]刘显会,张罡.重症病毒性脑炎患儿家长情绪与社会支持的相关性分析[J].中国妇幼健康研究,2018,29(7):848-852.
[4]边瑞军,孙文环.综合性康复护理对病毒性脑炎患儿临床疗效及护理满意度的影响[J].实用临床医药杂志,2015,19(16):106-109.
[5]徐群,王雪,牟馨.康复护理应用于小儿重症病毒性脑炎护理中的临床效果探讨[J].齐齐哈尔医学院学报,2016,37(6):810-811.
[6]朱秋菊.脑瘫儿童家长心里状况的调查分析及护理对策[J].中国伤残医学,2016,24(7):134-135.
[7]Mithu Medhi,Lahari Saikia,Saurav Jyoti Patgiri,et al.Incidence of Japanese Encephalitis amongst acute encephalitis syndrome cases in upper Assam districts from 2012 to 2014:A report from a tertiary care hospital[J].Indian J Med Res,2017,146(2):267-271.
[8]Stephen Ray,Ajit Rayamajhi,Laura J.Bonnett,et al.The interrater reliability and prognostic value of coma scales in Nepali children with acute encephalitis syndrome[J].Paediatr Int Child Health,2018,38(1):60-65.
[9]郑景仙.护理干预对小儿病毒性脑炎治疗效果的影响探析[J].中国医药导刊,2016,18(12):1289-1290.
[10]李艳,刘双云,熊华.早期系统化护理对病毒性脑炎患儿预后及生活质量的影响[J].护理实践与研究,2016,13(7):70-71.
[11]吴俊,贾秀英.延续性护理对重症病毒性脑炎后遗症儿童生存质量的影响[J].贵州医科大学学报,2017,42(2):244-246.
[12]李艳,刘双云,熊华.早期系统化护理对病毒性脑炎患儿预后及生活质量的影响[J].护理实践与研究,2016,13(7):70-71.
[13]陈潇,刘晓丹,张洪,等.儿科ICU患儿家长的需求及其影响因素[J].解放军护理杂志,2016,33(15):10-14.
[2]任红,郭亚娟,王利,等.对病毒性脑炎患儿家长实施心理护理后对患儿的影响[J].国际精神病学杂志,2016,43(5):948-950.
[3]刘显会,张罡.重症病毒性脑炎患儿家长情绪与社会支持的相关性分析[J].中国妇幼健康研究,2018,29(7):848-852.
[4]边瑞军,孙文环.综合性康复护理对病毒性脑炎患儿临床疗效及护理满意度的影响[J].实用临床医药杂志,2015,19(16):106-109.
[5]徐群,王雪,牟馨.康复护理应用于小儿重症病毒性脑炎护理中的临床效果探讨[J].齐齐哈尔医学院学报,2016,37(6):810-811.
[6]朱秋菊.脑瘫儿童家长心里状况的调查分析及护理对策[J].中国伤残医学,2016,24(7):134-135.
[7]Mithu Medhi,Lahari Saikia,Saurav Jyoti Patgiri,et al.Incidence of Japanese Encephalitis amongst acute encephalitis syndrome cases in upper Assam districts from 2012 to 2014:A report from a tertiary care hospital[J].Indian J Med Res,2017,146(2):267-271.
[8]Stephen Ray,Ajit Rayamajhi,Laura J.Bonnett,et al.The interrater reliability and prognostic value of coma scales in Nepali children with acute encephalitis syndrome[J].Paediatr Int Child Health,2018,38(1):60-65.
[9]郑景仙.护理干预对小儿病毒性脑炎治疗效果的影响探析[J].中国医药导刊,2016,18(12):1289-1290.
[10]李艳,刘双云,熊华.早期系统化护理对病毒性脑炎患儿预后及生活质量的影响[J].护理实践与研究,2016,13(7):70-71.
[11]吴俊,贾秀英.延续性护理对重症病毒性脑炎后遗症儿童生存质量的影响[J].贵州医科大学学报,2017,42(2):244-246.
[12]李艳,刘双云,熊华.早期系统化护理对病毒性脑炎患儿预后及生活质量的影响[J].护理实践与研究,2016,13(7):70-71.
[13]陈潇,刘晓丹,张洪,等.儿科ICU患儿家长的需求及其影响因素[J].解放军护理杂志,2016,33(15):10-14.