手足口病住院患儿家属行个性化健康教育对医疗纠纷的影响分析

Influence analysis of personalized health education on medical disputes a-mong family members of hospitalized children with hand, foot and mouth disease

目的探讨手足口病(HFMD)住院患儿家属个性化健康教育对医疗纠纷的影响。方法选取2017年9月~2018年6月我院治疗的106例HFMD住院患儿,依据随机对照原则分为A和B组,每组各53例。每例患儿均指定一名家属为照顾者,共计106例家属纳入研究。B组对家属实行常规健康教育。A组对家属实行个性化健康教育。观察患儿家属对疾病的认知水平、患儿家属对疾病的卫生行为依从情况、住院时间、护理满意度。结果A组患儿家属对疾病的认知率高于B组,差异有统计学意义(P<0.05);A组患儿家属对疾病的卫生行为依从性高于B组,差异有统计学意义(P<0.05);A组住院时间短于B组,差异有统计学意义(P<0.05);A组护理总满意度高于B组,差异有统计学意义(P<0.05)。A组和B组患儿均未发生医疗纠纷,两组的医疗纠纷发生率比较,差异无统计学意义(P>0.05)。结论个性化健康教育对HFMD住院患儿家属认知及行为有积极的影响,对减少医疗纠纷有积极作用。

Objective To explore the influence of personalized health education on medical disputes among family members of hospitalized children with hand,foot and mouth disease(HFMD).Methods A total of 106 hospitalized children with HFMD treated in our hospital from September 2017 to June 2018 were selected.According to the principle of randomized control,they were divided into group A and group B,53 cases in each group.One family member was designated as caregiver for each child.A total of 106 family members were included in the study.Group B the family members were given routine health education.Group A was given personalized health education for family members.The cognitive level of the family members of the children to the disease,the compliance of the family members to the health behavior of the disease,hospitalization time and nursing satisfaction were observed.Results The cognitive rate of family members of group A was higher than that of group B,the difference was statistically significant(P<0.05).The compliance of family members of group A was higher than that of group B,the difference was statistically significant(P<0.05).The hospitalization time of group A was shorter than that of group B,the difference was statistically significant(P<0.05).The total nursing satisfaction of group A was higher than that of group B,the difference was statistically significant(P<0.05).There was no medical dispute between group A and group B,there was no significance difference in the incidence of medical disputes between the two groups(P>0.05).Conclusion Personalized health education has a positive effect on the cognition and behavior of family members of hospitalized children with HFMD and has a positive effect on reducing medical disputes.