广州市部分医院小儿腹泻病治疗现状及干预效果评价

ERALUATING THE ACTUALITIES OF AND HEALTH EDUCATIONAL INTERVENTION EFFECTS ON TREATMENT OF INFANTILE DIARRHEA DISEASE IN PART OF HOSPITALS IN GUANGZHOU CITY

目的 :了解基层医院小儿腹泻病治疗现状 ,并进行健康教育干预效果分析。方法 :将 17个观察点 10 0名医务人员随机分为干预组和对照组 ,干预组接受腹泻病防治新观念的健康教育 ,对照组不予干预 ,干预前后采用统一调查表调查两组医务人员知识、态度、行为。结果 :干预组医务人员干预后平均知识分数较干预前及对照组明显增加 ,ORS使用率明显增加 ;静脉输液率、抗生素使用率、抗腹泻药使用率明显下降 ;医务人员给看护人建议增加 ,差异有显著性意义。结论 :小儿腹泻病治疗现状中存在问题不容忽视 ,健康教育干预可明显改善临床腹泻病治疗管理。

Objective: To understand the actualities of treatment of diarrhea disease in children and then give health education intervention and evaluate its effects. Methods: 100 health workers from 17 observation stations were assigned to intervention group or control group randomly. The intervention group received health education while the control group did not. Questionnaires were designed to investigate the knowledge, attitude and practice of health workers in both groups before and after intervention. Results: After intervention, knowledge scores of health workers were higher in intervention group than in control group. The rate of ORS usage was increased. The application rate of intravenous infusion, antibiotics and antidiarrhea drugs were decreased obviously, the health workers' advice to caretakers increased. The differences were statistically significant (P<0.05). Conclusion: The problems in present clinical case management of diarrhea disease can't be neglected. Health education can improve the case management of diarrhea diseases in clinic.