健康教育对门诊手足口患儿家属心理状态及其应对方式的影响

The effect of health education on family member 's psychological statusofchildren with hand foot and mouth disease and their coping style

目的探讨健康教育对门诊手足口患儿家属心理状况及其应对方式的影响。方法将门诊手足口患儿家属随机分成对照组和健康教育组。对照组按常规治疗及常规护理,健康教育组在对照组基础上进行健康教育,采用症状自评量表(SCL-90)和应对方式问卷对比分析健康教育前后患儿家属心理症状改变情况及应对方式的改变。结果健康教育后患儿家属的焦虑、抑郁、强迫、恐怖、偏执、躯体化、精神病性、人际敏感等方面与对照组相比较均得到改善(P<0.05)。健康教育组积极应对方式得分高于对照组,而消极应对方式得分低于对照组,且差异有统计学意义(P<0.05)。结论针对性的健康教育可有效帮助门诊手足口患儿家属建立良好的心理状况和积极的应对方式,有利于提高患儿的治疗效果。

Objective This paper was to explore the effect of health education on family member＇ spsyehological statusof children with hand foot mouth diseaseand their coping style. Methods The family members of outpatient children with hand foot mouth disease were randomly divided into control group and health education group. The patients in health education group received health education while the patients in the control group receiving routine treatment and nursing care. The parents were investigated with Symptom Checklist -90 （SCL -90 ） and coping style scale, the changes of family member＇s psychological status and coping style were compared. Results After the intervention, compared with control group, there were significant improvement in the factor scores of anxiety, depression, obsessive - compulsive symptoms, terrorism, paranoia, somatization, psychiatric symptoms and interpersonal sensitivity in health education group （ P 〈 0. 05 ）. Score of positive coping style in health education group was higher than the control group, while the score of negative coping style was lower than the control group, the differences were statistically significant （ P 〈 0. 05 ）. Conclusions Health education can effectively help families of children with hand foot and mouth disease build positive coping styles andpsychological status and it would help to improve treatment effect of children.