基于ARNE项目的多元化健康教育对特应性皮炎患儿家长的干预研究

Intervention study about the Diversified Health Education based on ARNE Project in children with atopic dermatitis

目的:明确基于ARNE项目的多元化健康教育对特应性皮炎患儿和家长的干预效果。方法:选取0~2岁AD患儿和家长为研究对象,共计120例,随机分为干预组和对照组,每组60例。对照组患儿和家长接受常规诊疗活动并由接诊医生进行健康指导和答疑,干预组在接受门诊医生常规健康指导和答疑基础上由3名接受过统一培训的护师实施基于ARNE项目的多元化健康教育方案,两组干预前后使用SCORAD评分、DFI、IDQOL及《特应性皮炎防治知识调查问卷》评价干预效果。结果:干预组有效例数59例,对照组有效例数57例,干预后干预组SCORAD评分、IDQOL评分、DFI评分分别为21.57±2.42,8.20±2.54,6.67±1.52,低于对照组的26.46±3.84,13.79±1.73,10.28±2.21,差异均有统计学意义(P<0.05),干预组知识问卷得分20.75±1.67高于对照组的16.28±2.39,差异有统计学意义(P=0.029)。结论:本研究基于ARNE项目制定的多元化健康教育方案在改善AD患儿和家属生活质量方面有重要意义。

Objective:To determine the effect of the diversified health education based on ARNE in children with atopic dermatitis and their parents.Methods:Totally 120 cases with pediatric atopic dermatitis were randomized into an observation group(n=60)and a control group(n=60).The control group received routine health education while the observation group received health education based on ARNE project.After 30 days of intervention,the scoring atopic dermatitis index(SCORAD),the dermatitis family impact questionnaire(DFI),infant dermatitis quality of life(IDQOL)and the self-designed knowledge scale were used to assess the patients and their parents.Results:There were 59 valid cases in the observation group and 57 in the control group.After intervention,the score of SCORAD,IDQOL and DFI in the intervention group were 21.57±2.42,8.20±2.54,6.67±1.52,which were lower than those in the control group(26.46±3.84,13.79±1.73,10.28±2.21),with significant differences(P<0.05).The score of knowledge scale in the intervention group was 20.75±1.67,which was higher than that of control group(16.28±2.39),with a significant difference(P=0.029).Conclusion:The diversified health education based on ARNE could improve both children s and their parents quality of life.