Hp相关性胃炎患儿家属防治知信行调查及个体化跟踪式管理

Investigation of knowledge,attitude and practice of prevention and treatment among family members of children with Hp-associated gastritis and individualized follow-up management

目的:调查幽门螺杆菌(Hp)相关性胃炎患儿家属防治知信行(KAP)情况,并探究对其实施个体化跟踪式管理的临床作用。方法:选取126例Hp相关性胃炎患儿,分为对照组和观察组各63例,对照组患儿家属给予常规管理,观察组患儿家属给予个体化跟踪式管理。比较两组患儿及家属管理前后的临床指标。结果:Hp相关性胃炎患儿家属防治知识、信念、行为总及格率分别为62.70%、78.57%、70.63%;女性、年龄<40岁、高中及以上文化程度患儿家属的防治KAP及格率高于男性、年龄≥40岁、初中及以下文化程度患儿家属(P<0.05)。管理后两组患儿家属的KAP评分、家庭管理量表(FaMM)评分均升高(P<0.05),且观察组高于对照组(P<0.05);观察组管理后的遵医率(92.60%)高于对照组(77.78%)(P<0.05);观察组患儿的疾病复发率(6.35%)和再住院率(3.17%)均低于对照组(20.63%和15.87%)(P<0.05);两组患儿家属管理前的感染率比较差异无统计学意义(P>0.05),管理后观察组家属Hp根除率高于对照组(P<0.05)。结论:Hp相关性胃炎患儿家属防治KAP现状欠佳,个体化跟踪式管理具有较好的临床效果。

Objective:To investigate knowledge,attitude and practice(KAP)of prevention and treatment among family members of children with Helicobacter pylori(Hp)associated gastritis and evaluate the clinical effect of individualized follow-up management.Methods:126 children with Hp-associated gastritis were included,and divided into control group and observation group(n=63 in each group).The family members of the control group were given routine management,and those of the observation group were given individualized follow-up management.Clinical indexes of two groups before and after management were compared.Results:The total pass rates of basic knowledge,attitude and behavior of family members of children with Hp-associated gastritis were 62.70%,78.57%and 70.63%respectively.KAP pass rates of female,age<40 years old,family members with senior middle school education and above were higher than those of male,age≥40 years old,members with junior middle school and below(P<0.05).After management,KAP score and family management measure(FaMM)score of family members in two groups increased(P<0.05),and those of the observation group were higher than those of the control group(P<0.05).The compliance rate of the observation group after management(92.60%)was higher than that of the control group(77.78%)(P<0.05).The recurrence rate(6.35%)and readmission rate(3.17%)of children in the observation group were lower than those in the control group(20.63%and 15.87%)(P<0.05).There was no significant difference in the infection rate of family members in two groups before management(P>0.05),but the Hp eradication rate of family members in the observation group after management was higher than that in the control group(P<0.05).Conclusion:The KAP status of family members of children with Hp-associated gastritis is not good,and individualized follow-up management has good clinical effects.