以家庭为中心的健康教育干预对自身免疫性疾病患儿治疗效果的影响研究

Research on the impact of family-centered health education intervention on the treatmenteffect of children with autoimmune diseases

目的 探讨针对自身免疫性疾病(AD)患儿实施以家庭为中心的健康教育干预的效果。方法 选择2020年4月至2022年2月该科收治的AD患儿120例,按随机数字表法分为2组。对照组60例患儿实施常规护理,观察组60例患儿在此基础上实施以家庭为中心的健康教育,2组均随访6个月。对比2组患儿治疗依从性、家属健康认知、发病频次及家属满意度。结果 观察组患儿护理后治疗依从性评分[(5.69±1.10)分]高于对照组[(4.12±0.86)分],家属健康认知中的疾病发生原因、治疗措施及预后注意事项各方面评分[分别为(80.89±7.60)、(81.88±7.74)、(79.85±8.14)分]均高于对照组[分别为(76.74±6.78)、(77.71±7.22)、(76.15±7.64)分],出院6个月后发病频次[(3.11±0.43)次]低于对照组[(3.38±0.65)次],差异均有统计学意义(P<0.05);观察组家属满意度(95.00%)高于对照组(83.33%),差异有统计学意义(P<0.05)。结论 以家庭为中心的健康教育干预能够提升AD患儿家属健康认知及患儿治疗依从性,减少发病频次,利于预后,家属满意度较高。

Objective To explore the effect of family-centered health education intervention on children with autoimmune diseases(AD).Methods A total of 120 children with AD admitted to this department from April 2020 to February 2022 were selected and divided into two groups according to the random number table method.The control group included 60 children who received routine nursing,while the observation group included 60 children who received family-centered health education on top of routine nursing.Both groups were followed up for 6 months.The treatment adherence,family health knowledge,frequency of disease onset,and family satisfaction were compared between the two groups.Results The treatment adherence score of the observation group[(5.69±1.10)points]was higher than that of the control group[(4.12±0.86)points].The scores of the family′s health knowledge,including causes of disease occurrence,treatment measures,and precautions for prognosis[(80.89±7.60),(81.88±7.74),and(79.85±8.14)points,respectively],were all higher than those of the control group[(76.74±6.78),(77.71±7.22),and(76.15±7.64)points,respectively].The frequency of disease onset at 6 months after discharge[(3.11±0.43)times]was lower than that of the control group[(3.38±0.65)times],and the differences were statistically significant(P<0.05).The family satisfaction rate in the observation group(95.00%)was higher than that in the control group(83.33%),and the difference was statistically significant(P<0.05).Conclusion Family-centered health education intervention can improve the health knowledge of families and the treatment adherence of children with AD,reduce the frequency of disease onset,benefit prognosis,and achieve higher family satisfaction.