基于微信平台的健康宣教对降低川崎病患儿父母疾病不确定感的影响(1)
[摘要] 目的 探讨基于微信平台的健康宣教对降低川崎病患儿父母疾病不确定感的效果。 方法 选取我科2013年5月～2014年10月收治的70例川崎病患儿父母为研究对象，将其随机分为观察组和对照组，各35例。其中观察组采取基于微信平台的健康宣教；对照组采取常规护理模式。比较两组父母干预前后疾病不确定感、干预后疾病相关知识掌握情况及对健康宣教满意度情况。 结果 干预后观察组不确定感各维度评分及总分均明显降低，且低于同期对照组(P<0.05)；对照组疾病相关知识掌握程度及对健康宣教的满意度均明显低于观察组(P<0.05)。 结论 基于微信平台的健康宣教可显著降低川崎病患儿父母疾病不确定感，提升患儿父母对疾病相关知识的认知水平，提升对健康宣教的满意度，值得在临床中进一步推广。
[关键词] 川崎病；健康宣教；疾病不确定感；微信
[中图分类号] R473.5 [文献标识码] A [文章编号] 1674-4721(2016)04(b)-0183-04
[Abstract] Objective To explore the effect of health education based on WeChat platform on reduction of uncertainty in illness in parents whose children suffering from Kawasaki diseases. Methods From May 2013 to October 2014，70 children patients with Kawasaki diseases admitted into our hospital and their parents were selected as research objects and evenly divided into observation group and control group in random.In the observation group，health education based on WeChat was adopted，while in the control group，conventional nursing mode was used.The uncertainty in illness by parents before and after intervention，mastering of disease-related knowledge after intervention，and satisfaction on health education were compared between the two groups. Results After intervention，dimensional scores and total score of uncertainty in illness in the observation group were all significantly decreased，and lower than that in the control group respectively in the same period(P<0.05).In the control group，mastering degree of disease-related knowledge and satisfaction on health education in the control group was lower than that in the observation group respectively(P<0.05). Conclusion Health education based on WeChat can significantly decrease uncertainty in illness in parents whose children suffering from Kawasaki disease，increase the cognitive level of disease-related knowledge by their parents，and improve satisfaction on health education，which is worthy of further promotion in clinic.
[Key words] Kawasaki disease；Health education；Uncertainty in illness；WeChat
川崎病(Kawasaki disease，KD)是一种以全身血管炎为主要病理改变的急性出疹发热性疾病，患儿可伴有发热、出疹及皮肤黏膜改变等特异性临床表现[1]。随着诊疗技术的发展，非典型性川崎病患儿的数量也在持续增加[2]，KD是引起小儿后天性心脏病的主要诱发因素，若患儿未得到及时处理，可导致心肌梗死、缺血性心肌病甚至猝死等严重心血管并发症[3]。KD主要发病人群是2岁以内的婴幼儿，绝大多数父母缺乏足够与疾病相关信息与知识和疾病相关事务判断能力，在一定程度上导致患儿父母疾病不确定感的产生[4]，影响其正常的家庭生活、日常活动及对患儿症状的管理[5]。临床研究显示，给予合理的健康宣教，将有利于降低患儿父母的疾病不确定感。本研究建立基于微信平台的健康宣教管理模式，探讨其在川崎病患儿父母中的临床应用价值。
1 资料与方法
1.1 一般资料
选择2013年5月～2014年10月在我院儿科住院的KD患儿父母为研究对象。纳入标准：①父母为患儿的主要照顾者，且非单亲家庭；②身体健康状态良好，具备微信账号且熟练运用其功能；③患儿符合KD诊断标准[6]；④知情同意，并自愿参与本项研究。选择患儿的最主要照顾者角色(父亲或母亲)作为研究对象，共纳入70名(父亲或母亲)作为研究对象，采用随机数字表法将研究对象分为观察组和对照组，每组35例。其中观察组男11例，女24例；年龄22～32岁，平均(26.28±4.72)岁；教育背景：本科及以上学历14例，大专或高职16例，中专或初中5例；观察组患儿男14例，女21例；年龄1～4岁，平均 (2.43±0.62)岁；病程3～11 d，平均(7.29±3.93)d。对照组35例，男10例，女25例；年龄21～33岁，平均(27.18±4.68)岁；教育背景：本科及以上学历13例，大专或高职16例，中专或初中6例；对照组患儿男12例，女23例，年龄2～4岁，平均(2.41±0.36)岁；病程3～11 d，平均(7.43±3.01)d；两组患儿及父母的基本资料比较，差异无统计学意义(P>0.05)，具有可比性。, http://www.100md.com(冼建妹 卢建娣 周传恩)
[关键词] 川崎病；健康宣教；疾病不确定感；微信
[中图分类号] R473.5 [文献标识码] A [文章编号] 1674-4721(2016)04(b)-0183-04
[Abstract] Objective To explore the effect of health education based on WeChat platform on reduction of uncertainty in illness in parents whose children suffering from Kawasaki diseases. Methods From May 2013 to October 2014，70 children patients with Kawasaki diseases admitted into our hospital and their parents were selected as research objects and evenly divided into observation group and control group in random.In the observation group，health education based on WeChat was adopted，while in the control group，conventional nursing mode was used.The uncertainty in illness by parents before and after intervention，mastering of disease-related knowledge after intervention，and satisfaction on health education were compared between the two groups. Results After intervention，dimensional scores and total score of uncertainty in illness in the observation group were all significantly decreased，and lower than that in the control group respectively in the same period(P<0.05).In the control group，mastering degree of disease-related knowledge and satisfaction on health education in the control group was lower than that in the observation group respectively(P<0.05). Conclusion Health education based on WeChat can significantly decrease uncertainty in illness in parents whose children suffering from Kawasaki disease，increase the cognitive level of disease-related knowledge by their parents，and improve satisfaction on health education，which is worthy of further promotion in clinic.
[Key words] Kawasaki disease；Health education；Uncertainty in illness；WeChat
川崎病(Kawasaki disease，KD)是一种以全身血管炎为主要病理改变的急性出疹发热性疾病，患儿可伴有发热、出疹及皮肤黏膜改变等特异性临床表现[1]。随着诊疗技术的发展，非典型性川崎病患儿的数量也在持续增加[2]，KD是引起小儿后天性心脏病的主要诱发因素，若患儿未得到及时处理，可导致心肌梗死、缺血性心肌病甚至猝死等严重心血管并发症[3]。KD主要发病人群是2岁以内的婴幼儿，绝大多数父母缺乏足够与疾病相关信息与知识和疾病相关事务判断能力，在一定程度上导致患儿父母疾病不确定感的产生[4]，影响其正常的家庭生活、日常活动及对患儿症状的管理[5]。临床研究显示，给予合理的健康宣教，将有利于降低患儿父母的疾病不确定感。本研究建立基于微信平台的健康宣教管理模式，探讨其在川崎病患儿父母中的临床应用价值。
1 资料与方法
1.1 一般资料
选择2013年5月～2014年10月在我院儿科住院的KD患儿父母为研究对象。纳入标准：①父母为患儿的主要照顾者，且非单亲家庭；②身体健康状态良好，具备微信账号且熟练运用其功能；③患儿符合KD诊断标准[6]；④知情同意，并自愿参与本项研究。选择患儿的最主要照顾者角色(父亲或母亲)作为研究对象，共纳入70名(父亲或母亲)作为研究对象，采用随机数字表法将研究对象分为观察组和对照组，每组35例。其中观察组男11例，女24例；年龄22～32岁，平均(26.28±4.72)岁；教育背景：本科及以上学历14例，大专或高职16例，中专或初中5例；观察组患儿男14例，女21例；年龄1～4岁，平均 (2.43±0.62)岁；病程3～11 d，平均(7.29±3.93)d。对照组35例，男10例，女25例；年龄21～33岁，平均(27.18±4.68)岁；教育背景：本科及以上学历13例，大专或高职16例，中专或初中6例；对照组患儿男12例，女23例，年龄2～4岁，平均(2.41±0.36)岁；病程3～11 d，平均(7.43±3.01)d；两组患儿及父母的基本资料比较，差异无统计学意义(P>0.05)，具有可比性。, http://www.100md.com(冼建妹 卢建娣 周传恩)