摘要
目的探讨CICARE沟通模式联合小丑照护在居家隔离手足口病(HFMD)患儿门诊健康教育中的应用效果。方法选取2018年1月至2019年9月经南阳医学高等专科学校第一附属医院门诊确诊并实施居家隔离的90例HFMD患儿及其家长为研究对象。按照收治时间的先后顺序,分为对照组和研究组,每组45例。对照组患儿男27例,女18例,年龄(4.18±0.39)岁;研究组患儿男24例,女21例,年龄(4.10±0.43)岁。对照组实施传统模式门诊宣教,研究组在对照组基础上实施CICARE沟通联合小丑照护。记录两组患儿相关临床症状的改善情况,采用儿童孤独量评估患儿孤独感水平,自制HFMD治疗依从性调查问卷评估患儿治疗依从性,采用《HFMD儿童家长疾病认知表》评估家长对疾病知识的掌握水平,根据第4周随访情况评价家长居家遵医行为的执行状况,采用焦虑自评量表(SAS)、抑郁自评量表(SDS)评估家长焦虑、抑郁水平。结果研究组患儿溃疡痊愈时间、皮疹消退时间、食欲不振消失时间、腹泻停止时间、退热时间及口腔黏膜愈合时间均低于对照组,差异均有统计学意义(均P<0.001);研究组的治疗依从性总分[(9.83±1.24)分比(18.79±1.56)分]、孤独感评分[(28.70±3.18)分比(39.20±6.15)分]均低于对照组,差异均有统计学意义(均P<0.001);干预1个月后,研究组家长居家隔离认知情况得分、居家隔离遵医率均高于对照组,SAS、SDS评分均低于对照组,两组比较差异均有统计学意义(均P<0.05)。结论CICARE沟通模式联合小丑照护干预,利于缩短居家隔离HFMD患儿各症状的改善时间,缓解其孤独感,避免自我隔绝,促进遵医行为,夯实治疗效果,提高患儿及其家长的隔离依从性,防止交叉感染,保障患儿健康。
Objective To explore the effect applying CICARE communication mode and clown care in health education at outpatient department for home isolated children with hand,foot,and mouth disease(HFMD).Methods From January 2018 to September 2019,90 children with HFMD diagnosed at Outpatient Department of First Affiliated Hospital of Nanyang Medical College and isolated at home and their parents were selected as the research objects.According to the order of admission time,they were divided into a control group and a study group,with 45 cases in each group.There were 27 boys and 18 girls in the control group;they were(4.18±0.39)years old.There were 24 boys and 21 girls in the study group;they were(4.10±0.43)years old.The control group received the traditional mode of outpatient education.On the basis of the control group,the research group implemented CICARE communication and clown care.The improvement of related clinical symptoms in both groups was recorded.The children's loneliness was evaluated by the child loneliness measurement.The self-made HFMD treatment compliance questionnaire was used to evaluate their treatment compliance.The HFMD Children's Parental Disease Cognition Scale was used to evaluate the parents'knowledge of the disease.According to the 4-week follow-up,the implementation status of the parents'compliance behaviors at home was evaluated.Self-rate Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)were used to evaluate the parents'anxiety and depression.Results The ulcer healing time,times for the disappearance of rash and appetite loss,antifebrile time,diarrhea time,and healing time of oral mucosa in the study group were shorter than those in the control group(all P<0.001).The treatment compliance score and loneliness score were(9.83±1.24)and(28.70±3.18)in the study group,and were(18.79±1.56)and(39.20±6.15)in the control group(both P<0.001).After 1 month's intervention,the parents'cognitive score and compliance rate of home isolation and scores of SAS and SDS in the study group were better th
作者
赵琳
Zhao Lin(Department of Infectious Diseases,First Affiliated Hospital of Nanyang Medical College,Nanyang 473058,China)
出处
《国际医药卫生导报》
2021年第17期2787-2792,共6页
International Medicine and Health Guidance News
关键词
CICARE沟通模式
手足口病
小丑照护
隔离
健康教育
CICARE communication mode
Hand,foot,and mouth disease
Clown care
Isolation
Health education
