摘要
目的调查0~12岁特应性皮炎(atopic dermatitis,AD)初诊患儿父母的疾病知识-信念-行为(知信行)现状,并分析其影响因素,为医护人员制订针对性干预措施提供参考。方法采取便利抽样法,采用一般资料调查表及AD知识-信念-行为问卷于2022年4—12月对武汉市某三甲医院过敏反应科195例0~12岁AD初诊患儿父母进行调查,分析其知信行现状及影响因素。结果AD患儿父母AD知识-信念-行为问卷的知识维度得分为(13.73±2.06)分,合格率为86.67%;信念维度得分为(29.15±2.11)分,合格率为58.30%;行为维度得分(29.72±3.97)分,合格率为59.44%。多因素线性回归分析结果显示,受访者与患儿关系、文化程度、父母是否有AD病史、初次了解AD知识的时间是AD患儿父母知识维度的影响因素(P﹤0.05);月收入是信念维度的影响因素(P﹤0.05)。结论三个维度中,AD患儿父母的知识水平相对较高,信念和行为水平有待提高。医护人员应帮助AD患儿父母建立积极的健康信念,制订行之有效的健康教育课程,采取针对性的干预措施,动态监测患儿病情变化,从而减少疾病的复发。
Objective To investigate current status of knowledge-attitude-practice(KAP)among parents of 0-12 years-old children with initial diagnosis of atopic dermatitis and to analyze their influencing factors,providing references for medical staff to establish targeted interventions.Methods By using convenience sampling method,195 parents of 0-12 years-old children with AD as preliminary diagnosis were investigated by using general data and knowledge-attitude-practice questionnaires for atopic dermatitis in department of allergy of a hospital in Wuhan since April to December 2022,while their KAP status and influencing factors were analyzed.Results The average score of knowledge dimension of questionnaire was 13.73±2.06 points,whose qualified rate was 86.67%.The average score of attitude dimension was 29.15±2.11 points,while qualified rate was 58.30%.The average score of practice dimension was 29.72±3.97 points as well as qualified rate was 59.44%.Results of multiple linear regression analysis demonstrated that relationship between interviewees and children,educational level,AD history of parents and time point that they were aware of knowledge of AD initially were influencing factors of knowledge dimension of parents of children with AD(P<0.05).Meanwhile monthly income was influencing factor of belief dimension(P<0.05).Conclusion Among three dimensions,level of knowledge dimension of parents is relatively higher and levels of attitude and practice should be improved.Medical staff should help parents of children with AD to establish positive health belief,organize effective health education course,take targeted intervention measures and monitor of changes of illness status,which should be of help to reduce recurrence and promote long-term control of AD.
作者
张思
石灿灿
王晓龙
夏琼
汪茵
ZHANG Si;SHI Cancan;WANG Xiaolong;XIA Qiong;WANG Yin(Department of allergy,Tongji Hospital,Tongji Medical College,Huazhong University of Science&Technology,Wuhan 430030,China)
出处
《中华临床免疫和变态反应杂志》
CAS
2024年第3期265-273,共9页
Chinese Journal of Allergy & Clinical Immunology
关键词
儿童
特应性皮炎
知识-信念-行为
影响因素
children
atopic dermatitis
knowledge-attitude-practice
influence factor
