护理学报
護理學報
호이학보
JOURNAL OF NURSING
2014年
19期
72-74
,共3页
徐志芳%冯锦贤%李晓霞%牛业来
徐誌芳%馮錦賢%李曉霞%牛業來
서지방%풍금현%리효하%우업래
地中海贫血%健康教育%KAP%焦虑%抑郁
地中海貧血%健康教育%KAP%焦慮%抑鬱
지중해빈혈%건강교육%KAP%초필%억욱
thalassemia%health education%KAP%depression%anxiety
目的：探讨综合健康教育对地中海贫血患儿主要照顾者知信行(knowledge, attitude&belief, and practice, KABP or KAP)及焦虑、抑郁的影响。方法以便利抽样法抽取住院地贫患儿主要照顾者72例，综合应用病房宣教、专家讲座、地贫之家等措施进行健康教育，于患儿首次住院后第1天和出院前1 d，采用一般资料调查表、地贫 KAP调查表以及抑郁自评量表和焦虑自评量表，调查健康教育效果。结果综合健康教育前，地贫患儿主要照顾者KAP总分为（11.83±1.30）分，基本知识和态度行为得分分别为（5.07±0.79）分和（6.75±0.78）分，焦虑、抑郁得分分别为（56.08±4.69）分和（51.38±1.22）分；综合健康教育后，KAP总分平均得分为（15.67±1.41）分，基本知识和态度行为分别为（7.44±0.86）分和（8.24±1.08）分，焦虑、抑郁得分分别为（44.25±2.63）分和（50.55±3.86）分，与综合健康教育前比较，差异均有统计学意义（P<0.05）。结论以医院为基地的综合健康教育，能在短期内有效促进地贫知识的传播，减轻患儿主要照顾者的焦虑、抑郁情绪，鼓励其建立正确的信念和态度，并逐步采取健康行为。
目的：探討綜閤健康教育對地中海貧血患兒主要照顧者知信行(knowledge, attitude&belief, and practice, KABP or KAP)及焦慮、抑鬱的影響。方法以便利抽樣法抽取住院地貧患兒主要照顧者72例，綜閤應用病房宣教、專傢講座、地貧之傢等措施進行健康教育，于患兒首次住院後第1天和齣院前1 d，採用一般資料調查錶、地貧 KAP調查錶以及抑鬱自評量錶和焦慮自評量錶，調查健康教育效果。結果綜閤健康教育前，地貧患兒主要照顧者KAP總分為（11.83±1.30）分，基本知識和態度行為得分分彆為（5.07±0.79）分和（6.75±0.78）分，焦慮、抑鬱得分分彆為（56.08±4.69）分和（51.38±1.22）分；綜閤健康教育後，KAP總分平均得分為（15.67±1.41）分，基本知識和態度行為分彆為（7.44±0.86）分和（8.24±1.08）分，焦慮、抑鬱得分分彆為（44.25±2.63）分和（50.55±3.86）分，與綜閤健康教育前比較，差異均有統計學意義（P<0.05）。結論以醫院為基地的綜閤健康教育，能在短期內有效促進地貧知識的傳播，減輕患兒主要照顧者的焦慮、抑鬱情緒，鼓勵其建立正確的信唸和態度，併逐步採取健康行為。
목적：탐토종합건강교육대지중해빈혈환인주요조고자지신행(knowledge, attitude&belief, and practice, KABP or KAP)급초필、억욱적영향。방법이편리추양법추취주원지빈환인주요조고자72례，종합응용병방선교、전가강좌、지빈지가등조시진행건강교육，우환인수차주원후제1천화출원전1 d，채용일반자료조사표、지빈 KAP조사표이급억욱자평량표화초필자평량표，조사건강교육효과。결과종합건강교육전，지빈환인주요조고자KAP총분위（11.83±1.30）분，기본지식화태도행위득분분별위（5.07±0.79）분화（6.75±0.78）분，초필、억욱득분분별위（56.08±4.69）분화（51.38±1.22）분；종합건강교육후，KAP총분평균득분위（15.67±1.41）분，기본지식화태도행위분별위（7.44±0.86）분화（8.24±1.08）분，초필、억욱득분분별위（44.25±2.63）분화（50.55±3.86）분，여종합건강교육전비교，차이균유통계학의의（P<0.05）。결론이의원위기지적종합건강교육，능재단기내유효촉진지빈지식적전파，감경환인주요조고자적초필、억욱정서，고려기건립정학적신념화태도，병축보채취건강행위。
Objective To explore the influence of comprehensive health education on knowledge, attitude &belief, and practice (KABP or KAP), anxiety and depression of the caregivers of thalassemia children. Methods With convenience sampling, 72 caregivers of hospitalized thalassemia children were chosen and received comprehensive health education. General information questionnaire, thalassemia KAP scale, self-rating depression scale and self-rating anxiety scale were applied the first day after administration and the day before discharge for the effect of health education. Results Before the comprehensive health education, the total score of KAP of the caregivers were 11.83 ±1.30. The score of basic knowledge, attitude and practice was 5.07 ±0.79 and 6.75±0.78 respectively and that of depression and anxiety was 56.08±4.69 and 51.38±1.22 respectively. After the intervention, the total score of KAP, the score of basic knowledge, attitude and practice were all improved but the score of depression and anxiety lowered to 44.25±2.63 and 50.55±3.86 respectively. The difference indicated statistical significance (P<0.05). Conclusion Hospital-based comprehensive health education for caregivers benefits the improvement of caregivers ’ depression and anxiety then they can have more knowledge about thalassemia and take healthy measures.
