CAJ | 학술논문

目的：探讨健康教育对门诊手足口患儿家属心理状况及其应对方式的影响。方法将门诊手足口患儿家属随机分成对照组和健康教育组。对照组按常规治疗及常规护理，健康教育组在对照组基础上进行健康教育，采用症状自评量表（ SCL－90）和应对方式问卷对比分析健康教育前后患儿家属心理症状改变情况及应对方式的改变。结果健康教育后患儿家属的焦虑、抑郁、强迫、恐怖、偏执、躯体化、精神病性、人际敏感等方面与对照组相比较均得到改善（ P＜0．05）。健康教育组积极应对方式得分高于对照组，而消极应对方式得分低于对照组，且差异有统计学意义（P＜0．05）。结论针对性的健康教育可有效帮助门诊手足口患儿家属建立良好的心理状况和积极的应对方式，有利于提高患儿的治疗效果。
목적：탐토건강교육대문진수족구환인가속심리상황급기응대방식적영향。방법장문진수족구환인가속수궤분성대조조화건강교육조。대조조안상규치료급상규호리，건강교육조재대조조기출상진행건강교육，채용증상자평량표（ SCL－90）화응대방식문권대비분석건강교육전후환인가속심리증상개변정황급응대방식적개변。결과건강교육후환인가속적초필、억욱、강박、공포、편집、구체화、정신병성、인제민감등방면여대조조상비교균득도개선（ P＜0．05）。건강교육조적겁응대방식득분고우대조조，이소겁응대방식득분저우대조조，차차이유통계학의의（P＜0．05）。결론침대성적건강교육가유효방조문진수족구환인가속건립량호적심리상황화적겁적응대방식，유리우제고환인적치료효과。
Objective This paper was to explore the effect of health education on family member'spsychological statusof children with hand foot mouth diseaseand their coping style.Methods The family members of outpatient children with hand foot mouth disease were randomly divided into control group and health education group.The patients in health education group received health education while the patients in the control group receiving routine treatment and nursing care.The parents were investigated with Symptom Checklist-90 ( SCL-90 ) and coping style scale, the changes of family member's psychological status and coping style were compared.Results After the intervention, compared with control group, there were significant improvement in the factor scores of anxiety, depression, obsessive -compulsive symptoms, terrorism, paranoia, somatization, psychiatric symptoms and interpersonal sensitivity in health education group (P<0.05).Score of positive coping style in health education group was higher than the control group, while the score of negative coping style was lower than the control group, the differences were statistically significant ( P <0.05 ) .Conclusions Health education can effectively help families of children with hand foot and mouth disease build positive coping styles andpsychological status and it would help to improve treatment effect of children.