摘要
[目的 ]了解儿童腹泻病临床病例处理现状 ,并进行干预措施研究。 [方法 ]采用自行设计调查表 ,对省级医院、区卫生院及卫生站医务人员 ,进行腹泻病知识技能水平及治疗行为的问卷调查 ,同时进行健康教育干预 ,对比干预前后实验组和对照组各级人员对腹泻病防治新观念的知识、态度、行为改变 ,并进行经济效益分析。 [结果 ]干预后各级医务人员平均知识分数较干预前明显提高 ,ORS使用率明显增加 ,静脉输液率、抗生素使用率、抗腹泻药使用率下降。经济效益分析结果显示 ,省级医院每张处方费用较干预前平均下降 31.2 2元。 [结论 ]儿童腹泻病临床病例处理中存在问题亟待解决 ,健康教育干预措施可使腹泻病的治疗管理 ,收到良好的社会效益和经济效益。
To analyze the results of diarrhoeal disease treatment in children and give health education for intervention Public health workers in both teaching hospital and district small hospital were randomly assigned to two groups (intervention and control) The intervention group received health education in case management of diarrhoeal diseases while the control group did not Two kinds of questionnaires were designed to investigate the knowledge, attitude and practice of health workers in case management in both groups before and after intervention Knowledge scores of health workers in both teaching and district small hospitals in intervention group were higher than control group after intervention The ORS usage rate increased; The usage rates of intravenous transfuse, antibiotics and anti diarrhea drugs decreased obviously Cost benefit analysis showed that the payment of one prescription in the teaching hospital was 31 22 Yuan lower than fornt intervention′s [Conclusion] The problems of clinical case management for diarrhoeal diseases are urgent to be resolved Health education can improve case management of diarrhoeal diseases and save patient's cost
出处
《海峡预防医学杂志》
CAS
2001年第5期11-14,共4页
Strait Journal of Preventive Medicine
基金
广东省卫生厅基金资助课题 (基金编号 A1997181)
关键词
腹泻病
儿童
预防
控制
健康教育
治疗
Diarrheal disease
Children
Prevention and control
Health education
