摘要
目的探讨系统性健康教育在巨结肠患儿回流灌肠中的应用效果。方法收集2016年4月-2017年4月重庆医科大学附属儿童医院胃肠新生儿外科确诊为先天性巨结肠并实施标准化回流灌肠的260例患儿临床资料进行分析,共计灌肠3526次,实施标准化回流灌肠过程中对患儿上进行系统性健康教育。主要内容包括建立档案、沟通指导、图文结合的健康教育、回流灌肠配合示范教育、患儿情绪安抚、健康教育评估、电话随访,通过以上方式对患儿家属进行系统性的健康教育,评估回流灌肠过程中患儿的配合程度和回流灌肠期间家属满意度。结果260例患儿家属均能很好地掌握回流灌肠相关知识,251例(96.54%)患儿家属能有效依照健康教育手册对患儿的饮食结构进行监督记录,并监测患儿排便情况,依从性较好;9例(3.46%)患儿家属未能较好地监督和记录患儿的饮食及排便情况。260例先天性巨结肠患儿家属总体满意度为97.7%。3526次回流灌肠过程中,86.6%的患儿均较配合,灌肠过程顺利,10.6%患儿偶有哭吵,仅2.8%灌肠过程中不配合。结论实施系统性健康教育可有效提高家属对回流灌肠的认识,减轻患儿痛苦,提高工作效率,提升家属满意度,促进患儿康复。
Objective To study the effect of systematic health education on reflow enema in Hirschsprung’s disease.Method The clinical data of 260 children diagnosed with congenital megacolon and the standardized reflow enema from April 2016 to April 2017 were collected from the Children’s Hospital of Chongqing Medical University.The total enema was 3526 times.In the course of standardized reflux enema,systematic health education was conducted for the children and their families.The main contents include the establishment of archives,communication guidance,graphic combination of health education,reflow enema with demonstration education,children with emotional comfort,health education assessment,telephone follow-up of the way the families of children with systematic health education,assessment of reflow enema process In the degree of cooperation with children,Family satisfaction during reflux enema.Result 260 cases of children with family members have a good grasp of the relevant knowledge of reflow enema;The family members of 251 cases(96.54%)can supervise and record the diet structure of children effectively according to the health education manual,and monitor the defecation of children,and have better compliance.9(3.46%)of the families of children failed to better monitor and record the children’s diet and defecation.The overall satisfaction of 260 families with congenital megacolon was 97.7%.During the 3526 reflow enema,86.6%children were more cooperative,and the enema process was smooth.10.6%of the children had cried occasionally,and only 2.8%of them did not cooperate during the enema.Conclusion The implementation of systematic health education can effectively improve the awareness of family members about reflux enema,alleviate the pain of children,improve work efficiency,enhance family satisfaction,and promote the rehabilitation of children.
作者
朱文婷
胡丽君
陈希容
刘晓然
应本娟
ZHU Wenting;HU Lijuan;CHEN Xirong;LIU Xiaoran;Ying Benjuan(Department of Gastroenterology,Children′s Hospital of Chongqing Medical University,Ministry of Education Key Laboratory of Child Development and Disorders,China International Science and Technology Cooperation Base of Child Development,Chongqing Key Laboratory of Pediatrics,Chongqing 400014,China)
基金
2015重庆市社会事业与民生保障科技创新专项(cstc2015shmszx12020)
2014院内课题
关键词
系统性健康教育
回流灌肠
患儿
巨结肠
Systematic health education
Refluence clysis
Children
Megacolon
