“AD教育课堂”模式应用对特应性皮炎病儿生活质量及近亲属认知程度的影响分析  

The effect of “AD education classroom” model onquality of life in children with atopic dermatitis and the cognitive level of near relatives

作　　者：刘晓莉[1] 潘剑蓉[2] LIU Xiaoli;PAN Jianrong(Department of Pediatrics,Jingjiang People's Hospital,Jingjiang,Jiangsu 214500,China;Department of Pediatrics,Wuxi Children s Hospital,Wuxi,Jiangsu 214000,China)

机构地区：[1]靖江市人民医院儿科,江苏靖江214500 [2]无锡市儿童医院儿科,江苏无锡214000

出　　处：《安徽医药》2019年第4期801-804,共4页Anhui Medical and Pharmaceutical Journal

基　　金：江苏省无锡市卫生计生委妇幼健康科研计划(FYKY201508)

摘　　要：目的探讨"AD教育课堂"模式应用于特应性皮炎(AD)病儿治疗教育中对认知程度和生活质量的影响。方法选择2014年6月至2016年6月靖江市人民医院收治的AD病儿122例,按随机数字表法分为两组,各61例。两组均给予外用药物治疗,对照组实施常规健康教育,观察组实施"AD教育课堂"模式的治疗教育。对比分析两组教育前后瘙痒程度、生活质量变化,并统计两组教育后临床疗效和病儿近亲属认知度情况。结果观察组临床总有效率60例(98.36%)高于对照组48例(78.69%),差异有统计学意义(χ~2=9.763,P=0.002);观察组教育后瘙痒程度轻于对照组,差异有统计学意义(P<0.05);观察组教育后近亲属对疾病认知程度为100.00%(61/61),优于对照组的75.41%(46/61),差异有统计学意义(χ~2=17.103,P=0.000);观察组教育后体闲娱乐、症状感受、学业假期、人际关系、治疗的影响、睡眠及总影响评分分别为(1.22±0.68)分、(1.31±0.44)分、(0.59±0.11)分、(1.30±0.12)分、(0.35±0.10)分、(0.42±0.09)分及(6.01±1.05)分,均明显低于对照组,差异有统计学意义(t=3.240、6.018、10.387、18.214、25.876、24.204、14.120,均P=0.000)。结论 "AD教育课堂"模式应用于AD病儿治疗教育中可显著减轻其瘙痒程度,提高临床疗效和病儿近亲属疾病认知度,改善病儿生活质量,值得推广。Objective To explore the effect of“AD education classroom”model on quality of life in children with atopic dermatitis(AD)and cognitive level of near relatives.Methods A total of 122 children with atopic dermatitis admitted to Jingjiang People s Hospital from June 2014 to June 2016 were assigned into two groups according to the random number table,with 61 in each group.In addition to topical treatment in both groups,the control group received routine health education,while the observation group received“AD education classroom”model of treatment education.The curative effect and the quality of life were analyzed before and after the education in two groups,and the clinical curative effect and the cognition level of near relatives were analyzed.Results The total effective rate of the observation group(60,98.36%)was higher than that of the control group(48,78.69%);the difference was statistically significant(χ^2=9.763,P=0.002).After treatment itch degree in the observation group was less than the control group;the difference was statistically significant(P<0.05).After education,the cognitive level of near relatives in the observation group was 100.00%(61/61),which was higher than 75.41%(46/61)in the control group;the difference was statistically significant(χ^2=17.103,P=0.000).After education,the scores of leisure entertainment,symptom feelings,academic holidays,interpersonal relationship,treatment impact,sleep and total impact in the observation group were(1.22±0.68),(1.31±0.44),(0.59±0.11),(1.30±0.12),(0.35±0.10),(0.42±0.09)and(6.01±1.05),all significantly lower than those in the control group;the differences were statistically significant(t=3.240,6.018,10.387,18.214,25.876,24.204,14.120,all P=0.000).Conclusion The“AD education classroom”model applied to the treatment education of children with atopic dermatitis can significantly reduce the degree of itching,improve the clinical curative effect and the cognition of children s near relatives,and improve the quality of life of children,which is w

关 键 词：皮炎 特应性 瘙痒症 认知 生活质量 病人教育 近亲属 

分 类 号：R473.75[医药卫生—护理学]