铜陵市托幼机构手足口病健康教育干预效果研究

发布时间：2018-06-27 10:16

本文选题：日托幼儿园 + 手足口病　；参考：《安徽医科大学》2014年硕士论文

【摘要】：目的通过全面地调查评估铜陵市托幼机构手足口病防控现状,开发针对性的健康教育材料,建立托幼机构预防手足口病健康教育模式,并对干预效果进行评价,总结托幼机构预防手足口病干预模式的经验,并进行推广。方法研究设计为基于托幼机构的预防手足口病的健康教育效果评价的流行病学实验研究,以在防病中具有重要作用的园长、保健医生和幼师作为研究人群,充分评估目标人群的手足口病健康教育需求,通过以模拟训练为主要形式的健康教育活动对其预防手足口病知晓率、卫生消毒以及正确洗手等进行针对性干预。通过比较干预组干预前和干预后目标人群预防手足口病相关知识知晓率、洗手行为、“84”消毒液配制正确率等指标的变化情况,以及与对照组的各种指标的比较,对健康教育的效果进行评价。结果干预后,保教人员对“84”消毒液配制浓度要求、聚集性疫情停课标准以及手足口病部分基本知识知晓率与干预前自身比较,及干预后与对照组比较,差异均有统计学意义(P值均0.05)。干预组“84”消毒液配制、小班教师洗手和儿童洗手的正确率分别由干预前的55.0%、75.0%和35.0%提高至干预后的95.0%、100.0%和95.0%,且干预后与对照组,差异均有统计学意义(P值均0.05)。根据基线目标人群对预防手足口病相关知识的了解程度,健康教育需求的评估结果,以及卫生消毒存在的问题,编制了《铜陵市托幼机构手足口病等传染病防治手册》,开发了“84”消毒液配制方法和器具,印制了“六步洗手法”彩图、宣传海报等多种宣传材料。结论建立的以在传染病防控中具有重要意义的卫生消毒和正确洗手为重点培训环节、以模拟训练为主要干预方式的手足口病健康教育模式是可行的、有效的;开发定制的“84”消毒液配制方法和器具有效解决了托幼机构普遍存在、反复培训仍存在问题的消毒液配制难题;本研究中建立的健康教育模式可以向托幼机构和学校传染病预防控制推广。
[Abstract]:Objective to evaluate the status quo of hand, foot and mouth disease prevention and control in child-care institutions in Tongling City, to develop relevant health education materials, to establish a health education model for prevention of hand foot and mouth disease in child-care institutions and to evaluate the effect of intervention. To summarize the experience of prevention of HFMD in kindergarten and promote it. Methods Epidemiological experiment was designed to evaluate the effect of health education on prevention of hand-foot-mouth disease (HFMD) in child-care institutions. The chief of the garden, health care doctors and kindergarten teachers, who play an important role in disease prevention, were selected as the study group. Objective: to evaluate the health education needs of the target population of HFMD, and to intervene in the prevention of HFMD, disinfection and proper hand washing through the health education activities, which mainly take simulated training as the main form. By comparing the changes of knowledge about hand, foot and mouth disease prevention, hand-washing behavior, correct rate of "84" disinfectant preparation between the intervention group and the target population before and after intervention, as well as the comparison of various indexes between the intervention group and the control group. The effect of health education was evaluated. Results after intervention, the requirement of "84" disinfectant concentration, the standard of class suspension, the awareness rate of some basic knowledge of HFMD were compared with those before intervention, and compared with the control group after intervention. The difference was statistically significant (P 0.05). In the intervention group, the correct rate of washing hands and children's hand washing by "84" disinfectant was increased from 55.0% and 35.0% before intervention to 95.0% and 95.0% after intervention, and there was significant difference between the intervention group and the control group (P < 0.05). According to the level of knowledge about the prevention of HFMD among the baseline target population, the results of assessment of health education needs, and the problems existing in sanitary disinfection, The Manual for the Prevention and Control of hand, foot and mouth Disease and other Infectious Diseases in Nursery institutions in Tongling City was compiled, the preparation method and apparatus of "84" disinfectant solution were developed, the color map of "Six-Step hand washing Law" was printed, the propaganda posters and other propaganda materials were printed. Conclusion it is feasible and effective to establish the health education model of hand, foot and mouth disease, which is important in the prevention and control of infectious diseases, which focuses on sanitary disinfection and correct hand-washing, and takes simulated training as the main intervention mode. The development of custom-made "84" disinfectant preparation method and apparatus has effectively solved the problem of disinfectant preparation, which is widely existed in child-care institutions and is still a problem in repeated training. The model of health education established in this study can be extended to kindergartens and schools for the prevention and control of infectious diseases.
【学位授予单位】：安徽医科大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R725.1;R193

【参考文献】