研究以动画和小册子为基础的出院计划对哮喘儿童自我效能感的影响

O. Yaghoubi, H. Ahanchian, A. Rezaeean, S. Seyedi
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引用次数: 1

摘要

背景和目的:哮喘是 15 岁以下儿童缺勤的第一大原因,也是住院的第三大原因。哮喘会导致心理和情绪问题,降低自尊心。对哮喘缺乏控制会导致患儿频繁住院。也许以有吸引力的方式提供有关其疾病的信息会提高他们的自我效能感。因此,本研究旨在评估基于动画和小册子的出院计划对哮喘患儿自我效能感的影响。材料与方法:本随机临床试验于2018年在阿克巴医院进行,共有90名患者参与,随机分配动画、小册子和对照三组,每组30人。动画组发放教育光盘,小册子组发放小册子,每周两次,为期约 2 个月,对照组在常规科室提供信息。在干预前后,对儿童的自我效能感进行了测量。数据采用 SPSS 软件 16 版进行分析,并进行了单向方差分析、Kolmogorov-Smirnov 检验、Kruskal Wallis 检验、配对 t 检验、Chi-square 检验和 Tukey post hoc 检验。结果干预后,动画组的自我效能感得分明显高于小册子组和对照组(P <0.001)。与基线相比,两个月后三组的组内自我效能感均有显著提高(P <0.001)。结论基于动画的出院计划可提高哮喘患儿的自我效能感,并建议他们更加重视护理工作。
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Investigating the effect of animation and pamphlet-based discharge program on the self-efficacy of children with asthma
Background and Aim: Asthma is the first cause of absenteeism and the third cause of hospitalization for children under the age of 15. It is causes psychological and emotional problems, decrease self-esteem. Lack of control of it can lead to frequent hospitalization of affected children. Perhaps providing information in an attractive way about their illness will improve their self-efficacy. Therefore, the present study aims to evaluate the effect of animation and pamphlet-based discharge program on the self-efficacy of children with asthma was designed. Materials and Methods: This randomized clinical trial was conducted in Akbar Hospital in 2018, with participation of 90 patients that randomly allocated three groups of 30 animation, pamphlet and control. In the animation group, given educational CD and pamphlet group given pamphlet for twice a week about 2 months, and in the control group, information was provided in the routine section. Before and after intervention, self efficacy of children was measured. Data were analyzed by SPSS software version 16 and one way ANOVA, Kolmogorov–Smirnov, Kruskal Wallis, paired t-test, Chi-square tests and Tukey post hoc. Results: After the intervention, the self-efficacy score of the animation group was significantly higher than the pamphlet and control group (p <0.001). In comparison, intra-group self-efficacy was significantly increased in all three groups after two months compared to baseline (p <0.001). Conclusion: The discharge program based on animation promotes self-efficacy in children with asthma and recommends paying more attention to nursing care.
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