首页|以家庭为中心的孤独症患儿照顾者健康教育方案的构建及应用

以家庭为中心的孤独症患儿照顾者健康教育方案的构建及应用

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目的 构建以家庭为中心的孤独症患儿照顾者健康教育方案,并探讨其应用效果.方法 通过文献回顾和德尔菲法进行 2 轮专家函询,构建以家庭为中心的孤独症患儿照顾者健康教育方案.并采用不同病例前-后对照的方法,将 2022年 1 月至 2022 年 10 月本院门诊收治的 40 例孤独症照顾者设为对照组,2022 年 11 月至 2023 年 1 月门诊收治的 40 例设为观察组.对照组照顾者接受传统宣教,观察组照顾者接受以家庭为中心的孤独症患儿照顾者健康教育方案,比较两组患者照顾者照顾负担、健康教育知识掌握程度和患儿临床症状评估.结果 两轮专家函询问卷回收率为 100.00%.构建的照顾者健康教育方案第一轮函询专家权威系数 0.875;第二轮函询专家权威程度系数 0.900;各指标协调程度的变异系数 0.04~0.20;两轮的Kendall协调系数W分别为 0.794,0.786.方案内容包括照顾者培训、以家庭为中心的亲职照护和调动孤独症照护者积极情绪3 部分.观察组与对照组各 40 例孤独症照顾者完成研究,干预后观察组孤独症家庭照顾者照护负担低于对照组,健康教育知识掌握程度高于对照组,患儿临床症状评估优于对照组,两组比较,差异具有统计学意义(均P<0.05).结论 构建以家庭为中心的孤独症患儿照顾者健康教育方案具有一定的科学性、适用性,可为孤独症家庭照顾者提供健康教育指导,提高健康教育知识掌握程度,降低照顾负担.
Establishment and application of family-centred health education programe for family caregivers of Autistic children
Objective To propose a family-centred health education program for family caregivers of Autistic children and investigate its clinical value.Methods Delphi method was used to establish a family-centred Autistic children care program for family caregivers looking after the Autistic children,which involved two rounds of expert consultation.The pre-and post-control method for different cases was employed in the study.Forty Autistic caregivers in our hospital from January 2022 to October 2022 were assigned to the control group and another 40 in our hospital from November 2022 to January 2023 were assigned to the observation group.The family caregivers of Autistic children in the control group received traditional care education,while those in the observation group was managed with the family-centred Autistic children health education program.The two groups were compared in terms of care burden,knowledge of health education,and evaluation of clinical symptom of Autistic children.Results The expert authority coefficient of the first round of expert consultation was 0.875 respectively and those in the second round was 0.900,respectively.The coefficient of variation of the coordination degree of each index was 0.04-0.20.Kendalls W scores of the two rounds were 0.794 and 0.786,respectively.A health education program for family-centred Autistic children caregiver was established to consist of three subjects:caregiver training,family-centred parental care and activation of positive emotions of autistic caregivers.Autism caregivers in both groups had completed the study.In comparison with the control group,the care burden of the observation group was significantly lower,the knowledge of health education was significantly higher,and the evaluation of children's clinical symptoms was better among the family caregivers of autistic children in the observation group(all P<0.05).Conclusions The family-centred autistic children care program for family caregivers is scientific and applicable.It is conducive to providing health education guidance for family caregivers of Autistic children,effectively reducing the care burden and enhancing the knowledge of health education.

Autismfamily caregivershealth educationfamily-centredDelphi method

万小红、康小庆、陈顺利、郭渠莲

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西南医科大学附属医院儿科(儿童血液肿瘤与出生缺陷实验室,四川省出生缺陷临床医学研究中心) ,四川泸州,646000

孤独症 家庭照顾者 健康教育 以家庭为中心 德尔菲法

四川省科技计划资助项目

2022YFS0622

2024

现代临床护理
中山大学

现代临床护理

CSTPCD
影响因子:1.317
ISSN:1671-8283
年,卷(期):2024.23(1)
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