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目的 探讨适合国情的城区小儿腹泻病治疗管理模式。方法 采用三级网络模式,对省级医院、区卫生院、卫生站医务人员和5岁以下腹泻患儿看护人实施腹泻病健康教育信息传播和治疗行为干预,对比干预前后知识、态度、行为改变情况,并进行经济效益分析。结果 干预后实验组医务人员平均知识分数明显提高,ORS使用率明显增加,静脉输液率、抗生素使用率、抗腹泻药使用率明显下降,给看护人建议增加。经济效益分析结果显示省级医院每张腹泻病处方费用干预后平均下降31.22元。看护人腹泻病知识合格率及相关治疗行为改善,其中正确配制ORS者由6.9％升至80.4%,戒口率由95.1％降至55.9％。结论 小儿腹泻病临床治疗管理三级模式效果显著,值得在城市进一步推广。
Objective To explore the treatment and management of infantile diarrhea in urban areas suitable for the national conditions. Methods A three-level network model was adopted to intervene in the health education dissemination and treatment of diarrheal disease among the provincial hospitals, district hospitals, health workers in the health stations and children under 5 years of age with diarrhea. The changes of knowledge, attitude and behavior before and after intervention were compared Situation, and carry out economic analysis. Results After the intervention, the average knowledge score of medical staff in the experimental group was significantly increased, the use rate of ORS was significantly increased, and the rate of intravenous infusion, antibiotic use and anti-diarrhea medicine significantly decreased, which suggested to caregivers. Economic efficiency analysis showed that the provincial hospital per diarrheal disease prescription costs decreased by an average of 31.22 yuan after intervention. Caregivers diarrhea knowledge pass rate and related treatment improved, of which properly prepared ORS rose from 6.9% to 80.4%, the rate of mouth-to-mouth fell from 95.1% to 55.9%. Conclusion The clinical treatment and management of pediatric diarrhea three-level model effect is significant, it is worth further promotion in the city.