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目的了解铜陵市托幼机构保教人员手足口病健康教育方法及效果,为建立手足口病预防健康教育模式提供参考。方法采用单纯随机抽样法,选取铜陵市辖区20所托幼机构保教人员作为研究对象,同时将市辖区剩余的23所托幼机构作为对照组,对目标人群实施干预后,通过比较基线调查与干预后调查资料对干预效果进行评价。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)。结论以卫生消毒和正确洗手为切入点,研制消毒配置器具以及以模拟训练为核心的托幼机构保教人员手足口病健康教育模式是可行的、有效的。
Objective To understand the health education methods and effects of hand foot and mouth disease (TB) education in nursery and child care institutions in Tongling City and to provide reference for establishing HFMD prevention and health education model. Methods A simple random sampling method was used to select the instructors of 20 nurseries in Tongling municipality as research subjects. At the same time, the remaining 23 nurseries in municipal districts were selected as the control group. After intervention on the target population, Post-survey data to evaluate the effect of intervention. Results After the intervention, the instructors’ comparisons of the concentration requirements of “84” disinfectant preparation, the standard of blocking classifcation epidemic and some basic knowledge of hand-foot-mouth disease were compared with those before intervention, and there were statistics differences after intervention compared with the control group Significance (P <0.05). Intervention group “84 ” disinfectant preparation, small class teacher hand-washing and children’s hand-washing accuracy increased from 55.0%, 75.0% and 35.0% before intervention to 95.0%, 100.0% and 95.0% after intervention respectively, and after intervention And control group, the differences were statistically significant (P <0.05). Conclusions Taking health disinfection and correct hand-washing as starting point, it is feasible and effective to develop health-care education model of hand-foot-mouth disease in kindergartens and nurseries with simulation-oriented training as the core.