城区儿童“四病”防治中医护人员健康教育干预效果分析

于2006年10月至2008年12月在长沙市雨花区一省级医院医务人员120人，10个区卫生院、卫生站医务人员50人和〈3岁婴幼儿腹泻、佝偻病、肺炎、营养性贫血“四病”患儿的看护人员共400人分组实施健康教育信息传播和治疗行为干预。结果示干预后各级医务人员掌握婴幼儿“四病”防治措施的平均知识分数、口服补液盐使用率较干预前明显增高（P〈0．05或0．01）；母乳喂养普及率提高，辅食及时添加率及种类明显改善，抗生素使用率明显下降，给看护人建议增加，看护人“四病”知识合格率及相关治疗行为较干预前改善，均P〈0．01。提示采用三级网络培训干预措施，对城区婴幼儿“四病”防治中医护人员进行健康教育信息传播和治疗行为干预，效果明显。

Health education and medical behavior intervention among healthcare providers who manage diarrhea,rickets.pneumonia,and nutritional anemia in urban children

From October 2006 to December 2008,170 medical professionals(120 from a provincial hospital,and 50 from 10 district hospitals or hygiene stations),and 400 baby watchers who took care of children(aged<3 years)with diarrhea,rickets,pneumonia,or nutritional anemia were randomly assigned to reeeive health education or medical behavior intervention.The results showed that the basic knowledge on prevention and treatment of diarrhea,rickets,pneumonia,or nutritional anemia wad improved,and oral rehydration solution utility rate was significantly increased(P<0.05 or P<0.01).The rate of breast feeding was higher,and the use of auxiliary food became more proper and timely.The use of antibiotics decreased.The baby watchers got more suggestions,and their qualification rate of medical knowledge and disease.related treatment behaviors were improved(all P<0.01). Nerwork-based health education and medical behavior intervention may have significant effects on healthcare providers who look after urban children with diarrhea,rickets,pneumonia,or nutritional anemia.