以游戏形式开展的健康宣教对甲亢患儿服药依从性的影响

目的：探讨以游戏形式开展的健康宣教对甲亢患儿服药依从性的影响。方法：选取2012年1月至2017年1月期间本院儿科住院部甲亢患儿150例,采用随机数字表法将患儿分为观察组与对照组,各75例,对照组采用常规健康宣教,观察组在对照组基础上采用以游戏形式开展的健康宣教,比较两组服药依从性的差异。结果：入院时,两组甲亢相关知识掌握率比较差异无统计学意义（P>0.05）。出院时,两组甲亢相关知识掌握率明显高于同组入院时,观察组甲亢相关知识掌握率明显高于对照组（P<0.01）。观察组治疗依从率明显高于对照组,两组比较差异具有统计学意义（P<0.01）。入院时,两组精神健康、情感职能、社会功能、活力、躯体疼痛、生理职能、生理功能与总体健康共8个项目的SF-36评分比较差异无统计学意义（P>0.05）。出院后6个月,两组上述评分明显高于出院时（P<0.01）,观察组社会功能、活力、生理职能、总体健康4个项目的SF-36评分明显高于对照组（P<0.01）。结论：以游戏形式开展的健康宣教有助于改善甲亢患儿知识掌握程度,提高服药依从性与生活质量,值得临床推广应用。

Effect of Health Education in the Form of Games on Medication Adherence of Children with Hyperthyroidism

Objective: To study the effect of health education in the form of games on medication adherence of children with hyperthyroidism. Methods: 150 cases of children with hyperthyroidism from pediatric inpatient department of our hospital from January 2012 to January 2017 were selected. The children were divided into a observation group and a control group using the method of random number table, with 75 cases per group. The control group was given conventional health education, while the observation group was given health education in the form of games on the basis of the control group. The difference in medication adherence between the two groups was compared. Results: The difference(P>0.05) between the two groups in the knowledge rate of hyperthyroidism on admission has no statistical significance. whereas the knowledge rate of hyperthyroidism of the two groups at discharge was significantly higher than that of the same group on admission. The knowledge rate of hyperthyroidism of the observation group was significantly higher than that of the control group (P<0.01). Medication adherence rate of the observation group was also significantly higher than that of the control group (P< 0.01). The difference between the two groups was statistically significant (P <0.01). There was no significant difference in SF-36 scores between the two groups in terms of mental health (MH), role emotional (RE), society function (SF), vitality (VT), body pain (BP), role physical (RP), physical function (PF) and general health(GH) (P> 0.05) on admission, while the scores of the two groups 6 months after discharge were significantly higher than those at discharge. SF-36 scores of four items, such as SF, VT, RP, GH of the observation group were significantly higher than those of the control group (P<0.01). Conclusion: The health education in the form of games could help improve the knowledge rate, increase medication adherence and life quality of children with hyperthyroidism, which was worthy of being popularized and being applied in the clinical practice.