Application of health education based on transtheoretical model in family members of children with Henoch-Schonlein purpura nephritis
10.3760/cma.j.cn115682-20190918-03391
- VernacularTitle:基于行为转变理论的健康教育在紫癜性肾炎患儿家属中的应用
- Author:
Shuai XIE
1
;
Xianrong YIN
;
Yan ZHAO
Author Information
1. 四川省绵阳市中心医院儿科 621000
- Keywords:
Child;
Henoch-Schonlein purpura nephritis;
Health education;
Trans theoreticial model of behavior;
Knowledge attitude and practice;
Family;
Psychology
- From:
Chinese Journal of Modern Nursing
2020;26(19):2616-2621
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effects of health education based on transtheoretical model on behavior and psychological status of family members of children with Henoch-Schonlei purpuric nephritis (HSPN) .Methods:From March 2016 to January 2018, we selected 82 HSPN children family members of Department of Pediatrics in Mianyang Central Hospital. All children family members were divided into control group and observation group with the random envelope method, 41 cases in each group. Family members of control group received routine health education, while family members of observation group were treated with health education based on transtheoretical model. Psychological condition, coping style, knowledge belief and practice of family members were evaluated with the Connor-Davidson Resilience Scale (CD-RISC) , the Coping Health Inventory for Parents (CHIP) and the self-designed Knowledge Belief and Practice Questionnaire before and after intervention. We also counted the recurrence rate of HSPN among children between two groups 6 months after discharge.Results:On the day of admission, there were statistical differences in the dimension scores and the total scores of CD-RISC, CHIP and the Knowledge Belief and Practice Questionnaire of family members of children between two groups ( P>0.05) . On the day of discharge, the dimension scores and the total scores of CD-RISC, CHIP and the Knowledge Belief and Practice Questionnaire of family members of children in observation group were higher than those in control group with statistical differences ( P<0.05) . The cumulative recurrence rate of HSPN among children in observation group was lower than that in control group after 6 months of follow-up, but the difference was not statistically significent ( P>0.05) . Conclusions:Health education based on transtheoretical model can improve the psychological status of family members of children with HSPN and mental resilience, promote the change of their coping styles, raise the improvement effect of knowledge belief and practice, and help reduce the recurrence rate of children.
