Health education strategy and practice of disease project management in maternaland child health service institutions
妇幼健康服务机构疾病专案管理健康教育策略与实践

摘要

目的 探索适合妇幼健康服务机构实施疾病专案管理健康教育模式。方法 选择2020年9月至2022年8月清远市妇幼保健院转介专案服务中心疾病专案管理患儿包括高危儿、矮小症、性早熟、先天性甲状腺功能减退症作为研究对象，每组高危儿1800例、矮小症患儿90例、性早熟患儿90例、先天性甲状腺功能减退症患儿84例。2020年9月-2021年8月的患儿为对照组，2021年9月-2022年8月的患儿为观察组，对照组采用常规健康教育模式，观察组在对照组的基础上，采用个性化健康教育干预模式。比较两组患儿回院复诊率、患儿服药依从率、患儿家属健康知识知晓率。结果 观察组患儿回院复诊率高危儿93.22%、矮小症患儿91.11%、性早熟患儿93.33%、先天性甲状腺功能减退症患儿90.48%，患儿服药依从率高危儿90.44%、矮小症患儿86.67%、性早熟患儿85.71%、先天性甲状腺功能减退症患儿85.71%，患儿家属健康知识知晓率高危儿79.67%、矮小症患儿80.00%、性早熟患儿88.89%、先天性甲状腺功能减退症患儿83.88% 均高于对照组，差异有统计学意义（P< 0.05）。结论 疾病专案管理健康教育干预能够提高患者的疾病知识掌握度及就医依从性，促进疾病干预与康复，提升妇幼健康服务机构的医疗服务质量。

Abstract

Objective To explore the health education model suitable for maternal and child health service institutions to implement disease project management.
Methods From September 2020 to August 2022, the patients with diseases managed by the referral project Service center of Qingyuan Maternal and Child Health Hospital, including high-risk children, dwarfism, precocity and congenital hypothyroidism, were selected as the study objects. In each group, there were 1800 high-risk children, 90 children with short stature, 90 children with precocious puberty, and 84 children with congenital hypothyroidism. Children from September 2020 to August 2021 were included in the control group, and those from September 2021 to August 2022 were included in the observation group. The control group was treated with conventional health education mode, and the observation group was treated with personalized health education intervention mode based on the control group. The rate of return to hospital, the rate of medication compliance and the rate of family members' awareness of health knowledge were compared between the two groups.
Results In the observation group, the rate of return to hospital was 93.22% in high-risk children, 91.11% in children with nanosomia, 93.33% in children with precocious puberty, 90.48% in children with congenital hypothyroidism. The compliance rate of children with medication was 90.44% in high-risk children, 86.67% in children with nanosomia, 85.71% in children with precocious puberty and 85.71% in children with congenital hypothyroidism. The health knowledge awareness rates of high-risk children 79.67%, nanosomia 80.00%, precocious puberty 88.89% and congenital hypothyroidism 83.88% were higher than those of control group, and the difference was statistically significant (P< 0.05).
Conclusion   Health education intervention in disease project management can improve patients' disease knowledge mastery and medical compliance, promote disease intervention and rehabilitation, and improve the quality of medical service in maternal and child health service institutions.