目的 评价健康教育对防治儿童铁缺乏症的效果,为更有效地防治儿童铁缺乏症提供依据。方法 选取2014年1月-2015年12月在该院确诊的铁缺乏症儿童646例,随机分为对照组和试验组,每组各323例。对照组采用传统教育模式,试验组采用加强教育模式,比较两组健康教育模式对患者知晓率、复检率、血清铁蛋白平均水平、满意度的影响。结果 试验组患儿对疾病危害的认识、药物治疗的掌握、辅食添加的正确方法、不良进食行为纠正、喂养行为改进、相关注意事项等方面的知晓率均明显高于对照组,两组比较差异均有统计学意义(P<0.001)。试验组健康教育复检率亦明显高于对照组,两组比较差异有统计学意义(χ²=61.297,P<0.001),两组血清铁蛋白平均水平比较差异亦有统计学意义(U=16.434,P＜0.001),两组患者满意度比较差异亦有统计学意义(χ²=44.741,P<0.001)。结论 加强教育模式使患儿家长能全面有效掌握铁缺乏对儿童健康的影响以及药物治疗的相关知识,了解定期复查的重要性和合理的膳食结构,从而有效纠正不良喂养行为和进食习惯,提高健康教育效果和患者满意度。

Objective To explore the effect of health education on children iron deficiency,and to provide a basis for more effective prevention and treatment of iron deficiency in children. Methods A total of 646 children diagnosed with iron deficiency from January 2014 to December 2015 were selected,and randomly divided into the control group and the experimental group(323 cases per group).The control group received traditional health education,while the experimental group received the intersive health education.The awareness rate,re-examination rate,average serum ferritin level and patient satisfaction were compared between the two groups. Results The rates of awareness of disease,drug treatment control,correct method of feeding,poor eating behavior correction,feeding behavior,knowing relevant attention to matters in experimental group were significantly higher than those in the control group (P<0.001).Furthermore,the re-examination rate of experimental group was obviously higher than that in control group (χ²=61.297,P<0.001).Also,the average serum ferritin levels of two groups also had significant differences (U=16.434,P<0.0001),and there was significant difference on patient's satisfaction between the two groups (χ²=44.741,P<0.001). Conclusion The intensive health education can help patients effectively know about the effects of iron deficiency on children health and the drug treatment-related knowledge,realize the importance of regular re-examination and reasonable diet.Consequently,children's bad feeding behaviors and eating habits will be effectively corrected,and the effect of health education and patient's satisfaction will be significantly improved.