| [Objective]Developed health education lecture on hand-foot-mouth disease(HFMD) for parents of children under 5 years old in Dingtao on the basis of understanding of the cognition on HFMD,then analysed and_compared the difference of the cognition on HFMD with before, to evaluate the effect of health education and provide basis for the later health education plan and offer reference for education on HFMD of Shandong Province.[Methods]Proportionate and cluster sampling was used. At first we marked the 11 small towns into 3 proportions on the incidence of HFMD:3 high incidence towns,4 secondary incidence towns and 4 low incidence towns. And we extracted 2 small towns in every proportion by simple random sampling, then we extracted 3 villages if there were more than 40 villages in the town,2 villages if the villages between 20 and 40,1 village if there were less than 20 villages, the total villages number we chose was 23.The parents of children under 5 years old were our objects. At first we developed our survey on the cognition on HFMD by self-designed questionnaires, which included basic knowledge, mode of transmission, preventive action and professional knowledge on HFMD. Then we provided health education through lectures in every village, self-designed questionnaires were handed out again after the lectures finished. The data was checked and screened, then input into computer via program Excel, and the statistic analysis was performed by SPSS system to analyse the education needs of HFMD and evaluate the effect of health education by investigating the enhancement from different sexes, ages and nations, et al.[Results]1 statistic findings before health education1171 questionnaires were handed out before health education,1676 questionnaires were retrieved. we studied the data by centesimal system, and there were 65 questions about HFMD, he wound be given 100/65 when he had one right answer. We used score of 60 as the cognition boundary and we said that he passed the test when he acquired score of 60.We found that, average score they gained was 58.15±15.89, and 57.76% gained a score more than 60. The result we found out through the comparison of the results between different areas, nations and ages was that, there were great differences on the total scores, scores on same kind of knowledge and the passing proportion (P<0.01) among them, and there were also differences on the total scores, scores on preventive action and Professional knowledge between different sexes (P<0.05),but there were no differences on the basic knowledge and route of transmission(p>0.05).We had also studied about where the parents acquired the knowledge, and the main way were television (79.71%), family and friends (59.07 %), radio (49.58%), community publicity (49.11%), pamphlet (44.21%) and doctor(41.71%). But the sources they more liked was television (64.92%), doctor (43.85%), lecture(42.90%) and pamphlet (36.34%).They were eager for knowledge of every kind.2 statistic findings after health education1685 questionnaires were handed out after health education,1656 questionnaires were retrieved and the proportion was 98.28%. the average score they gained was 73.74±14.70, and 84.3% of the informant respondents gained a score more than 60.Compared the total average score, score on knowledge of 4 kinds and the passing proportion with the result before health education, there were great differences (P< 0.01),then we also compared the total average score, score on knowledge of 4 kinds among them, there were also differences between different areas, nations, jobs et al(P<0.05). We found that the results were different between the parents less than 40 years old(P<0.05), but there were no different between the parents more than 50 years old (P>0.05). Comparing the correct proportion of every question, there were great differences between them(P<0.01) except the question "The patients must be given isolating treat when they were found in hospital", its correct proportion had no differences (P>0.05).[Conclusions]1 The level of cognition on HFMD of the parents of children under 5 years old in Dingtao were low and mans gained higher scores than women, parents in high incidence small towns gained higher scores than parents in low incidence small towns. The younger, the job letter, the more income, the higher level of cognition.2 The evident told us that, the parents of children under 5 years old knew more about the route of transmission and preventive action, then the basic knowledge, and they knew least about the professional knowledge.3 The main access path of knowledge on HFMD of them was watching TV, friends and broadcast,but they were more willing to gain the knowledge from doctors,specialists and epidemic prevention department.4 The cognition on HFMD of the parents of children under 5 years old gained enhancement through our health education, and it proved that health lecture was a effective methods in HFMD health education.
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