Survey Of Nutritional Cognition And Behavior Of Parents Of Children With Nephrotic Syndrome And The Evaluation Of Nurse Intervention To Them

Objective1. To investigate the level of nutritional cognition, attitudes and behavior ofparents of children with nephrotic syndrome, to offer gist for health education byanalyzing and summarizing the data, and let the health education more pertinent.2. To investigate the influence of health education method on nutritional therapyknowledge of parents of children with nephrotic syndrome, and let the diseasecontrolled better.Methods1. A questionnaire survey which was designed by myself was conducted among126parents of children with nephrotic syndrome from February2012to October2012.2.70parents of children with nephrotic syndrome were divided into2groupaccording to different health education methods, the first stage of study was fromFebruary2012to June2012for control group, then next stage was from June2012toOctober2012for intervention group. A questionnaire survey which was designed bymyself was conducted among them when children admitted hospital and dischargedfrom hospital.3. Two groups of parents divided according as above were all receivedconventional health education before their children discharged from hospital. Theintervention group also was given message guidances, interactive doubts-resolutionand telephone intervention during1months(2weeks after discharged) and3monthsdischarged from hospital; after their children discharged from hospital1months and3months(6weeks after discharged), we investigated their implementation of dietrelated behavior and the progress of disease in children using the questionnaire of self-designed knowledge through telephone.4. Statistical analysis: This study was designed to use SPSS13.0software forstatistical analysis. The t test, ANOVA analysis etc. were used for compare means,while SNK was for multiple comparisons. Stepwise regression analysis was used forthe analysis of cognition among parents of children with nephrotic syndrome relatedfactors, and the repeated measures method was for the scores of two groups ofparents’ nutrition knowledge on disease analysis. Some of the data was to useChi-square test, the Fisher exact method or Nonparametric test. When P<0.05, it wasconsidered statistically significant difference.Results1. The parents’ level of nutritional therapy knowledge was low(the average score:15.30±3.81,average score indicators:54.65%); and the grasps to protein requirements（9.52%）of parents were lower than other diet principles(χ~2=123.897，P<0.05).2. Analysis of cognition among parents of children with nephrotic syndromerelated factors Course of disease, education level of parents, family location werethe main factors to affect the related cognition of parents, and the decreasing orderaccording to affection was course of disease, education level of parents, familylocation（Beta=0.483、0.340、0.180）.3. The scores of two groups of parents’ nutrition knowledge on disease whenchildren admitted hospital were13.60±3.31,14.09±3.80and the scores whenchildren discharged from hospital were16.71±2.53,20.57±2.16. The scores of twogroups were improved remarkably（F of within group＝13.154，P<0.05）after nutritionguidance, but the degree of growth of control group was lower than interventiongroup (F of between group＝15.485，P<0.05). And the differences of awareness ratesin water and salt, energy, vitamin, protein were statistically significant (χ~2=5.385,12.992,4.690,16.568; P<0.05).4. Compared with the the relapse rate of control group(48.57%), the rate ofintervention group(23.52%) in3month after discharged from hospital waslower(χ~2=4.681，P<0.05), which was considered statistically significant difference,while in1month after discharged that was no statistical difference. Both1month and 3month after discharged, the relapse rate caused by diet of control group was lowerthan that in1month（χ~2=69.000，P<0.05）.5. Both1month and3month after discharged, compliance to the interventiongroup were higher than that in the control group(u=439.000、414.500，P<0.05), butboth control group and intervention group, compliance in3month after dischargedwas lower than that in1month.6. The behavior scores on energy, vitamin, protein of parents in interventiongroup were higher than that in the control group(F of between group=9.344,38.550,5.083,38.299, P<0.05), while the behavior scores on water and salt was no statisticaldifference in two group. And the behavior scores on protein and total scores of3month after discharged were higher than that in1month(F of within group=7.808,5.569，P<0.05).Conclusion1. The level of parents about nutritional therapy knowledge is low, especially onthe protein requirements. Health education should be strengthened to the parents bynurses in order to make it individual, specific and form-diverse.2. The health education can promote the parents’ nutritious knowledge level ondisease, and make full use of the roles of nurses.3. The message guidances and interactive doubts-resolution after hospital canpromote the standardization of the nutrition related behavior of parents, improvecompliance, make the disease managed better, so as to reduce the recurrence rate.