Research On Pathway And Needs Of Clinical Health Education Over Family Member In Xinjiang Children With Congenital Heart Disease

Objective:1) To understand the demand situation of Xinjiang complex congenitalheart disease in children with family of knowledge related to the disease.2)To explore thebasic method and application of clinical nursing path, in order to improve the quality oflife of children and improve their degree of satisfaction. Methods: Randomly selected inour hospital from2011January to June hospitalized aged patients with complexcongenital heart disease in236cases, carries on the questionnaire survey to the parents ofthe children, statistical analysis was performed using the statistical software. Followingthe demand investigation after the end of2011June to2012December, treated568casesof congenital heart disease in children, were randomly divided into two groups:experimental group (294cases) and control group(273cases). Comparison the two groupsof health knowledge, family satisfaction and hospitalization time. Analysis the influencingfactor on health education outcome by using logistic regression. Results: Differentnationalities, different occupation, different education level parents have significantdifferences in health needs (P<0.05). Followed by the medical cost and reimbursementpolicy, the hospital health guidance, operation effect and prognosis, surround operationperiod nursing knowledge, disease risk factors and clinical features in the content ofeducation needs to sort the top five. Sort the education ways and methods are one-to-oneoral explanation, image communication, health education manual, panels, collective healtheducation lectures and discussions. The path group of parents of children with knowledgeof health, satisfaction of parents and children of hospitalization were significantly betterthan the control group, there were significant differences (P<0.05). Parent knowledge degree was no different between two group after discharged from hospital6/12month.Logistic regression analysis showed, has direct effect of ethnic, age, education level,occupation health education (P<0.05). Children’s quality of life were no different whenthem are discharge from hospital, but the3\6\12month later, data shows that clinical pathway group were significant high than control group(P<0.05). Logistic regression showsthat parent’s occupation and education level affects children’s Quality of Life(P<0.05).Conclusion:0-14year old children with congenital heart disease related knowledge ofdisease requires a larger, greater demand for knowledge mainly concentrated in themedical cost and reimbursement policy, the hospital health guidance, operation effect andprognosis in Xinjiang. Most looking forward health education method is to an oralexplanation, after the use of clinical health education path, there is significantly improvethe effect on the hospitalization days, parent satisfaction. Should given more healtheducation support for the low education, minority, free occupation, and young parents, inorder to improve the master degree of CHD disease related knowledge, so as to improvethe intensity of nursing support children, improve the children’s quality of life andtreatment effect.