| ObjectivesThis study was to reach an understanding of adolescents’and their parents’as well as grandparents’coping with heatwaves through the nurse-lead educational community healthcare intervention. It will help explore and establish the adolescent-centered family-focused model of community health education to improve adolescents and their family health and to help adolescents develop caring and filial actions to support older family member as early as possible.SubjectsFrom March to September 2015, a total of 66 adolescents, aged 14.6±3.0 years old, with electronic health records in the High Tech Zone Community Centre in a county in Shandong Province were recruited to participate in this stud. The ratio of female to male participants was nearly 1:1 (31:35). The inclusion criteria comprise, a. aged from 10 years to 19 years old according to the WHO population age group definition of adolescents; b. being able to read and communicate without any difficulty, and being able to accomplish the telephone-communication independently; c. being voluntary to participate in the study and to have phone, WeChat or QQ contact. The excluded were those who had severe cognitive impairment that not being able to collaborate with the researcher, and those who were suspect of mental problems.MethodsA total of 3,218 adolescents were extracted from the targeted community health information system, and of them 1204 were found to have contact phone number. Using an online randomizer, around one third of this targeted population (n=310) were selected, recoded and then randomly allocated to the Experimental Group and Control Group including 150 adolescents in each group. After the initial telephone contact for ethical approval with the help of a pre-designed interview guide,33 adolescents were successfully recruited to each group.Adolescents in the Experimental Group were provided with heatwaves health education, especially those health risks for older people, and then requested to communicate these knowledges with their parents and grandparents. They were also required to provide a WeChat or QQ account for the distribution of written materials of relevancy. In contrast, adolescents in the Control Group were only requested to provide an email address or a QQ account without receiving any heatwaves healthcare education. All written materials were disseminated through the online approach provided by the adolescents.One week and one month after the first phone contact, adolescents in two groups were reached again through the phone call to enquire whether they communicate the heatwaves healthcare information with their parents and grandparents. If this failed to be done, reasons were asked about; if being done, adolescents were asked about their own, parents’and grandparents’coping with heatwaves using the pre-developed checklist of heatwave coping behaviors checklist.Besides, adolescents in the Experimental Group received telephone call for reviewing relevant knowledges and the reminding of disseminate such information to their parents as well as grandparents the day before the predicted attack by referring to the mobile application of China Weather Forecast.Statistical analyses were performed using SPSS 19.0 for the descriptive analyses and comparative tests. The independent t-test was carried out to examine the mean difference in family scoring of heatwaves healthcare coping between the Experimental and Control Group. The paired t-test was conducted to examine the mean changes between the first and the second time family scoring of heatwaves healthcare coping within the Experimental and Control Group respectively.ResultsBefore the intervention, no significant mean difference (p>0.05) was identified in the family scoring of heatwaves healthcare coping between the Experimental and Control Group. There was a significant difference (p<0.05) in the family scoring of heatwaves healthcare coping at the first week post-intervention and that at the first month post-invention in the Experimental Group.ConclusionIt is feasible for community nurses to deliver heatwaves healthcare education using telephone and WeChat. The community adolescent-centered family heatwaves healthcare promotion is not only able to motivate community adolescents to study with interest so to take active care of their health, but also beneficial to the expansion of heatwaves healthcare coping to the adolescent’s close networking, contributing to the harmonic and sustainable development in the family micro-ecological system. |
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