Objective: To study the effect of health education in the form of games on medication adherence of children with hyperthyroidism. Methods: 150 cases of children with hyperthyroidism from pediatric inpatient department of our hospital from January 2012 to January 2017 were selected. The children were divided into a observation group and a control group using the method of random number table, with 75 cases per group. The control group was given conventional health education, while the observation group was given health education in the form of games on the basis of the control group. The difference in medication adherence between the two groups was compared. Results: The difference(P>0.05) between the two groups in the knowledge rate of hyperthyroidism on admission has no statistical significance. whereas the knowledge rate of hyperthyroidism of the two groups at discharge was significantly higher than that of the same group on admission. The knowledge rate of hyperthyroidism of the observation group was significantly higher than that of the control group (P<0.01). Medication adherence rate of the observation group was also significantly higher than that of the control group (P< 0.01). The difference between the two groups was statistically significant (P <0.01). There was no significant difference in SF-36 scores between the two groups in terms of mental health (MH), role emotional (RE), society function (SF), vitality (VT), body pain (BP), role physical (RP), physical function (PF) and general health(GH) (P> 0.05) on admission, while the scores of the two groups 6 months after discharge were significantly higher than those at discharge. SF-36 scores of four items, such as SF, VT, RP, GH of the observation group were significantly higher than those of the control group (P<0.01). Conclusion: The health education in the form of games could help improve the knowledge rate, increase medication adherence and life quality of children with hyperthyroidism, which was worthy of being popularized and being applied in the clinical practice.
Key words
games;health education;hyperthyroidism;pediatric patient;medication adherence
{{custom_keyword}} /
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
References
[1] Yang H,Cong Y,Wu T,et al. Clinical Efficacy of Yingliu Mixture Combined with Metimazole for Treating Diffuse Goitre with Hyperthyroidism and its Impact on Related Cytokines[J]. Pharmaceutical Biology,2017,55(1):258-263.
[2] Sarezky M D,Corwin D J,Harrison V S,et al. Hyperthyroidism Presenting with Pathologic Fractures[J]. Pediatrics,2016,137(2):23-26.
[3] 王芬. 奥马哈系统对甲亢患者延续护理干预效果的影响[J]. 国际护理学杂志,2016,35(13):1787-1790.
[4] 贾晓琴,孙玉倩,孙秉赋,等. 游戏并分享阅读对恶性肿瘤患儿心理应对能力的干预效果[J]. 中国儿童保健杂志,2014,22(4):397-399.
[5] Choi S,Hwang J,Lee S,et al. Quantitative Analysis of Thyroid-stimulating Hormone(TSH)Using SERSbased Lateral Flow Immunoassay[J]. Sensors & Actuators B Chemical,2017,240(5):358-364.
[6] 赵伟. 甲亢性肝病患者血清检验指标改变的临床价值应用[J]. 中国医药指南,2016,14(28):30-31.
[7] 孙玉霞,袁丽,熊真真,等. 甲亢住院患者疾病相关知识掌握情况的调查及健康教育效果[J]. 中华现代护理杂志,2014,49(25):3236-3238.
[8] 寸金芝,赵丽琴. Morisky问卷评价精神分裂症恢复期患者服药依从性的信度和效度[J]. 临床精神医学杂志, 2016,26(3):185-186.
[9] Yagata H,Ohtsu H,Komoike Y,et al. Joint Symptoms and Health-related Quality of Life in Postmenopausal Women with Breast Cancer Who Completed 5 Years of Anastrozole[J]. Supportive Care in Cancer,2016,24(2):683-685.
[10] Bitiktaş S,Kandemir B,Tan B,et al. Adult-onset Hyperthyroidism Impairs Spatial Learning:Possible Involvement of Mitogen-Activated Protein Kinase Signaling Pathways[J]. Neuroreport,2016,27(11):802-803.
[11] 苏国爱,王秋艳,李亚兰,等. IL-2、IL-6和TGF-β在老年甲状腺肿并甲亢患者体内表达水平及其临床意义[J]. 中国地方病防治杂志,2016,31(4):391-395.
[12] 高红兰,周惠娟. 健康教育对甲亢患者服药依从性及生活质量的影响[J]. 中国健康教育,2016,32(7):658-661.
[13] Rojas D,Kapralos B,Dubrowski A. The Role of Game Elements in Online Learning within Health Professions Education[J]. Studies in Health Technology & Informatics, 2016,220(3):329-330.
[14] Ogunsile S E,Ogundele B O. Effect of Game-enhanced Nutrition Education on Knowledge,Attitude and Practice of Healthy Eating among Adolescents in Ibadan, Nigeria[J]. International Journal of Health Promotion & Education,2016,214(10):1-10.
[15] 高雪卿. 简易游戏对门诊学龄期输液患儿输液依从性的影响[J]. 护理实践与研究,2016,13(8):69-70.
[16] 代娓,李艳娇,史铁英. 治疗性游戏对儿童围手术期影响的研究[J]. 护理学报,2016,23(6):59-60.
[17] 刘翠云. 填色游戏在学龄期静脉输液患儿中的应用[J]. 齐鲁护理杂志,2016,22(17):94-95.
[18] 傅晓玲,付勤,李素芳,等. 平板电脑游戏对缓解儿童手术前和手术中焦虑的作用[J]. 中国实用护理杂志, 2016,32(28):2192-2195.
{{custom_fnGroup.title_en}}
Footnotes
{{custom_fn.content}}