Mangala S, Gopinath D, Narasimhamurthy N S, Shivaram C
M.S. Ramaiah Medical College, Community Medicine Department, Bangalore-560 054, India.
Indian J Pediatr. 2001 May;68(5):393-7. doi: 10.1007/BF02723009.
A pre and post comparison study was carried out in the field practice area of M.S. Ramaiah Medical College Bangalore, Karnataka to assess the impact of educational intervention on the knowledge of mothers of under five children on home management of diarrhoeal diseases. Sample of 225 mothers were included in the study. The study was conducted in 3 stages. Stage I--initial knowledge, attitude and practice of mothers was assessed. Stage II--one to one educational intervention was conducted and supported by audiovisual aids and live demonstration. Stage III--included post intervention knowledge, attitude and practice after 2 months and 2 years. After the educational intervention, there was significant improvement on knowledge of mothers regarding definition of diarrhoea (P < 0.001), signs of dehydration (P < 0.001), awareness of ORS solution (P < 0.001), correct preparation of ORS solution (P < 0.001), shelf-life of ORS solution (P < 0.001), seeking health care (P < 0.001) and rational drug therapy during diarrhoea (P < 0.001). McNemar test was used to find out the change in knowledge before and after the educational intervention. The overall knowledge scores improved significantly after 2 months (P < 0.001) as well as 2 years (P < 0.001) of the educational intervention. Though the proportion of mothers retaining the knowledge at the end of 2 years dropped, yet there was significant improvement (P < 0.001) when compared to the baseline study.
在卡纳塔克邦班加罗尔的 M.S. 拉马亚医学院的实地实践区域开展了一项前后对比研究,以评估教育干预对五岁以下儿童母亲关于腹泻疾病家庭管理知识的影响。225 名母亲作为样本纳入研究。该研究分三个阶段进行。第一阶段——评估母亲们最初的知识、态度和做法。第二阶段——进行一对一的教育干预,并辅以视听教具和现场演示。第三阶段——包括在干预后 2 个月和 2 年时的知识、态度和做法。教育干预后,母亲们在腹泻定义(P < 0.001)、脱水迹象(P < 0.001)、口服补液盐溶液知晓率(P < 0.001)、口服补液盐溶液正确配制方法(P < 0.001)、口服补液盐溶液保质期(P < 0.001)、寻求医疗保健(P < 0.001)以及腹泻期间合理药物治疗(P < 0.001)等方面的知识有显著提高。采用麦克尼马尔检验来找出教育干预前后知识的变化。教育干预 2 个月后(P < 0.001)以及 2 年后(P < 0.001),总体知识得分均有显著提高。尽管在 2 年末保留知识的母亲比例有所下降,但与基线研究相比仍有显著改善(P < 0.001)。