Rasmussen F
Department of Social Medicine, University of Uppsala, Sweden.
Soc Sci Med. 1989;29(2):205-12. doi: 10.1016/0277-9536(89)90168-8.
Mothers' benefit of a mass-distributed self-care booklet and a self-care educational session about young children's minor illnesses were investigated. The following questions were studied: (1) Do mothers of infants read and benefit from a self-care booklet? (2) Is the mothers' knowledge about self-care improved more if the booklet is supplemented by a self-care educational session? 265 (92%) of 288 randomly sampled Swedish mothers whose first child was 6-12 months of age were interviewed regarding their knowledge about self-care. Shortly thereafter a self-care booklet was mailed to all households in Uppsala county and 6.5 months later a new group of 572 mothers was randomly sampled. Among the 572 mothers, 332 (58%) were randomized to a self-care session organized at child health centres and 240 (42%) were not invited to a session. Of the 572 mothers, 530 (93%) were later interviewed about the booklet, the session and their knowledge about self-care. 69% participated among the mothers randomized to the session. Among these mothers, 99% recalled the booklet and 96% had read the child care section. Among the mothers not invited to the session, 68% recalled the booklet and 60% had read the child care section. The mothers who had read the child care section would follow the recommendations about when to seek (and not to seek) medical care significantly better than those who had not read it (P less than 0.003).(ABSTRACT TRUNCATED AT 250 WORDS)
研究了向母亲们大规模发放自我护理手册以及开展关于幼儿常见小病的自我护理教育课程的益处。研究了以下问题:(1)婴儿母亲是否阅读并从自我护理手册中受益?(2)如果手册辅以自我护理教育课程,母亲们的自我护理知识是否能得到更大程度的提高?对288名随机抽取的瑞典母亲进行了访谈,这些母亲的第一个孩子年龄在6至12个月之间,了解她们关于自我护理的知识。此后不久,向乌普萨拉郡的所有家庭邮寄了一本自我护理手册,6.5个月后,随机抽取了一组新的572名母亲。在这572名母亲中,332名(58%)被随机分配到儿童健康中心组织的自我护理课程,240名(42%)未被邀请参加课程。在这572名母亲中,530名(93%)后来接受了关于手册、课程以及她们自我护理知识的访谈。参加课程的母亲中有69%参与了访谈。在这些母亲中(参加课程的母亲中),99%记得手册,96%读过儿童护理部分。在未被邀请参加课程的母亲中,68%记得手册,60%读过儿童护理部分。读过儿童护理部分的母亲比未读过的母亲在遵循何时寻求(以及不寻求)医疗护理的建议方面明显更好(P小于0.003)。(摘要截选至250字)