臺灣博碩士論文加值系統

Backgrouond: Hand-Foot-Mouth Disease (HFMD) caused by Enterovirus 71, is becoming an important problem of public health in Vietnam. The rate of new cases increases, the epidemic spread in many provinces and there were some deaths, particularly from ages 3 to 5 years old. This disease can be prevented simply by cleaning hands but many caregivers do not have proper knowledge about this disease, as well as effective prevention.
Purpose: The purpose of this study was to survey the knowledge, attitudes and behaviors about hand foot and mouth disease of caregivers who were taking care for the under-5 inpatient children under 5 years to treatment with HFMD in the Children's Hospital, Vietnam. This study focused on three goals. Firstly, to investigate the characteristics of caregivers of children with HMFD. Secondly, to identify the percentages of caregivers with the correct knowledge, attitudes and behaviors about HFMD. Thirdly, to examine the association between the demographic characteristics and correct knowledge, attitudes and behaviors about HFMD among caregivers.
Methods. A cross-sectional, described, prospective study, was performed on the caregivers who had inpatient children under 5 years to treatment in the Children's Hospital, Vietnam, from November 2013 to December 2013. The voluntary caregivers was interviewed directly with the prepared structured questionnaires.
Results. The percentage of subjects with the proper knowledge about HFMD was 85%, the right attitudes was 93.1%, and the correct behaviors was 93.1%. There were associations between knowledge with factors such as: place of residence, education level, understanding of HFMD, time of knowing information of HFMD and receiving information about HFMD (Television, Radio and medical Officials), between attitudes with the groups on the time of knowing information of HFMD, between behaviors with: gender and sources of information that subjects accessed (TV, radio). There was an association between correct knowledge and right attitudes about HFMD in the subjects, but there were no associations among correct behaviors, knowledge, and attitudes.
Conclusion. Many studies showed that there are a relationship among knowledge, attitudes and right behaviors of HFMD caregivers in preventing and reducing this disease in Vietnam.

Backgrouond: Hand-Foot-Mouth Disease (HFMD) caused by Enterovirus 71, is becoming an important problem of public health in Vietnam. The rate of new cases increases, the epidemic spread in many provinces and there were some deaths, particularly from ages 3 to 5 years old. This disease can be prevented simply by cleaning hands but many caregivers do not have proper knowledge about this disease, as well as effective prevention.
Purpose: The purpose of this study was to survey the knowledge, attitudes and behaviors about hand foot and mouth disease of caregivers who were taking care for the under-5 inpatient children under 5 years to treatment with HFMD in the Children's Hospital, Vietnam. This study focused on three goals. Firstly, to investigate the characteristics of caregivers of children with HMFD. Secondly, to identify the percentages of caregivers with the correct knowledge, attitudes and behaviors about HFMD. Thirdly, to examine the association between the demographic characteristics and correct knowledge, attitudes and behaviors about HFMD among caregivers.
Methods. A cross-sectional, described, prospective study, was performed on the caregivers who had inpatient children under 5 years to treatment in the Children's Hospital, Vietnam, from November 2013 to December 2013. The voluntary caregivers was interviewed directly with the prepared structured questionnaires.
Results. The percentage of subjects with the proper knowledge about HFMD was 85%, the right attitudes was 93.1%, and the correct behaviors was 93.1%. There were associations between knowledge with factors such as: place of residence, education level, understanding of HFMD, time of knowing information of HFMD and receiving information about HFMD (Television, Radio and medical Officials), between attitudes with the groups on the time of knowing information of HFMD, between behaviors with: gender and sources of information that subjects accessed (TV, radio). There was an association between correct knowledge and right attitudes about HFMD in the subjects, but there were no associations among correct behaviors, knowledge, and attitudes.
Conclusion. Many studies showed that there are a relationship among knowledge, attitudes and right behaviors of HFMD caregivers in preventing and reducing this disease in Vietnam.

Abstract……………………………………………………………………… …i
Acknowledge…………………………………………………………….....ii
Contents……………… ……………………………………….........iii
List of figures………………………………………………………....vii
List of tables……………………………………………………………………...viii
Abbreviation……………………………………………….............ix
Chapter 1. Introduction
1.1 Research statement …………………………………………………1
1.1.1 The trends on HFMD………………………………1
1.1.2 The regulation and policies on HFMD in Vietnam……………………………………………………………………………2
1.2 Significance of this research…………………………………3
1.2.1 The definitions about knowledge, attitudes and behaviors of caregivers of children with HFMD………………………………………………………………………………3
1.2.2 The current status on HFMD in Vietnam….……………………………………………………………………………………4
1.3 Aim of this research...............................5
1.4 Research questions.................................5
1.5 Chapter summary....................................6
Chapter 2. Literature review
2.1 Introduction............................................7
2.2 Hand Foot and Mouth Disease…………………….…………..7
2.3 Review of relevant literature......................8
2.3.1 The aspects of health promotion on illness and healing..................................................8
2.3.2 Caring science in health promotion model……...9
2.3.3 International study on health promotion model…10
2.3.4 Vietnamese study on health promotion model…….11
2.4 Review of relevant theoretical literature .........12
2.4.1 Pender’s environment and individual characteristics philosophy……………......................13
2.4.2 Applying Pender’s health promotion model to this study……………………................................13
2.4.3 Application of Pender’s health promotion model in nursing practice………................................15
2.5 Chapter summary....................................15


Chapter 3. Research Methodology
3.1 Introduction..........................................17
3.2 Research design...................................17
3.3 Definition of the terms...........................18
3.4 Research hypotheses...............................20
3.5 Sampling and setting..............................21
3.5.1 Setting…………………………………………………………………………21
3.5.2 Sampling procedure………………………………………………………….........21
3.6 Research instruments................................22
3.6.1 The independent variables of the study - Demographic characteristics of
caregivers and inclusion criteria of subjects............22
3.6.2 The dependent variables of the study……………………23
3.6.2.1 Knowledge of caregivers…………………………………23
3.6.2.2 Attitudes of caregivers…………………………………24
3.6.2.3 Behaviors of caregivers………………………………..24
3.6.3 Validity and Reliability……………………………………………….………........25
3.6.3.1 Validity………………………………………….…………25
3.6.3.2 Reliability…………………….…………….………….26
3.6.4 Data collection………………………………….…………...27
3.7 Procedure. ……………………………………………………………28
3.7.1 Pilot study……………………………………………....28
3.7.2 Formal study………………..………………………....28
3.8 Data analysis......................................29
3.9 Ethical issues.....................................30
3.10 Chapter summary....................................31
Chapter 4. Results
4.1 Introduction.......................................32
4.2 Demographic profile................................32
4.2.1 Demographic characteristics…………………………32
4.2.2 The Knowledge about the HFMD of the caregivers in caring children…………………………………………………………34
4.2.3 The attitudes of caregivers of children with HFMD………………………………………………………………………………35
4.2.4 Behaviors on HFMD of the children caregivers……...…………..………………………………………………37
4.3 The associations among knowledge, attitudes, behaviors and demographic characteristics of caregivers ………………………………………………………………………………………39
4.3.1 The differences in knowledge score with demographic characteristics of caregivers…………………....39
4.3.2 The differences in attitudes score with demographic characteristics of caregivers……………….....41
4.3.3 The differences in behaviors score with demographic characteristics of caregivers………………………43
4.3.4 The associations between demographic characteristics of caregivers and their knowledge about HFMD…………………………………………………….................45
4.3.5 The associations between demographic characteristics of caregivers and their attitudes about HFMD………………………………………………………................48
4.3.6 The associations between demographic characteristics of caregivers and their behaviors related to HFMD…………………………………………………................51
4.4 The associations among HFMD knowledge, attitudes &; behaviors of caregivers.................................53
4.5 Chapter summary……………………………………………………………………...55
Chapter 5. Discussion
5.1 Introduction…………………………………………………………57
5.2 Demographic characteristics……………………………………57
5.3 Knowledge of HMFD of caregivers for children…………58
5.4 Attitudes about HMFD of children caregivers……………64
5.5 Behaviors on the HMFD of caregivers for children……66
5.6 Relationships among knowledge, attitudes, and behaviors of family caregivers………………………………………66
5.6.1 Factors related to knowledge…………………………66
5.6.2 Factors related to attitudes…………………………68
5.6.3 Factors related to behaviors…………………………68
5.6.4 The relationships among knowledge, attitudes and behaviors………………………………………………………………………69
5.7 Strength and limitations of the study……………………70
5.7.1 Strengths………………………………………………………70
5.7.2 Limitations……………………………………………………70
5.7.3 Application……………………………………………………70
5.8 Chapter summary………………………………………………………71
Chapter 6. Conclusion and Recommendation
6.1 Conclusions…………………………………………………………….……72
6.2 Recommendations ……..75
References………………………………………………………………………76
Appendixes
Appendix I Proposol with approval from Meiho University………………………………………………………………………84
Appendix II Institutional Review Board of Children Hospital in Vietnam…………………………………………………………85
Appendix III Expert consultation form of Associate Pr. Szu-Mei Hsiao………………………………………………………………………86
Appendix IV Expert consultation form of Ph.D Nguyen Trong Noi…………………………………………………………………………………88
Appendix V Expert consultation form of MD Le Van Giai…90
Appendix VI Expert consultation form of Dr. Luu Thi Khanh………………………………………………………………………………92
Appendix VII Expert consultation sumary form…………………94
Appendix VIII Informed consent…………………………………………96
Appendix IX Questionnaires……………………………………………97
Appendix X Questionnaires (in Vietnamese)…………………100

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