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研究生:丁氏春秋
研究生(外文):Dinh Thi Xuan Thu
論文名稱:Mothers’ knowledge, attitudes and practice in caring for children less than 5 years old with diarrhea at the tropical diseases hospital
論文名稱(外文):Mothers’ knowledge, attitudes and practice in caring for children less than 5 years old with diarrhea at the tropical diseases hospital
指導教授:周惠櫻周惠櫻引用關係
指導教授(外文):Huei yin Chou
學位類別:碩士
校院名稱:美和科技大學
系所名稱:健康照護研究所
學門:醫藥衛生學門
學類:護理學類
論文種類:學術論文
論文出版年:2014
畢業學年度:102
語文別:中文
論文頁數:73
中文關鍵詞:Diarrhea knowledgediarrhea practicediarrhea
外文關鍵詞:腹瀉知識腹瀉實踐腹瀉
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ABSTRACT

In Ho Chi Minh City, a metropolitan city in southern Vietnam, diarrhea is also a common disease. According to the national report of the Hospital of Tropical Diseases , children with diarrhea is increasing over the years. By the year of 2011, 7,366 cases children less than 5 years of age were diagnosed with acute diarrhea. Number of cases in 2012 was 9,550 and continually increases to 12,661 in 2013. It seems that caregiver’s knowledge and practice in prevention and caring for children with diarrhea at home is not well enough. It is shown that understanding of prevailing knowledge, attitude and practice will enable an effective health education. Therefore, this study focused on mothers as a main source of caring children at home and investigated their knowledge, attitude and practice in taking care of their child with diarrhea. Findings from this study will provide a good basis for health education implementation to improve mothers’ caring for the children with diarrhea. The successful education is expected to reduce the etiology of diarrhea disease, hospitalisation rate of severe cases, work load for healthcare professional and treatment costs.
The general purpose of this research aimed to investigate knowledge, attitude and practices among mothers of children less than five years of age diagnosed with diarrhea at the Hospital of Tropical Diseases.
This study used cross-sectional design to determine the percentage, prevalence, distribution and interrelations of variables within the population as suggested by Polit and Beck (2010).
Samples in this study were 100 mothers.
At Pediatric unit in Tropical Diseases Hospital, time: start collecting sample from 2/2014 to 4/2014.
The study results showed that the rate of mothers had correct knowledge about treatment children with diarrhea were 18%, the rate of mothers who had the right attitude about child diarrhea treatment was 77% and the rate of mothers correct practice for children drinking and mix Oresol is 88%.
Recommendation for further research:
Through these findings, I found that the correct knowledge, attitudes and practices of mothers about treatment of acute diarrhea for children is still low. So I have some recommendations:
- Need to strengthen health education programs, especially in rural areas.
- Apply education with many different forms, attention to the mass media: television, newspapers and radio.
- Enhance the role of health personnel; periodically organize health education and propaganda, detailed explanation about the treatment, care and prevention of diarrhea.
- Develop health education programs by picture to treatment and care of diarrhea for illiterate subjects.
- When teaching should provide more education and skills health education for nursing students and highlight the lack of knowledge, practical skills of mothers in child care diarrhea.
Keywords: Diarrhea knowledge, diarrhea practice, attitude toward
diarrhea, Vietnam.

ABSTRACT

In Ho Chi Minh City, a metropolitan city in southern Vietnam, diarrhea is also a common disease. According to the national report of the Hospital of Tropical Diseases , children with diarrhea is increasing over the years. By the year of 2011, 7,366 cases children less than 5 years of age were diagnosed with acute diarrhea. Number of cases in 2012 was 9,550 and continually increases to 12,661 in 2013. It seems that caregiver’s knowledge and practice in prevention and caring for children with diarrhea at home is not well enough. It is shown that understanding of prevailing knowledge, attitude and practice will enable an effective health education. Therefore, this study focused on mothers as a main source of caring children at home and investigated their knowledge, attitude and practice in taking care of their child with diarrhea. Findings from this study will provide a good basis for health education implementation to improve mothers’ caring for the children with diarrhea. The successful education is expected to reduce the etiology of diarrhea disease, hospitalisation rate of severe cases, work load for healthcare professional and treatment costs.
The general purpose of this research aimed to investigate knowledge, attitude and practices among mothers of children less than five years of age diagnosed with diarrhea at the Hospital of Tropical Diseases.
This study used cross-sectional design to determine the percentage, prevalence, distribution and interrelations of variables within the population as suggested by Polit and Beck (2010).
Samples in this study were 100 mothers.
At Pediatric unit in Tropical Diseases Hospital, time: start collecting sample from 2/2014 to 4/2014.
The study results showed that the rate of mothers had correct knowledge about treatment children with diarrhea were 18%, the rate of mothers who had the right attitude about child diarrhea treatment was 77% and the rate of mothers correct practice for children drinking and mix Oresol is 88%.
Recommendation for further research:
Through these findings, I found that the correct knowledge, attitudes and practices of mothers about treatment of acute diarrhea for children is still low. So I have some recommendations:
- Need to strengthen health education programs, especially in rural areas.
- Apply education with many different forms, attention to the mass media: television, newspapers and radio.
- Enhance the role of health personnel; periodically organize health education and propaganda, detailed explanation about the treatment, care and prevention of diarrhea.
- Develop health education programs by picture to treatment and care of diarrhea for illiterate subjects.
- When teaching should provide more education and skills health education for nursing students and highlight the lack of knowledge, practical skills of mothers in child care diarrhea.
Keywords: Diarrhea knowledge, diarrhea practice, attitude toward
diarrhea, Vietnam.

Abbreviations............................................iv
List of figures...........................................v
List of tables...........................................vi
CHAPTER 1: INTRODUCTION...................................1
1.1 Statement of problem..............................1
1.2 Background and significance of the problem........2
1.3 Aim of the research...............................3
1.4 Research questions................................3
CHAPTER 2: LITERATURE REVIEW...............................5
2.1. General information about diarrhea:...............5
2.1.1. Definition of diarrhea:...........................5
2.1.2. Related to diarrhea diseases:.....................5
2.1.3. Treatment of diarrhea:...........................7
2.2. Importance of prevention diarrhea:................9
2.3. Diarrhea situation in Vietnam:...................10
2.4. Mother’s role in taking care of childhood diarrhea:.................................................11
2.5. Researchs about mother’s knowledge, attitude and practice with children get diarrhea:......................12
2.6. The factors related to mother’s knowledge, attitude and practice:....................................13
2.6.1. Relation with mothers’ age:.....................13
2.6.2. Relation with mothers’ career:..................14
2.6.3. Relation with mothers’ education:...............14
2.6.4. Relation with mothers’ income:..................15
2.6.5. Relation with the information sources about diarrhea disease which was given to mothers:..............16
CHAPTER 3: RESEARCH METHOLOGY.............................18
3.1 Introduction.....................................18
3.2 Research design..................................18
3.3 Research objectives and research questions:......18
3.4 Research framework and research questions........20
3.4.1.The conceptual framework............................20
3.4.2. Definition of terms ...............................23
3.5 Sampling issues..................................25
3.6 Data analysis strategy...........................28
3.7 Ethical considerations...........................28
CHAPTER 4: RESULTS........................................29
4.1. Subject’s demographic characteristics:..............29
4.2. Mothers’ knowledge, attitude and practice for child with diarrhea:...........................................32
4.3. Relationship between demographic characteristics with right knowledge, attitude, practice of mother..........42
CHAPTER 5: DISCUSSION AND CONCLUSION......................47
5.1. General demographic characteristics of mothers in sample:...................................................47
5.2. Knowledge of mothers: ...............................47
5.2.1. Mother understands of diarrhea definition:........48
5.2.2. Mother’s knowledge of rehydration signs when children get diarrhea:...................................48
5.2.3. Mother’s knowledge of nutrition when children diarrhea:................................................48
5.2.4. Mother’s knowledge of Oresol package:.............49
5.2.4.1 Mother’s knowledge of kind of water and water amount for mixing Oresol:....49
5.2.4.2 Mother’s knowledge of the effect of Oresol solution:.................................................49
5.2.4.3 Mother’s knowledge of how long Oresol solution can preserve:.............................................50
5.2.4.4 Mother’s knowledge of drinking Oresol properly for children:.............................................50
5.2.5. Mother’s knowledge of detection signs of dehydration child:........................................50
5.2.6. Mother’s knowledge of alternative solution without Oresol:...................................................50
5.2.7. The use of drugs in diarrhea:......................51
5.2.8. Mother’s knowledge of the harmful effects of diarrhea:.................................................51
5.2.9. Mother’s knowledge of when to bring children sees doctor immediately:.......................................51
5.2.10. Mother’s knowledge how to prevent diarrhea for children:.................................................52
5.3. Mother’s attitude:..................................52
5.4. Mother’s practice:..................................53
5.4.1. Practice on mix Oresol:............................53
5.4.2. Practice of supply Oresol for children:............53
5.5. Relationship between mother’s demographic characteristics and.......................................54
knowledge, attitude, practice about treatment for children with diarrhea:............................................54
5.5.1. Relationship between mother’s demographic characteristics and knowledge to treatment for children with diarrhea:............................................54
5.5.2. Relationship between mother’s demographic characteristics and attitude to treatment for children with diarrhea:.................................................54
5.5.3. Relationship between demographic characteristics of mothers with practical rehydration for children with diarrhea:.................................................54
5.6. Strengths and limitation of thesis:..................55
5.7. Recommendation for further research:.................55
5.8. Conclusion:..........................................56
5.8.1. Percentage of correct knowledge:.................56
5.8.2. Percentage of correct attitude:..................57
5.8.3. Percentage of correct practices:.................58
5.8.4. Relationship between demographic characteristics – social and correct KAP: ...............................58
REFERENCES................................................59
APPENDIX .................................................66

VIETNAMESE
1. Lưu Thị Minh Châu và cộng sự, (2002), “Thực trạng kiến thức, thái độ, thực hành của các bà mẹ đối với việc phòng chống tiêu chảy cấp ở trẻ em dưới 1 tuổi tại huyện Khoái Châu, Hưng Yên năm 2001”.
Tạp chí Y học thực hành, số 7/2002, tr 22.
2. Đỗ Văn Dũng (2008), “Cách tính cỡ mẫu”, Phương pháp nghiên cứu khoa học và phân tích thống kê với phần mềm STATA 10.0, Bộ môn Dân số - Thống kê Y học và Tin học khoa Y tế Công cộng, Đại học Y Dược Thành phố Hồ Chí Minh, tr 79-80.
3. Trần Thị Bích Hồi, Triệu Thị Lý (2003), “Thực trạng về chăm sóc sức khỏe trẻ em của bà mẹ có con dưới 5 tuổi tại 3 xã huyện An Dương, Hải Phòng 2003”, Hội nghị Khoa học Công nghệ tuổi trẻ các trường Đại học Y Dược Việt nam lần thứ XIII, tr 89.
4. Ngô Thị Thanh Hương, (2004), “Kiến thức thực hành của bà mẹ về bệnh Tiêu chảy ở trẻ em dưới 5 tuổi tại huyện M’Drak, tỉnh DakLak”, Luận văn tốt nghiệp Cử nhân Y tế Công cộng, trường Đại học Y Hà Nội.
5. Phan Từ Lâm (2002), “Khảo sát kiến thức, thái độ, hành vi của bà mẹ trong việc xử lý bệnh Tiêu chảy trẻ em tại huyện Duy Xuyên, tỉnh Quảng Nam”, Luận văn Thạc sĩ Y học, Đại học Y Dược Thành phố Hồ Chí Minh.
6. Nguyễn Thị Thanh Lan, (2003), “Nhận thức, kiến thức thực hành của các bà mẹ về sử dụng dung dịch bù nước và điện giải qua đường uống cho trẻ dưới 5 tuổi bị Tiêu chảy cấp ở huyện Châu Thành, tỉnh Bến Tre”, Hội nghị Khoa học Kỹ thuật ngành Y tế tỉnh Bến Tre lần 2.
7. Nguyễn Thị Như Mai, Trần Văn Quang, (2006), “Đánh giá kiến thức và thực hành của một số bà mẹ có con bị Tiêu chảy tại khoa Tiêu hóa, Bệnh viện Nhi Trung ương”, Tạp chí Y học thực hành số 552/2006, tr 308-315.
8. Phan Thị Bích Ngọc, Phạm Văn Nhu (2009), “Nghiên cứu tình hình Tiêu chảy trẻ em dưới 5 tuổi tại xã Nghĩa An, huyện Tư Nghĩa, tỉnh Quảng Ngãi năm 2007”, Y học thực hành (644+645)-số 2/2009, tr 3.
9. Lê Thị Phan Oanh (2006), “Bệnh Tiêu chảy”, Bài giảng Nhi khoa, Nhà xuất bản Y học, tập 1, tr 191-214.
10. Lê Hồng Phúc (2005), “Kiến thức, thái độ, thực hành của bà mẹ có con dưới 5 tuổi trong việc xử lý bệnh Tiêu chảy cấp của trẻ em tại nhà ở xã Vĩnh An, huyện Ba Tri, tỉnh Bến Tre năm 2004”, Luận văn Thạc sĩ Y học, Đại học Y Dược Thành phố Hồ Chí Minh.
11. Võ Thị Tiến, Tạ Văn Trầm và cộng sự (2008), “Đánh giá kiến thức về bệnh Tiêu chảy của các bà mẹ có con bị Tiêu chảy cấp điều trị tại khoa Nhi Bệnh viện đa khoa Tiền Giang”, Đề tài nghiên cứu khoa học Điều dưỡng Bệnh viện Nhi Đồng 2.
12. Trần Thị Nhụy (2010), “Kiến thức, thái độ và thực hành của bà mẹ về xử trí bệnh Tiêu chảy cho trẻ em dưới 5 tuổi tại Bệnh viện đa khoa tỉnh Sóc Trăng”, Luận văn Thạc sĩ Y học, Đại học Y Dược Thành phố Hồ Chí Minh.

ENGLISH
13. A. Strina et al (2002), “Childhood Diarrhea and Observed Hygiene Behavior in Salvador, Brazil”, American Journal of Epidemiology, Vol. 157, No.11, pp. 1032-1038.
14. Ahmed FU (2000), “Mother’ skill in preparing oral dehydration salt solution”, Indian J Pediatr, pp. 99-102.
15. Ansari, M., Palaian, S., &; Ibrahim, M. I. M. (2009). The role of mothers in the management of childhood diarrhoea in Nepal. Australasian Medical Journal, 1(12).
16. Arifeen S (2001), “Exclusive breastfeeding reduce acute respiratory infection and diarrhea deaths among infants Dhaka slums”, Pediatrics, 108 (4), pp. 67.
17. Arkart Chopanya (1997), “Determinants of diarrhea disease occurrence in children under five years of age in Mukdakhan province, Thailand”, MPHM Thesis in Primary Health Care in Management, Faculty of Graduate studies, Maldihol University, Bangkok.
18. B. Kelly Gleason (2000), “Diarrhea”, The Harriet Lane Handbook, fifteenth edition, Mosby, St. Louis, pp. 254-257.
19. Bachrach, L. R., &; Gardner, J. M. (2002). Caregiver knowledge, attitudes, and practices regarding childhood diarrhea and dehydration in Kingston, Jamaica. Revista Panamericana de Salud Pública, 12, 37-44.
20. Bhatia V (1999), “Attitude and practice regarding diarrhea in rural community in Chandigarh”, Indian J Pediatr, 66 (4), pp. 449-453.
21. Bhutta, Zulfiqar Ahmed; Hendricks, Kristy M., (1996), Nutritional Management of Persistent Diarrhea in Childhood: A Perspective from the Developing World, Journal of Pediatric Gastroenterology &; Nutrition, 22(1), pp. 17-37.
22. Caruso, B., Stephenson, R., &; Leon, J. S. (2010). Maternal behavior and experience, care access, and agency as determinants of child diarrhea in Bolivia. Revista Panamericana de Salud Pública, 28(6), 429-439.
23. Clemen J (1999), “Early initiation of breastfeeding and the risk of infant diarrhea in rural Egypt”, Pediatrics, 104 (1), pp. e3.
24. Datta V (2001), “Knowledge, attitude and practices towards Diarrhea and Oral Rehydration Therapy in rural marahashtra, Indian J Pediatr, 68 (11), pp. 1035-7.
25. Dennis Falzon (1998), “Study report on Knowledge, Attitude and Practices”, Medicine Sans Frontières, Nukus, Uzbekistan, pp. 30-31.
26. Fehmida J (1997), “Nutrition in acute diarrhea”, in Gracey M, John A, Diarrhea Disease, Lippincott Raven, Philadenphia, pp. 109-118.
27. Gavin N (1996), “Efficacy of glucose-base oral rehydration therapy”, Pediatrics, 98 (1), pp. 45-51.
28. Gracey M (1999), “Nutrition effects and management of diarrhea in infancy”, Acta Pediatrics Suppl, 88 (430), pp. 41-46.
29. Harmeet Singh Rehan, Kunta Gautam and Khargamaya Gurung (2003), “Mothers needs to know more regarding management of childhood acute diarrhea”, Indian J Prev. Soc. Med, 34 (2), pp. 41-46.
30. Iftikhar A Malik et al. (1992), “Mothers’ Fear of Children Death Due to Acute Diarrhea, A study in Urban and Riral communities in Nortern Punab, Pakistan”, Sco Sci Med, 35 (8), pp. 150-154.
31. Khalili, M., Mirshahi, M., Zarghami, A., Rajabnia, M., Farahmand, F., Mengistie, B., . . . Talebian, A. (2012). Maternal knowledge and practice regarding childhood diarrhea and diet in Zahedan, Iran. BMC Public Health, 12(1), 1029.
32. Khamgokar Mb (1999), “Awareness of urban slum mothers regarding home management of diarrhea and symptoms of pneumonia”, Indian J Med Sci, 53 (7), pp. 316-318.
33. Magaret E. Bentley (1998), “The Household Management of Children Diarrhea in Rural North India”, Sco Sci Med, 27(1), pp. 67-73.
34. M. Waqar Rabbani et al, (2005), “Awareness of malnutrition and diarrhea diseases among mothers in Multan Region”, Pakistan Peadiatric Association, Abstrac.
35. Neilsen, M.; A. Hoogvorst; F. Konradsen; M. Mudasser; and W. van der Hoek (2001), “Childhood diarrhea and hygiene: Mothers’ perceptions and practices in the Punjab, Pakistan”, International Water Management Institute, pp. 25.
36. Michel JG. (1997), “Acute Diarrhea”, Diarrhea Disease, Lippincott Raven, Philadenphia, pp. 55-69.
37. Moawed SA (2000), “Knowledge and Practices of mothers about infant diarrhea episodes”, Saudi Med J, 21 (12), pp. 1147-51.
38. Oscar Bruser, Julio Espinoza and AleJandro M Brunzer, “Etiology of diarrhea; Bacteria and Parasite”, Diarrhea disease, Lippincott Raven, Philadelphia, pp. 13-31.
39. Patwari AK (1999), “Diarrhea and malnutrition interaction”, Indian J pediatr, 66 (1 suppl), pp. S124-34.
40. Polit, D. F., &; Beck, C. T. (2010). Essentials of nursing research: appraising evidence for nursing practice (7th ed.). Philadelphia: Lippincott Williams &; Wilkins.
41. Rehydration project (2005), “Save one million a year” [Online], Available from: http://www.Rehydrase.org/diarrhea/index.htm.
42. Rehydration project (2005), “What is diarrhea and How to prevent it” [Online], Available from: http://www.Rehydrase.org/diarrhea/index.htm.
43. Sandra Costa Ruchs (1996), “Case-control study of risk of dehydrating diarrhea in infants in vunerable period afterfull weaning”, BMJ, 313, pp. 391-394.
44. Sher Bar Khan, “Perception and behaver of mother on ORS utilization in diarrhea among children under five years of age”, MPHM Thesis in Primary Health Care in Management, Faculty of Graduate studies, Maldihol University, Bangkok.
45. Sheth Mini and Obrah Monika (2004), “Diarrhea Prevention throuth food safety education”, Indian J Pediatr, 71 (10), pp. 879-882.
46. Sodemann, M., Jakobsen, M., Mølbak, K., Martins, C., &; Aaby, P. (1999). Management of childhood diarrhea and the use of oral rehydration salts in a suburban West African community. American Journal of Tropical Medicine and Hygiene, 60, 167-171.
47. Unicef, World Health Organization, &; Department of Child and Adolescent Health and Development. (2006). Handbook IMCI Integrated Management of Childhood Illness. Herndon: World Health Organization.
48. Wierzbra TF (2000), “The interrelationship of malnutrition and diarrhea in s periurban aerea outside Alexandria, Egypt”, J pediatr Gastroenterol Nutr, 32 (2), pp. 189-96.
49. World Health Organization (1996), Region Health Report: Southeast Asia Region, The Organization.
50. World Health Organization Report 2009, “World health statistics 2009”, pp 10. Available from: http://www.who.int.statistics.
51. Yoder PS &; Hornik RC (1994), “Perception of sevserity of diarrhea and treatment choice: a comparative study of HeathCom sites”, J Trop Med Hyg, (1): pp 1-12.

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