| ObjectiveBy systematically studying the health and development conditions of ENT hospitalized adolescents, to discover young patients characteristics of pubertal development, adolescence KAP, cognitive development, close relationships, family functioning, illness and health-related dysfunction, so as to lay a solid foundation for the conduct of adolescent friendly health service.Subjects and MethodsIt was a quantitative research design, and serial cluster sampling method was used. Volunteers from ENT hospitalized patients in a provincial tertiary comprehensive hospital were recruited from July2012to December2013, who all signed a written informed consent.With using unified guidance language on the first hospitalized day of subjects, trained investigators distributed questionnaires and take back the same day or the next day after checking whether there are wrong or leakage answers. In addition to collecting the data of demographic sociology, academic, primary caregivers, the income of family, the sick and healthy behavior and other aspects, the assessment tools of good reliability and validity also were used in the development of puberty and cognition, including the dysfunction of family and health-related, the positive and negative traits of the close relationship and KAP-related aspects of adolescence in order to evaluate these aspects of young people. Comparisons of age, begotten, sex, puberty, cognitive development, body mass index, health-related dysfunction and adolescent KAP of groups of family dysfunction were calculated by descriptive statistical analysis, alpha regression analysis, correlation analysis, T test and ANOVA. All analyses were performed using SPSS19.0for Windows. Relevant assessment tools have obtained permission to use from its original creator.ResultsThe surveys distributed396questionnaires, and took379back (379/396,95.71%), and379valid questionnaires (379/379,100%). Boys and girls were close to2:1ratio (247:132), nearly99%(98.4%,366/372) belonged to the Han nationality, the percentage the only child slightly more than half of the total(53.83%,204/379). About half of the cases (49.7%,187/379) lived in rural areas, and people who assessed oneself academic was above the medium level accounted for (46.8%,176/376).95%cases were minded by their parents, and three fifths of the adolescents (80.4%,300/379) were in the middle income levels and above. The family function of most respondents (62.1%,233/375) were well.On the aspect of healthy behavior,91.7%(345/379) barely smoked, and less than2%(5/378,1.4%) had drinking history, and less than5%adolescents’(3.4%,13/379) parents had a family history of the disease. About one fourth (52/389,11.1%) had a history of disease, trauma, blood transfusion. In this group of respondents, the rates were37.5%(142/379),33.8%(128/379),15.0%(57/379) on ENT diseases, upper respiratory disease, ear inflammation (non-purulent, purulent, or other), and ears, face, neck congenital malformations, and there were5.3percent (20/379) had a dual diagnosis, not all pure otolaryngology disease patients.The scores of cognitive development on average:Education bipolar3.4±0.82, interpersonal bipolar3.0±0.77, education relative4.5±0.96, interpersonal relative4.3±0.86, living liability4.3±1.03, about health-related dysfunction:understanding and communication1.7±0.69, moving around1.6±0.69, self-care1.4±0.67, along with others1.8±0.70, social involvement1.9±0.70. The total mean marks of puberty-related KAP were3.6±0.56, adolescence KAP and psychosocial KAP were3.3±0.90,3.7±0.57. According to evaluation showing the close relationship, equal scores of supporting factor from mother, father, same-sex friends, friends of the opposite sex and romance relationship were2.7±0.94,2.5±0.92,3.0±0.92,2.2±0.94,1.6±0.92, negative factors’mean scores were1.9±0.75,1.8±0.6,1.8±0.6,1.6±0.53,1.4±0.55.Correlation analysis indicated that there was significantly negative relationship between puberty-KAB score and the total score of WHODAS, which had no remarkable correlation with cognitive development.ConclusionPuberty of the male and the female became increasingly mature, and the male slightly later than the female, a majority of inpatient adolescents did not exist family-related dysfunction or greatly and negatively close relationships. ENT adolescents KAP had great differences in gender, which greatly increase with the degree of puberty and the male had less sexual development knowledge. Part of teenagers had health-related dysfunctions, and adolescent cognitive level revealed not relationship with gender, only showing differences in pubertal stages. There were weaker relationships between KAP level of adolescent patients, positive interpersonal support, interpersonal cognition and education. Systematically assessment may help to find the physicial and psychological factors prohibiting health development of inpatient adolescents, which guide the design and implement of the personalized and holistic care plan, also promoting the development of adolescent friendly health service. |
