A prospective study of early maternal intervention on the prevention of infantile eczema effect / 中国实用护理杂志

ABSTRACT

Objective To explore the effect of early maternal intervention and provide clinical suggestions for the prevention and treatment of infantile eczema. Methods A total of 340 pregnant woman who were receiving prenatal examine and giving birth to their children from January to June 2016 in People's Hospital of Xinjiang Uygur Autonomous Region were selected in this study. The pregnant woman were divided into two groups--control group and observation group by the random number table method.Each group had 170 history cases.The control group was given regularly health guidance,and the observation group was added early intervention such as translate the latest information on the modern social media to them,and giving suggestions of diet and nutrition of infants and living environment.The proportion of risk factors--the each group of infants' genetic history of allergies, birth of ways,feeding pattern and the kind of environmental of which they exposure and so on were analyzed,then the incidence of eczema, the recurrence rate of eczema, the treatment effects and duration of eczema were contrasted.Results After 6 months of prospective follow-up, the observation group of cesarean section and exposing to smoking environmental proportion was respectively 48.82%(83/170),19.41%(33/170), was lower than that of control group 64.71%(110/170),42.35%(72/170),the difference between 2 groups was statistically significant (χ2=8.736, 20.958, P<0.01). The proportion of 4- 6 months of exclusive breastfeeding and correctly adding supplement food respectively 52.35%(89/170),78.24%(133/170),was higher than that in the control group 42.94%(73/170),58.82%(100/170),the difference between 2 groups was statistically significant (χ2=3.418,14.851, P<0.01). After 6 months of prospective follow-up, the incidence and recurrence rate of infants eczema respectively in observation group was 25.88%(44/170), 22.73%(10/170),was lower than that in control group 49.41%(84/170),42.86%(36/170),the difference between 2 groups was statistically significant (χ2=20.047, 5.082, P<0.05).The treatment effect in observation group was superior to the control group.The last,the period of eczema was shorter than that of control group. All of them had statistical meaning(Z=8.876, 10.195,all P<0.05). Conclusions Early interventions can reduce the proportion of high-risk factors that could induce infant eczema, such as cesarean section,exposure to smoking,environmental and other factors.In order to reduce the incidence of infants eczema, improve family′s compliance, reduce eczema attack, improve symptoms, reduce the burden on the family to a great extent,to ensure the normal growth and development of infants,cut off the"allergy process"to prevent distal disease such as allergic asthma,allergic rhinitis etc.