Prevention of foreign bodies entering Children's respiratory tracts: The effect of the Caregiver's knowledge, behaviour and attitude.

OBJECTIVES: To explore the effect of the caregiver's knowledge, behaviour and attitude on the prevention of foreign bodies in children's respiratory tracts to provide a basis for publicity and education on foreign bodies in children's respiratory tracts. METHODS: A case-control method was used to investigate the knowledge, behaviour and attitude of the caregivers of 900 paediatric patients at Hunan Children's Hospital from June 2017 to February 2019. Caregivers of 300 children with foreign bodies removed by rigid bronchoscopy were selected as the case group. Caregivers of 600 children with other conditions were selected as the control group. The knowledge, behaviour and attitude of the caregivers towards foreign bodies in children's respiratory tracts and the demographic characteristics of the two groups were analyzed and compared. RESULTS: The results showed significant differences for the children in terms of their gender, age and living conditions between the two groups (all p < 0.05) and for the caregivers in terms of their age, educational level, relationship with the child and the number of children in the family (all p < 0.05). There were statistically significant differences in the caregivers' knowledge of foreign bodies in the respiratory tract between the two groups (p < 0.05). In addition, a significant difference was also found between the groups in the caregivers' understanding of the prevention of foreign bodies in the respiratory tract, such as whether they were aware of the specific first-aid measures needed to treat the condition (p < 0.05). CONCLUSION: The caregiver's relationship to the child, their age, their level of education and the number of children in the family affected the occurrence of the condition, while the caregiver's knowledge, behaviour and attitude regarding foreign bodies in the respiratory tract also had some influence. However, in the future, national multiple-centre courses could be extremely useful in educating caregivers.

[Behavior research of allergic rhinitis with adenoid hypertrophy in children].

OBJECTIVE: To investigate the behavior difference of allergic rhinitis with adenoid hypertrophy between study group and control group. METHOD: One hundred and seventeen children diagnosed as allergic rhinitis with adenoid hypertrophy were enrolled in our study were divided into study group and control group. Forty-two children treated with local steroid nasal spray for two to three months and antihistamine were control group. Seventy-five children treated with endoscopic adenoidectomy and drug treatment were study group; All children' parents were inquired for their clinical presentation. RESULT: No distinctive differences were found between the two groups (P > 0.05) in adenoid hypertrophy, accompanying nasal problems and clinical questionnaire scoring. Significant statistical distinction were found (P < 0.05) in snoring, sleep disturbance and frequent arousal, nasal obstructive moth-breathing, and recurrent respiratory tract infection between the two groups after three-month follow up. CONCLUSION: Endoscopic adenoidectomy should be taken into account for allergic rhinitis with adenoid hypertrophy in children. Adenoidectomy would be useful for the improvement of behavior symptoms.

[The effect of tympanostomy tube surgery in cleft palate children with secretory otitis media].

OBJECTIVE: To study the effect of tympanostomy tube surgery in cleft palate children with secretory otitis media (SOM). METHOD: Cleft palate children complicated by SOM accepted palatoplasty combined tympanostomy tube surgery, and evaluated by tympanum examination, acoustic immittance measurement in the post-operation. The others with suited age constitute, who accepted palatoplasty only,received the same testing too. RESULT: Compared with children who accepted palatoplasty only,the correlated index of SOM in post-operation of children who accepted palatoplasty combined with tympanostomy tube surgery had more improvements,there was a statistically significant difference between them. The recovery degree of middle ear function in younger group was better than elder group,there was a statistically significant difference between them. CONCLUSION: Tympanostomy tube surgery is helpful to increase cure rate of 0ME in children with cleft palate. The younger the patient is,the better the recovery degree of middle ear function will be. Palatoplasty combined with tympanostomy tube surgery should be an effective way in the management of cleft palate complicated by SOM, and good effect could be obtained when children accepted operation in early stage.