Abstract: Background   The hand，foot and mouth disease （HFMD） was the highest incidence of legal infectious diseases among children under 6 years old. Adopting traditional health education models such as lectures and issuance of folding forms for the knowledge attitude and practice（KAP）of  infants and young children parents has little effect previously.Objective　To explore the effect of the “Internet Plus” model-based intervention on the KAP in infants and young children parents，to provide scientific evidence for HFMD prevention and control strategies.Methods　Study subjects included parents of infants≤3 years of age who received planned immunization in the Puxing Community Health Center of Pudong New Area between October，2016 and December，2016．The study subjects were divided into a control group and an intervention group through a random number table method．The traditional education model was used in the control group，and the “Internet Plus” model was used in the intervention group．The effects of the two education models of KAP for HFMD were compared，which included the score of HFMD knowledge，awareness of key information，and changes in related attitude and behaviors.Results　In terms of HFMD knowledge，the total score in the intervention group was（88.15±10.44），a value significantly higher than that in the control group （78.40±11.67），P<0.05）．In the intervention group，the scores of 13 items of HFMD knowledge，on the basis of questions including “Have you heard of HFMD?” “What caused the HFMD?” and “Was HFMD once prevalent in China?”，were significantly higher than those in the control group （P<0.05）．In terms of awareness of key information about HFMD，there were statistically significant differences between the two groups regarding items such as “exposed to feces of HFMD patients”“parents chewed food and fed it to children”“take oral antibiotics or anti-inflammatory drugs”“Is HFMD a notifiable disease in China?”“Can HFMD be acquired by contact with animals?”“Adults will not be infected with HFMD”“Adults will not normally be infected but can spread diseases”“Patients with hand，foot，mouth，buttocks will appear rash”（P<0.05）.Regarding changes in relevant attitudes and behaviors regarding HFMD，items including “Would you like to participate in HFMD knowledge training?”“your attention to HFMD”，and “HFMD is a serious disease” after intervention were significantly different between the two groups （P<0.05）．Conclusion　The "Internet Plus" model can improve parents' awareness of HFMD as well as the efficiency of prevention and control of this disease.

Key words: Hand, foot and mouth disease；KAP；Internet plus；Intervention studies

摘要： 背景　手足口病（HFMD）是0~6岁儿童发病率最高的传染病，既往采用传统健康教育模式如讲座、发放折页等形式对婴幼儿家长HFMD知信行（KAP）的提升收效甚微。目的　探讨“互联网+”模式对婴幼儿家长HFMD KAP的影响，为制定HFMD防控策略提供科学依据。方法　2016年10—12月，选取在浦东新区浦兴社区卫生服务中心进行计划免疫接种的≤3周岁的婴幼儿家长为研究对象，采用随机数字表法分为对照组（n=92）和干预组（n=97），对照组采用传统宣教方式，干预组采用“互联网+”模式进行宣教，比较干预前后两组HFMD KAP干预效果，包括HFMD相关知识得分、HFMD重点知识知晓情况、对HFMD相关态度和行为。结果　HFMD相关知识得分方面，干预后干预组HFMD相关知识得分总分（88.15±10.44）分，高于对照组的（78.40±11.67）分（P<0.05）；干预组“听说过HFMD”“HFMD是什么引起的”“HFMD有没有在我国流行过”等13个条目的HFMD相关知识得分高于对照组（P<0.05）。HFMD重点知识知晓情况方面，干预后两组“可以接触HFMD患者粪便”“家长将食物咀嚼后喂给孩子”“感染HFMD后口服抗生素、消炎药”“HFMD是我国法定传染病”“接触动物可以感染HFMD”“成年人不会感染HFMD”“成年人感染后一般不会发病但能传播疾病”“患者手、足、口、臀部均会出现皮疹”的知晓情况比较，差异均有统计学意义（P<0.05）。HFMD相关态度和行为方面，干预后两组对“愿意参加HFMD知识培训”“对HFMD的关注度”“HFMD是一种严重疾病”的态度和行为情况比较，差异有统计学意义（P<0.05）。结论　“互联网+”模式可改善婴幼儿家长对HFMD相关知识的知晓情况，提高疾病防控效率。

关键词: 手足口病, 知信行, 互联网+, 干预性研究