| Summary: | 碩士 === 樹德科技大學 === 幼兒保育學系 === 94 === Abstract
This research aimed to investigate how children’s attention might change after Helicobacter pylori infection. Would the development of affected children be affected? What would the rate of transmission between family members be? What would the prognosis period be like after antibiotic treatment?
Participants involving this research on simplified version of Helicobacter pylori test were elementary school students from two schools in coastal area of Tainan city (238 people). Those showed positive response using Hexagon H. pylori test were then transferred to Cheng-Kung Hospital for urea breath test and enzyme linked immunoabsorbent assay. Children with positive effect in all three tests were assigned to the experimental group. Children in control group were selected from the same area with similar social and economic background, similar age and close developmental maturity. The experiment was thus divided into senior experimental group, senior control group, junior experimental group, and junior control group. There were eight participants in each group with a total of 32 participants. Softward TAP was used to examine the attention performance of participants. Alertness test, flexibility test and visual search task were selected as test items. The attention performance was tested at three time points: before treatment, one month after final treatment (short-term) and three months after final treatment (long-term). The effectiveness of drug treatment on attention performance was examined using t-test. The homogeneity of pre and post test was also compared. One way ANOVA was used to compare the relationship between attention performance and development differences in experimental and control group. Repeated measure dependent sample variance analysis was then used to compare the attention performance at different stages.
This research discovered that family members of children affected with Helicobacter pylori had higher probability of being affected by Helicobacter pylori than previously reported. No significant difference in body mass index was found at different time points within three months. But significant difference was observed for heights at different stages. Although the results from alertness test did not reach significance, there was a tendency in responding slower as time progressed. Results from flexibility test showed that in junior experimental group was faster than junior control group only in the first and final testing stages but senior experimental group was faster than senior control group in all stages. Results from target present condition in visual search task revealed that senior experimental group was faster than senior control group at all stages but junior experimental group was only faster at first and final stages. Results from target absent condition in visual search task showed that senior experimental group was faster only at first and follow-up stages and no difference between junior experimental and junior control group was observed. It was hypothesize that time is a crucial factor in affecting prognosis performances. Further researches are needed to examine whether prognosis effect varied with age differences.
This research proposed suggestions from five different perspectives: school, teaching, family, health policy and future research. Schools should highlight the importance of promoting healthy habit, teachers should use multi-dimension stimuli to increase the learning of children, parents should look after their child’s development and health condition and regard health education and medication treatment as important for children, health organizations should monitor the role of schools on health education promotion, future research can consider increasing number of testing and longer duration to understand the attention performance at prognosis stage.
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