摘要
目的探讨健康教育对尿结石患者认知及碎石术后复发的影响。方法 2017-01/2019-01在四川大学华西医院进行碎石治疗的尿结石患者共7 000例,随机分为观察组和对照组。对照组进行常规体外冲击波治疗及护理,观察组在对照组基础上进行健康教育。使用健康知识问卷、健康行为量表-II(HPLP-II)、生活方式依从调查表对患者进行调查和分析。结果入院时两组患者健康知识得分各条目差异均无统计学意义(P>0.05),术后4周两组患者的健康知识得分均升高,且观察组患者基础知识、饮水知识、饮食知识、预防和治疗知识、活动知识、总分均高于对照组(P<0.05)。出院后6个月,观察组患者的HPLP-II量表得分,包括人际关系(IR)、营养(N)、体育运动(PA)、压力管理(SM)、精神成长(SG)、健康行为总得分均高于对照组;观察组患者的生活方式依从性得分:日饮水量是否>2 000 ml、是否有意识限制高蛋白食物摄入、是否有意识限制高糖食物摄入、不饮酒、限制钠盐的摄取、饮食是否规律得分均高于对照组(P<0.05);出院后6个月观察组患者的尿结石复发率为6.03%,低于对照组的8.54%(P<0.05)。结论健康教育可以增加尿结石患者相关知识、促进其健康行为的养成,提高其生活方式的依从性,降低复发率。
Objective To explore the effect of health education on cognition of patients with urinary calculi and recurrence after lithotripsy. Methods A total of 7 000 patients with urinary calculi treated with lithotripsy at West China Hospital of Sichuan University during Jan. 2017 to Jan. 2019 were randomly divided into the observation group and the control group. The control group was treated with conventional extracorporeal shock wave and nursing, while the observation group was given health education on the basis of the control group. Investigate patients were using the health knowledge questionnaire,health behavior scale II(HPLP-II), and lifestyle compliance survey.Results At the time of admission, there were no statistical differences among all the scores of health knowledge between the two groups(P>0.05). The scores of health knowledge in both two groups increased after 4 weeks surgery, and the scores of basic knowledge, drinking water knowledge, dietary knowledge, prevention and treatment knowledge, activity knowledge, and total score in the observation group were significantly higher than those in the control group(P<0.05).After 6 months discharge,the scores of HPLP-II scale in the observation group,including IR,N,PA, SM, SG, the total scores of healthy behaviors, were significantly higher than those in the control group(P<0.05). The scores of lifestyle compliance of the observation group, including whether the daily drinking water was >2 000 ml, whether it was consciously restricting the intake of high-protein foods, whether it was consciously restricting the intake of high-sugar foods, not drinking alcohol, limiting the intake of sodium salt, and whether the diet was regularly scored,those were significantly higher than those in the control group. The recurrence rate after 6 months discharge was 6.03% in the observation group,which was lower than that in the control group with8.54%(P<0.05). Conclusion Health education can increase the knowledge of patients with urinary calculi, promote the development of their healthy behaviors, improve their lifestyle compliance and reduce the recurrence rate.
作者
廖艳
胥国辉
廖娟
LIAO Yan;XU Guohui;LIAO Juan(Department of Urology,West China Hospital,Sichuan University,Chengdu 610041,Sichuan Province,China;Center for Infectious Diseases,West China Hospital,Sichuan University,Chengdu 610041,Sichuan Province,China)
出处
《预防医学情报杂志》
CAS
2020年第11期1481-1485,共5页
Journal of Preventive Medicine Information
基金
四川省科技计划项目(项目编号:17ZDYF1538)。
关键词
尿结石
健康教育
健康行为量表-II
健康知识问卷
urinary calculi
health education
health behavior scale II
health knowledge questionnaire
