摘要
目的探讨基于达标理论的健康教育在慢性肾脏病(CKD)合并高尿酸血症(HUA)患者中的应用效果。方法选择2018年2月至2020年3月江苏省淮安市第一人民医院收治的CKD合并HUA患者93例,采用随机数字表法将其分为观察组47例,对照组46例。对照组给予常规健康教育,观察组联合应用基于达标理论的健康教育。随访3个月,比较两组疾病不确定感、健康生活方向达标率、血尿酸水平。结果随访3个月,观察组不明确性、不一致性、复杂性、不可预测性评分及疾病不确定感总分低于对照组,差异有统计学意义(P<0.05);两组疾病不明确感评分低于同组教育前,差异有统计学意义(P<0.05)。观察组健康饮食、适宜运动、控制体重达标率高于对照组,差异有统计学意义(P<0.05);两组健康生活方式达标率高于同组教育前,差异有统计学意义(P<0.05)。观察组血尿酸水平低于对照组,差异有统计学意义(P<0.05);两组血尿酸水平均低于同组教育前,差异有统计学意义(P<0.05)。结论基于达标理论的健康教育有助于缓解CKD合并HUA患者的疾病不确定感,促进健康生活方式的养成,进而控制血尿酸水平。
Objective To explore the application effect of health education based on the theory of reaching standards in patients with chronic kidney disease(CKD)combined with hyperuricemia(HUA).Methods Ninety-three patients with CKD and HUA who were admitted to Huai’an First People’s Hospital from February 2018 to March 2020 were selected and divided into observation group 47 cases and control group 46 cases by random number table method.The control group was given regular health education,and the observation group jointly applied health education based on the theory of reaching standards.The control group was given regular health education,and the observation group jointly applied health education based on the theory of reaching standards.Follow-up for three months,disease uncertainty,the rate of achieving healthy life direction,and blood uric acid levels of two groups were compared.Results After three months of follow-up,the total scores of uncertainty,inconsistency,complexity,unpredictability and disease uncertainty in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05);the disease ambiguity scores of the two groups were lower than those of the same group before education,and the differences were statistically significant(P<0.05).The healthy diet,suitable exercise,and weight control compliance rate of observing group were higher than those of the control group,and the differences were statistically significant(P<0.05);the rate of achieving healthy lifestyle standards between the two groups was higher than that before education in the same group,and the difference was statistically significant(P<0.05).The blood uric acid level of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05);the blood uric acid level of the two groups was lower than the same group before education,and the difference was statistically significant(P<0.05).Conclusion Health education based on the theory of compliance can help alleviate the uncertainty of disease in patients with CKD and HUA,promote the development of a healthy lifestyle,and control the blood uric acid level.
作者
庄静
唐景凤
侍珍珍
ZHUANG Jing;TANG Jingfeng;SHI Zhenzhen(Department of Nephrology,Huai’an First People’s Hospital,Jiangsu Province,Huaian223300,China)
出处
《中国医药导报》
2021年第22期172-175,184,共5页
China Medical Herald
基金
国家自然科学基金青年科学基金资助项目(81600546)。
关键词
慢性肾脏病
高尿酸血症
达标理论
健康教育
疾病不确定
健康生活方式
Chronic kidney disease
Hyperuricemia
Compliance theory
Health Education
Disease uncertainty
Healthy lifestyle
