根据结石成分预防尿石症健康教育效果评价.docVIP

根据结石成分预防尿石症健康教育效果评价 　　[摘要] 目的 探讨根据结石成分行健康教育预防尿石症的效果。 方法 将尿石症患者分为观察组286例和对照组287例，观察组根据结石成分实施健康教育，对照组未根据结石成分实施健康教育，从健康教育知晓率、遵医行为、尿石症复发率、患者满意度、护士工作成就感5个方面评价两组的护理效果。 结果 观察组的健康教育知晓率、患者满意度、遵从率、护士工作成就感明显高于对照组，结石复发率低于对照组，差异有统计学意义（P0.05）。 结论 根据结石成分行健康教育可加强患者遵医行为，自觉养成适合自己健康的生活方式和习惯，降低尿石症复发率，提高患者满意度及护士健教能力和自信心，从而提高护士工作成就感，值得临床推广应用。 　　[关键词] 结石成分；健康教育；护理效果 　　[中图分类号] R691.4 [文献标识码] B [文章编号] 1674-4721（2014）04（b）-0145-03 　　[Abstract] Objective To explore the effects of health education according stone composition in the prevention of urolithiasis. Methods The urolithiasis patients were divided into observation group（286 cases）and control group（287 cases）.Health education according stone composition was used in observation group and health education without stone composition was used in control group.Nursing efficacy based on 5 aspects including the awareness rate of health education，compliance behavior，recurrence rate of urolithiasis，satisfaction rate of health education and satisfaction rate of nurse job in two groups was investigated respectively. Results The awareness rate of health education，compliance rate，satisfaction rate of health education and satisfaction rate of nurse job in observation group was higher than that in control group respectively，recurrence rate of urolithiasis in observation group was lower than that in control group，with statistical difference（P0.05）. Conclusion Health education according to stone composition can enhance compliance behavior of patient，consciously develop their own healthy lifestyle and habits，reduce the recurrence rate of urolithiasis，improve satisfaction rate of patient，the ability and confidence of nurse，improve job satisfaction rate of nurse.It is worthy of clinical promotion and application. 　　[Key words] Stone composition；Health education；Nursing efficacy 　　近年来，地处珠江三角洲的惠州地区泌尿系结石患者发病率呈逐年上升趋势，严重威胁人们的身体健康。有研究发现，结石的发生与患者的饮食习惯等密切相关[1]。为了降低尿石症复发率，减轻患者痛苦，结合结石成分发放健康教育处方，使患者主动参与健康教育，定期复查，提高患者健康教育掌握程度及满意度，可预防结石复发，对提高护士工作成就感有十分重要的意义。本文主要探