CAJ | 학술논문

目的探讨应用尿路结石成分分析结果指导患者根据自身结石成分特点进行针对性预防的健康教育的作用与效果.方法选择2012年1月至12月上尿路结石住院患者788例,将416例同意行结石成分分析的患者列为实验组,372例不同意行结石成分分析的患者为对照组.实验组患者根据结石成分分析结果进行针对性的健康教育预防指导,对照组按常规健康教育.比较两组患者健康教育后的遵医行为、结石复发率.结果实验组患者健康教育后达到每天饮水量、饮食预防、运动预防、控制体重、定期复查的遵医行为分别为98.80％、96.63％、93.26％、95.67％、97.83％,对照组分别为72.04％、65.05％、52.69％、77.42％、72.04％,两组比较差异有统计学意义(P＜0.05).实验组半年结石复发率为4.56％、一年结石复发率为10.10％,对照组半年结石复发率为13.44％、一年结石复发率为27.96％,两组比较差异有统计学意义(P＜0.05).结论通过对患者尿路结石成分进行分析,有效提高了健康教育的效果,能针对性地指导患者正确掌握预防结石复发的健康知识,并加强了患者遵医行为,自觉养成健康生活方式和习惯,有效降低了尿路结石的发生和复发,值得临床推广应用.
목적 탐토응용뇨로결석성분분석결과지도환자근거자신결석성분특점진행침대성예방적건강교육적작용여효과.방법 선택2012년1월지12월상뇨로결석주원환자788례,장416례동의행결석성분분석적환자렬위실험조,372례불동의행결석성분분석적환자위대조조.실험조환자근거결석성분분석결과진행침대성적건강교육예방지도,대조조안상규건강교육.비교량조환자건강교육후적준의행위、결석복발솔.결과 실험조환자건강교육후체도매천음수량、음식예방、운동예방、공제체중、정기복사적준의행위분별위98.80％、96.63％、93.26％、95.67％、97.83％,대조조분별위72.04％、65.05％、52.69％、77.42％、72.04％,량조비교차이유통계학의의(P＜0.05).실험조반년결석복발솔위4.56％、일년결석복발솔위10.10％,대조조반년결석복발솔위13.44％、일년결석복발솔위27.96％,량조비교차이유통계학의의(P＜0.05).결론 통과대환자뇨로결석성분진행분석,유효제고료건강교육적효과,능침대성지지도환자정학장악예방결석복발적건강지식,병가강료환자준의행위,자각양성건강생활방식화습관,유효강저료뇨로결석적발생화복발,치득림상추엄응용.
Objective To observe the health education effect for calculus prevention with lithangiuria component analysis.Methods We analyzed the lithangiuria component from 788 patients after operation in past 2 years.The health education of calculus prevention was guided in experimental group for 416 patients with lithangiuria component analysis.372 patients were not guided for calculus prevention in control group.Results After health education the patients of two groups were compared with the following indexes:daily water intake,diet,exercise,weight control and prevention,regular review of compliance in the experimental group were:98.80％,96.63％,93.26％,95.67％,97.83％,those in control group were:72.04％,65.05％,52.69％,77.42％,72.04％,there was statistical significant difference between two groups (P ＜ 0.05).We compared the rate of patients in the two groups:the experimental group stone recurrence for the first half of the 4.56％,one year was 10.10％,the control group was 13.44％,the first half of year 27.96％,there was significant difference between two groups (P ＜ 0.05).Conclusion The analysis to the lithangiuria component of patients,can improve the effectiveness of health education,to guide patients to correctly grasp the health knowledge to prevent stone recurrence,and enhance the compliance behavior of patients,consciously cultivate a healthy lifestyle and habits,effectively reduce the occurrence and recurrence of urinary calculi.It is worthy of clinical application and promotion.