中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2013年
16期
1888-1891
,共4页
杨世梅%彭洁%邓润霞%张丽斌
楊世梅%彭潔%鄧潤霞%張麗斌
양세매%팽길%산윤하%장려빈
高尿酸血症%健康干预%护理
高尿痠血癥%健康榦預%護理
고뇨산혈증%건강간예%호리
Hyperuricemia%Health intervention%Nursing
目的 评价实施多学科团队健康教育干预对高尿酸血症患者疾病相关知识及生活方式改善的效果.方法 选择2011年1月至2012年6月,在广东省中山市横栏医院进行健康体检,经生化检查诊断为高尿酸血症的800例患者,采用分层随机抽样法分为观察组(400例)和对照组(400例).对照组采用常规健康教育方式,观察组在此基础上,基于横栏地区农村该疾病高发情况和高尿酸血症防治特点,组建多学科健康教育团队,对患者实施科学、系统、全面的健康教育干预.监测两组患者健康教育前后血尿酸水平,并通过问卷调查的形式,了解两组患者健康教育前后高尿酸血症防治知识知晓率及生活习惯改变情况.结果 观察组高尿酸血症治疗有效率为91.25％,明显高于对照组(53.00％),两组比较差异有统计学意义(Z=-5.930,P＜0.05).开展健康教育前,两组高尿酸血症防治知识知晓率比较,差异无统计学意义(P＞0.05);干预后,观察组患者高尿酸血症防治知识知晓率为94.50％;对照组为66.25％,两组比较,差异有统计学意义(x2=5.343,P＜0.05).开展健康教育前,两组患者合理饮食、饮酒＜200 ml、适度运动例数比较,差异无统计学意义(P＞0.05);开展健康教育后,观察组合理饮食比例(96.75％)、饮酒＜200 ml比例(94.00％)、适度运动比例(91.25％),与对照组(53.25％,58.75％,66.75％)比较,差异有统计学意义(x2值分别为5.231,5.038,4.987;P ＜0.05).结论 通过多学科健康教育团队对本地区农民高尿酸血症患者实施健康教育干预,可以达到防治高尿酸血症的效果,有助于改变农村高尿酸血症患者的生活方式,提高该群体对高尿酸血症危害性的认识及患者就医的依从性.
目的 評價實施多學科糰隊健康教育榦預對高尿痠血癥患者疾病相關知識及生活方式改善的效果.方法 選擇2011年1月至2012年6月,在廣東省中山市橫欄醫院進行健康體檢,經生化檢查診斷為高尿痠血癥的800例患者,採用分層隨機抽樣法分為觀察組(400例)和對照組(400例).對照組採用常規健康教育方式,觀察組在此基礎上,基于橫欄地區農村該疾病高髮情況和高尿痠血癥防治特點,組建多學科健康教育糰隊,對患者實施科學、繫統、全麵的健康教育榦預.鑑測兩組患者健康教育前後血尿痠水平,併通過問捲調查的形式,瞭解兩組患者健康教育前後高尿痠血癥防治知識知曉率及生活習慣改變情況.結果 觀察組高尿痠血癥治療有效率為91.25％,明顯高于對照組(53.00％),兩組比較差異有統計學意義(Z=-5.930,P＜0.05).開展健康教育前,兩組高尿痠血癥防治知識知曉率比較,差異無統計學意義(P＞0.05);榦預後,觀察組患者高尿痠血癥防治知識知曉率為94.50％;對照組為66.25％,兩組比較,差異有統計學意義(x2=5.343,P＜0.05).開展健康教育前,兩組患者閤理飲食、飲酒＜200 ml、適度運動例數比較,差異無統計學意義(P＞0.05);開展健康教育後,觀察組閤理飲食比例(96.75％)、飲酒＜200 ml比例(94.00％)、適度運動比例(91.25％),與對照組(53.25％,58.75％,66.75％)比較,差異有統計學意義(x2值分彆為5.231,5.038,4.987;P ＜0.05).結論 通過多學科健康教育糰隊對本地區農民高尿痠血癥患者實施健康教育榦預,可以達到防治高尿痠血癥的效果,有助于改變農村高尿痠血癥患者的生活方式,提高該群體對高尿痠血癥危害性的認識及患者就醫的依從性.
목적 평개실시다학과단대건강교육간예대고뇨산혈증환자질병상관지식급생활방식개선적효과.방법 선택2011년1월지2012년6월,재광동성중산시횡란의원진행건강체검,경생화검사진단위고뇨산혈증적800례환자,채용분층수궤추양법분위관찰조(400례)화대조조(400례).대조조채용상규건강교육방식,관찰조재차기출상,기우횡란지구농촌해질병고발정황화고뇨산혈증방치특점,조건다학과건강교육단대,대환자실시과학、계통、전면적건강교육간예.감측량조환자건강교육전후혈뇨산수평,병통과문권조사적형식,료해량조환자건강교육전후고뇨산혈증방치지식지효솔급생활습관개변정황.결과 관찰조고뇨산혈증치료유효솔위91.25％,명현고우대조조(53.00％),량조비교차이유통계학의의(Z=-5.930,P＜0.05).개전건강교육전,량조고뇨산혈증방치지식지효솔비교,차이무통계학의의(P＞0.05);간예후,관찰조환자고뇨산혈증방치지식지효솔위94.50％;대조조위66.25％,량조비교,차이유통계학의의(x2=5.343,P＜0.05).개전건강교육전,량조환자합리음식、음주＜200 ml、괄도운동례수비교,차이무통계학의의(P＞0.05);개전건강교육후,관찰조합리음식비례(96.75％)、음주＜200 ml비례(94.00％)、괄도운동비례(91.25％),여대조조(53.25％,58.75％,66.75％)비교,차이유통계학의의(x2치분별위5.231,5.038,4.987;P ＜0.05).결론 통과다학과건강교육단대대본지구농민고뇨산혈증환자실시건강교육간예,가이체도방치고뇨산혈증적효과,유조우개변농촌고뇨산혈증환자적생활방식,제고해군체대고뇨산혈증위해성적인식급환자취의적의종성.
Objective To analyze the effect of multi-disciplinary health education team on disease related knowledge and life style of patients with hyperuricemia.Methods Totals of 800 cases with hyperuricemia between January 2011 and June 2012 were randomly divided into observation group (n =400) and control group (n =400).Observation group received the intervention of multi-disciplinary health education team,while control group received the routine health education.Blood uric acid level were monitored and compared between two groups before and after health education.Through the questionnaire survey form,before and after health education,knowledge of two groups about prevention and control of hyperuricemia and life habits change situation were studied.Results Comparison of two groups of hyperuricemia curative effect,observation group was obviously higher than that of the control group [(91.25 ％ vs 53.00％) ;Z =-5.930,P ＜ 0.05)].No significant difference was found in the hyperuricemia knowledge awareness about prevention and control between two group before the intervention (P ＞ 0.05),while after the intervention,the knowledge awareness rote of health education group was significantly higher than that of the control group (94.50％ vs 66.25％ ;x2 =5.343,P ＜ 0.05).The reasonable diet proportion (96.75％ vs 53.25％),the proportion of drinking less than 200 ml (94.00％ vs 58.75 ％),the proportion of moderate exercise (91.25％ vs 66.75 ％) between two group were significant difference (x2 =5.231,5.038,4.987 ; P ＜ 0.05).Conclusions The intervention of multidisciplinary health education team on patients with hypemricemia can achieve the effect of prevention and control of hyperuricemia,and promote the change of patients' way of life,improve their awareness for hyperuricemia harmfulness,and improve their medical treatment compliance.
