CAJ | 학술논문

目的：探讨生态学干预对社区慢性肾病高危人群疾病防治知识及生态学环境的影响。方法：选择研究对象197名，随机分为干预组92名，采用群体教育和个体干预相结合法干预6个月，对照组105名，采用常规原发疾病防治内容干预。比较干预组和对照组在干预前后对慢性肾病防治知识的知晓率及家庭生活环境改善情况。结果：6个月后，干预组对慢性肾病防治的基本知识、防治知识、生态学知识及中医综合治疗知识均较干预前提高（P<0.01）；亲密度、情感表达显著，差异有统计学意义（t=2.1529、3.9340，P<0.05），而对照组干预前后差异无统计学意义(P>0.05)。结论：生态学干预对慢性肾病防治知识知晓率及家庭生态学环境改善有帮助，防治知识知晓率的提升、良好的家庭生态学环境有助于促使家庭不良生活行为方式改变，有利于延缓慢性肾病发生发展。
목적：탐토생태학간예대사구만성신병고위인군질병방치지식급생태학배경적영향。방법：선택연구대상197명，수궤분위간예조92명，채용군체교육화개체간예상결합법간예6개월，대조조105명，채용상규원발질병방치내용간예。비교간예조화대조조재간예전후대만성신병방치지식적지효솔급가정생활배경개선정황。결과：6개월후，간예조대만성신병방치적기본지식、방치지식、생태학지식급중의종합치료지식균교간예전제고（P<0.01）；친밀도、정감표체현저，차이유통계학의의（t=2.1529、3.9340，P<0.05），이대조조간예전후차이무통계학의의(P>0.05)。결론：생태학간예대만성신병방치지식지효솔급가정생태학배경개선유방조，방치지식지효솔적제승、량호적가정생태학배경유조우촉사가정불량생활행위방식개변，유리우연완만성신병발생발전。
Objective: To explore the impact of the ecology intervention on the knowledge of disease prevention and control of the high-risk population with chronic nephropathy and the ecology environment. Methods: One hundred and ninty-seven subjects were selected and randomly divided into an intervention group with 92 cases, who were intervened with the combination of the group education and individual intervention and a control group with 105 cases, who was intervened with the content of the conventional primary disease prevention and control. Before and after the intervention, the knowledge awareness rate of the chronic nephropathy prevention and control and the family living environment improvement were compared. Results: After six months, the basic knowledge of the chronic nephropathy prevention and control, ecology knowledge and comprehensive treatment knowledge of TCM were improved than before (P<0.01). The degree of intimacy and emotion expression was significantly improved, and the difference had the statistical significance (t=2.152 9, 3.934 0, P<0.05), while the control group had no differenct statistical significance before and after the intervention (P>0.05). Conclusion: The ecology intervention helps the awareness rate of the knowledge of the chronic nephropathy prevention and control and the family ecology environment improvement. The increase of the knowledge of prevention and control of diseases and good family ecology environment help encourage the households to change the bad living habit and are helpful to delay the occurrence and development of the chronic nephropathy.