腹水型晚期血吸虫病人饮食依从性健康教育干预效果  

Effect of Health Education on Dietary Compliance Among Advanced Schistosomiasis Patients with Ascites

作　　者：彭秘辉[1,2] 赵衡文[1] 李飞跃[3] 周瑞红[3] 

机构地区：[1]中南大学公共卫生学院,湖南长沙410078 [2]湖南省卫生宣传教育信息中心 [3]湖南省血吸虫病防治所

出　　处：《实用预防医学》2013年第10期1276-1278,共3页Practical Preventive Medicine

摘　　要：目的探讨健康教育干预对提高腹水型晚期血吸虫病人的饮食依从性效果,分析健康干预效果影响因素。方法对以方便抽样抽取的90名腹水型晚期血吸虫病人进行健康教育干预,采用自行编制的调查问卷对病人饮食依从性进行评估。结果病人饮食依从性得分由(15.73±4.22)提高到(20.43±3.39),依从性好的比率由56.67%上升到92.22%(P<0.05);按年龄、性别、婚姻状况、文化程度、家庭收入(人均月收入≤300元)、病程、上消化道出血史、住院次数等特征分层合理饮食行为依从性均有提高(P<0.05),文化程度小学及以下、未婚/离异/丧偶、病程6年以上、有上消化道出血史和住院次数≤2次者提高幅度更大。结论健康教育干预可以提高腹水型晚期血吸虫病人饮食依从性,干预重点是文化程度低、未婚/离异/丧偶、病程长、有上消化道出血史和住院次数少的病人。Objective To explore the effect of health education on increasing the dietary compliance among advanced schistosomiasis patients with ascites, and analyze the influencing factors of health intervention. Methods Health education was carried out among 90 advanced schistosomiasis patients with ascites selected by convenient sampling methods, and the effect of health education was assessed by self- designed questionnaires. Results The score of dietary compliance was raised from （ 15.73 ±4.22 to （20.43 ±3.39）, and the rate of dietary compliance went up to 92.22 % from 56.67 % （P 〈 0.05）. Accord- ing to characteristic classification, the dietary compliance in age, sex, marital status, education background, family income （per capita monthly income of ≤300 Yuan）, duration of disease, history of upper gastrointestinal tract bleeding, and the times of hos- pitalization was improved （P 〈 0.05） ; moreover, that in primary school and lower education, the unmarried/divorced/widowed, disease duration of above 6 years, history of upper gastrointestinal tract bleeding, and the times of hospitalization （≤2） increased sharply. Conclusions Health education can improve dietary compliance of advanced schistosomiasis patients with ascites, and the nutrition intervention should be implemented to the patients with lower education, longer disease duration, history of upper gastrointestinal tract bleeding, and fewer hospitalization, and the unmarried/divorced/widowed.

关 键 词：腹水型晚期血吸虫病 健康教育 干预效果 影响因素 饮食依从性 

分 类 号：R532.21[医药卫生—内科学]