尿路结石成分分析指导患者预防结石复发的健康教育研究  

Health education effect for calculus prevention with lithangiuria component analysis

作　　者：郑岚鹏[1] 陈爱文[1] 孙明[1] 阮定萍[1] 王玉新[1] 张澍[1] 梁丽英[1] 石宏燕[1] 

机构地区：[1]中山大学附属江门医院江门市中心医院泌尿外科,529071

出　　处：《国际医药卫生导报》2014年第15期2238-2241,共4页International Medicine and Health Guidance News

基　　金：江门市科技计划项目（江科[2012]107号）

摘　　要：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.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.

关 键 词：结石分析 健康教育 预防 尿路结石 

分 类 号：R473.6[医药卫生—护理学]