基于格林模式的健康教育在预防上尿路结石患者复发中的应用  

Effects of health education based on precede-proceed model on preventing recurrence in patients with upper urinary calculi

作　　者：李文娟[1] 张晓丽[2] 王义会[1] 罗玉红 焦鸿梅[3] 魏绪磐 梁梦天 周逢海 Li Wenjuan;Zhang Xiaoli;Wang Yihui;Luo Yuhong;Jiao Hongmei;Wei Xupan;Liang Mengtian;Zhou Fenghai(School of Nursing,Lanzhou University,Lanzhou 730000,China;Department of General Surgery,Lanzhou Military Region General Hospital,Lanzhou 730000,China;Department of Urinary Surgery,Lanzhou Military Region General Hospital,Lanzhou 730000,China;Department of Urinary Surgery,Gansu Provincial Hospital,Lanzhou 730000,China)

机构地区：[1]兰州大学护理学院,730000 [2]兰州军区兰州总医院普通外科,兰州730000 [3]兰州军区兰州总医院泌尿外科,兰州730000 [4]甘肃省人民医院泌尿外科,兰州730000

出　　处：《中华现代护理杂志》2019年第15期1888-1892,共5页Chinese Journal of Modern Nursing

基　　金：甘肃省自然科学基金(17JR5RA333).

摘　　要：目的探讨基于格林模式的健康教育在预防上尿路结石患者复发中的干预效果.方法采用便利抽样法,选取兰州军区总医院2017年1—6月收治的110例上尿路结石患者作为研究对象,按照随机数字表法将其分为试验组和对照组各55例.对照组实施常规健康教育,试验组在此基础上,以格林模式为理论框架实施健康教育.比较两组患者出院12个月后的疾病知识得分、健康行为得分和结石复发情况.结果试验组患者出院12个月后结石知识得分(13.0±1.7)分、健康行为得分(127.5±14.8)分,分别高于对照组的(11.9±1.9)、(120.7±14.3)分,差异均有统计学意义(t=-4.940、-2.377;P<0.05);试验组出院12个月后结石复发率为1.9%,低于对照组的12.0%,差异有统计学意义(χ^2=4.050,P<0.05).结论基于格林模式的健康教育能提高上尿路结石患者知识水平,促进其健康行为,降低结石的复发率.Objective To explore the intervention effects of health education based on precede-proceed model on preventing recurrence in patients with upper urinary calculi.Methods Totally 110 patients with upper urinary calculi admitted in Lanzhou Military Region General Hospital between January and June 2017 using convenient sampling and divided into the treatment group(n=55)and the control group(n=55)according to the random number table.Patients in the control group received conventional health education,while patients in the treatment group received health education based on precede-proceed model on this basis.Disease-related knowledge scores,health behavior scores and recurrence of disease 12 months after discharge were compared between the two groups.Results The calculi-related knowledge score and the health behavior score of the treatment group 12 months after discharge were(13.0±1.7)and(127.5±14.8),higher than those of the control group,which were(11.9±1.9)and(120.7±14.3),and there were statistically significant differences(t=-4.940,-2.377;P<0.05).The recurrence rate of calculi of the treatment group 12 months after discharge was 1.9%,while that of the control group was 12.0%,and there was statistically significant difference(χ^2=4.050,P<0.05).Conclusions Health education based on precede-proceed model can improve the knowledge level of patients with upper urinary calculi,facilitate their health behavior,and reduce the recurrence rate of calculi.

关 键 词：尿路结石 健康教育 疾病知识 健康行为 格林模式 复发 

分 类 号：R473.6[医药卫生—护理学]