胆结石患者取石术后健康素养、健康行为、生活质量与其复发的相关性分析  

Correlation analysis of health literacy,health behavior,and quality of life with the recurrence of gallstones after lithotomy

作　　者：涂珍兰 张琴 张芹 李玉平 TU Zhen-lan;ZHANG Qin;ZHANG Qin;LI Yu-ping

机构地区：[1]南昌市新建区人民医院,江西南昌330010

出　　处：《中国疗养医学》2025年第4期108-112,共5页Chinese Journal of Convalescent Medicine

摘　　要：目的 探究胆结石患者取石术后健康素养、健康行为、生活质量与其复发的相关性,并做出分析。方法 选取南昌市新建区人民医院2020年4月至2024年4月胆结石取石术患者152例,根据复发情况分成复发组48例和非复发组104例,收集一般资料和中国公民健康素养调查问卷、生活质量量表评分,对胆结石患者取石术后复发的相关因素作出分析,并探讨患者健康素养、生活质量各维度评分和胆结石复发的相关分析。结果 结果分析显示,文化程度(OR=12.443,95%CI:2.756,56.176,P=0.001)、健康素养(OR=0.691,95%CI:0.566,0.842,P<0.001)、生活质量(OR=0.618,95%CI:0.505,0.757,P<0.001)均为胆结石患者取石术后复发的相关因素(均P<0.05)。直线相关分析可知,患者健康素养、健康行为、生活质量均和患者胆结石复发具有负相关关系(均P<0.01)。结论 对于已完成胆结石取石术的患者群体,健康素养、健康行为、生活质量的提高可显著减少胆结石复发的概率。Objective To explore and analyze the correlation of health literacy,health behavior and quality of life with the recurrence of gallstones after lithotomy.Methods A total of 152 patients who underwent lithotomy in Nanchang Xinjian District People's Hospital from April 2020 to April 2024 were selected and divided into the recurrence group(48 cases)and the non-recurrence group(104 cases)according to the recurrence.The general data,the health literacy questionnaire of Chinese citizens and the quality of life scale scores were collected to analyze influencing factors for the recurrence of gallstones after lithotomy.Correlation analysis was made between the scores of health literacy,and quality of life with gallstone recurrence.Results Logistic regression analysis showed that education level(OR=12.443,95%CI:2.756,56.176,P=0.001),health literacy(OR=0.691,95%CI:0.566,0.842,P<0.001),and quality of life(OR=0.618,95%CI:0.505,0.757,P<0.001)were related factors for the recurrence of gallstones after lithotomy(all P<0.05).Linear correlation analysis showed that the health literacy,health behavior,and quality of life were negatively correlated with gallstone recurrence after lithotomy(all P<0.01).Conclusion The improvement of health literacy,health behavior and quality of life can significantly reduce the recurrence rate of gallstones in patients who have undergone lithotomy.

关 键 词：健康素养 健康行为 生活质量 胆结石 术后复发 

分 类 号：R657.4[医药卫生—外科学]