首页> 中文期刊> 《中华现代护理杂志 》 >多学科健康教育团队对高尿酸血症患者疾病防治知识及生活方式干预效果评价

多学科健康教育团队对高尿酸血症患者疾病防治知识及生活方式干预效果评价

摘要

Objective To analyze the effect of multi-disciplinary health education team on disease related knowledge and life style of patients with hyperuricemia.Methods Totals of 800 cases with hyperuricemia between January 2011 and June 2012 were randomly divided into observation group (n =400) and control group (n =400).Observation group received the intervention of multi-disciplinary health education team,while control group received the routine health education.Blood uric acid level were monitored and compared between two groups before and after health education.Through the questionnaire survey form,before and after health education,knowledge of two groups about prevention and control of hyperuricemia and life habits change situation were studied.Results Comparison of two groups of hyperuricemia curative effect,observation group was obviously higher than that of the control group [(91.25 % vs 53.00%) ;Z =-5.930,P < 0.05)].No significant difference was found in the hyperuricemia knowledge awareness about prevention and control between two group before the intervention (P > 0.05),while after the intervention,the knowledge awareness rote of health education group was significantly higher than that of the control group (94.50% vs 66.25% ;x2 =5.343,P < 0.05).The reasonable diet proportion (96.75% vs 53.25%),the proportion of drinking less than 200 ml (94.00% vs 58.75 %),the proportion of moderate exercise (91.25% vs 66.75 %) between two group were significant difference (x2 =5.231,5.038,4.987 ; P < 0.05).Conclusions The intervention of multidisciplinary health education team on patients with hypemricemia can achieve the effect of prevention and control of hyperuricemia,and promote the change of patients' way of life,improve their awareness for hyperuricemia harmfulness,and improve their medical treatment compliance.%目的 评价实施多学科团队健康教育干预对高尿酸血症患者疾病相关知识及生活方式改善的效果.方法 选择2011年1月至2012年6月,在广东省中山市横栏医院进行健康体检,经生化检查诊断为高尿酸血症的800例患者,采用分层随机抽样法分为观察组(400例)和对照组(400例).对照组采用常规健康教育方式,观察组在此基础上,基于横栏地区农村该疾病高发情况和高尿酸血症防治特点,组建多学科健康教育团队,对患者实施科学、系统、全面的健康教育干预.监测两组患者健康教育前后血尿酸水平,并通过问卷调查的形式,了解两组患者健康教育前后高尿酸血症防治知识知晓率及生活习惯改变情况.结果 观察组高尿酸血症治疗有效率为91.25%,明显高于对照组(53.00%),两组比较差异有统计学意义(Z=-5.930,P<0.05).开展健康教育前,两组高尿酸血症防治知识知晓率比较,差异无统计学意义(P>0.05);干预后,观察组患者高尿酸血症防治知识知晓率为94.50%;对照组为66.25%,两组比较,差异有统计学意义(x2=5.343,P<0.05).开展健康教育前,两组患者合理饮食、饮酒<200 ml、适度运动例数比较,差异无统计学意义(P>0.05);开展健康教育后,观察组合理饮食比例(96.75%)、饮酒<200 ml比例(94.00%)、适度运动比例(91.25%),与对照组(53.25%,58.75%,66.75%)比较,差异有统计学意义(x2值分别为5.231,5.038,4.987;P <0.05).结论 通过多学科健康教育团队对本地区农民高尿酸血症患者实施健康教育干预,可以达到防治高尿酸血症的效果,有助于改变农村高尿酸血症患者的生活方式,提高该群体对高尿酸血症危害性的认识及患者就医的依从性.

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