全程健康教育对肾移植患者定期门诊随访依从性的影响

An effect of full-stage health education on the compliance to follow-up in kidney transplant patients

目的 提高肾移植患者定期门诊随访、及时就医的依从性,提高其长期存活率.方法 回顾性分析1995～1999年在常规健康教育模式下的287例肾移植患者门诊随访、及时就医、移植肾失功情况,针对性分析肾移植患者不遵医行为导致移植肾失功的相关因素.2000年成立移植之家,构建移植社区网络,采用温馨服务策略.分别追踪比较3年后两组患者不同健康教育模式下定期门诊随访情况.结果 全程健康教育组＞1年肾移植患者随访率高于常规健康教育组,差异具有统计学意义（P＜0.01）.结论 全程健康教育提高了肾移植患者定期门诊随访的依从性,提高了移植肾长期存活率.

Objective To improve the compliance of kidney transplant patients to follow - up regularly and timely,and to improve the long term survival of transplanted kidney. Method Retrospectively analysis was used to find the effect factors related to the loss function of 287 kidney transplant patients with poor compliance behavior in follow - up from 1995 ～ 1996, Since 2000, the full - stage health education has begun. The kidney transplant patient home, transplant network and humanistic care strategy were established. The patients＇ obedience of two groups was compared after 3 - year - follow up. Result The ratio of follow - up in one year is higher in full - stage health education group compared with the regular education group. There is statistic significance between groups （P 〈 0.01 ）. Conclusions Full - stage health education can improve the compliance to follow - up of kidney transplant patients, and the long term survival rate of transplanted kidney.