泌尿系结石体外震波碎石患者健康教育模型的研究

Study in the model of health education for patients undergoing extracorporeal shock wave lithotripsy of urinary calculi

目的探讨泌尿系结石体外震波碎石患者健康教育模型，并验证其效果。方法将490例碎石治疗的泌尿系结石患者随机分为对照组230例，实验组260例。实验组患者根据研究者制订的健康教育模型进行健康教育，对照组采取常规健康教育方法。评估并比较2组患者术中疼痛情况，治疗效果、并发症发生率。结果实验组术中疼痛发生率为6．92％，术后并发症发生率4．99％，碎石有效率达99．23％；对照组相应指标分别为28．26％，16．09％，96．09％。2组比较，差异有统计学意义（P〈0.01）。结论健康教育模型的建立和应用可提高体外震波碎石术的治疗效果，降低并发症的发生率，有效降低疾病的复发。

Objective We aimed to discuss the model of health education for patients undergoing extracorporeal shock wave lithotripsy of urinary calculi and validate its effect. Methods We divided 490 patients who were to undergo extracorporeal shock wave lithotripsy of urinary calculi into the control group（230 cases） and the test group（260 cases）.The test group received health education according to the model of health education.While the control group adopted routine health education method.The ache during operation,treatment effect and incidence rate of complications in the two groups were evaluated and compared. Results The incidence rate of pain, complications and effective rate in the test group was 6.92%,4.99% and 99.23%,which were better than those of the control group（28.26%,16.09% and 96.09% ）,P 〈 0.01. Conclusions Establishment of the model of health education could improve the treatment effect of extracorporeal shock wave lithotripsy, reduce the incidence rate of complications and the relapse rate of urinary calculi.