“头脑风暴法”健康宣教对提高IgA肾病患者护理干预效果的评价

Evaluation of improvement of nursing care to IgA nephropathy patients by health education with brainstorm

目的:评价"头脑风暴法"健康宣教对提高Ig A肾病患者护理干预的效果。方法:将140例Ig A肾病患者按随机数字表法分为观察组(头脑风暴法宣教组)和对照组(常规宣教组),每组各70例。出院前1 d对两组自我管理能力及疾病知识掌握度进行评价,出院后6个月比较两组疾病复发率。结果:干预后,观察组患者自我管理能力评分,包括自我监测(2.62±0.84)、疾病知识掌握(2.54±0.68)及核心管理能力(2.71±0.77)方面均优于对照组,差异有统计学意义(P<0.05);两组患者疾病知识掌握度比较,差异均有统计意义(P<0.01);健康宣教后,对照组复发率为22.9%,观察组复发率为5.7%,差异有统计学意义(P<0.01)。结论 :"头脑风暴法"健康宣教能提高Ig A肾病患者自我管理能力和疾病知识掌握度,降低疾病复发率,值得临床推广。

Objective To assess the improvement of nursing care to IgA nephropathy patients by health education with brainstorm. Methods： 140 IgA patients were divided randomly into control group, performing general health education, and observation group, performing health education with brainstorm. Self-management ability and knowledge of disease levels were evaluated at the day before being discharge, and 6 months after discharse the recurrence rate was compared between the two groups. ResultsAfter intervention, self -management ability of, observation group was better than control group in self-monitoring （2.62 ± 0.84）, illness awareness （2.54 ±0.68） and the core management ability （2.71 ± 0.77）, there were statistical differences between two groups （P〈 0.05）. The recurrence vvate,in control group was 22.9% and in observation group was 5.7%,（P〈0.01）. ConclusionHealth education with brainstorm is very helpful to improve self-management ability and knowledge level of disease and,lower the recurrence rate in IgA riepbropathy patients and it is worth popularizing.