健康教育用于不良生活方式所致功能性便秘的临床价值

Clinical Value of Health Education Applied to Unhealthy Lifestyle-caused Functional Constipation

目的探讨健康教育纠正因不良生活方式所致功能性便秘的临床效果,分析并处理影响疗效的不利因素。方法对2009年2月-2012年2月收治、出院后1年内回访到位的167例功能性便秘患者的疗效及影响因素进行分析,判断健康教育的临床价值,分析各种因素对健康教育效果的影响。结果出院后1年内总疗效为84.4%。老年患者疗效好于中青年患者(P<0.05),城镇患者疗效好于乡村患者(P<0.05),大学文化程度患者疗效好于小学及以下文化程度患者(P<0.01)。结论健康教育对缓解和消除不良生活方式引起的功能性便秘有较重要价值;功能性便秘要根据不同年龄、不同文化程度、城市和乡村患者采取区别性健康教育。

Objective To explore the clinical effect of healthy education on functional constipation caused by unhealthy lifestyle, and to analyze the disadvantages affecting the curative effect. Methods A total of 167 cases of functional constipation from February 2009 to February 2012 were included. All of the patients were followed up for one year. We collected clinical data of curative effect and influencing factors, determined the clinical value of healthy education, and analyzed the influence of different factors on the curative effect of healthy education. Results The total curative effect after one-year follow-up was 84.4%. The curative effect in elderly patients was significantly higher than that in middle-aged ones（P〈0.05）. The curative effect in urban patients was remarkably higher than that in rural ones（P〈0.05）. And the curative effect of patients with college degree wass much higher than that in patients with education background of primary school or below（P〈0.05）. Conclusions Healthy education has important value on releasing and eliminating functional constipation caused by unhealthy lifestyle. And it needs individual education aimed at patients with different age, education degree, and domicile.