基于跨理论模型的健康教育在老年复杂肾结石患者中的应用

Application of health education based on trans-theoretical model in elderly patients with complicated renal calculus

目的探讨跨理论模型健康教育在老年复杂性肾结石患者护理中的应用效果。方法选取我院收治的老年复杂性肾结石患者41例,根据意向前阶段、意向阶段、准备阶段、行动阶段、维持阶段5个阶段对患者实施跨理论模型健康教育护理。采用健康促进生活方式量表(Health Promoting Lifestyle Profile-Ⅱ,HPLP-Ⅱ)和老年人自护能力量表(Self-care Ability Scale for the Elderly,SASE)比较护理前后患者健康行为及自我护理能力,并记录患者并发症发生率。结果干预后患者健康行为及自护能力较干预前、干预后1个月和2个月有所提高(P<0.01);干预3个月期间患者并发症发生率为2.44%(1/41)。结论基于跨理论模型健康教育能改善老年复杂性肾结石患者的健康行为,提高自我护理能力,且并发症风险可控。

Objective To explore the effects of health education based on trans-theoretical model in elderly patients with complex renal calculi.Methods 41 cases of elderly patients with complex renal calculi treated in our hospital implemented health education based on traMs-theoretical model depending on different stages including previous intention stage,intention stage,preparation stage,action stage and maintenance stage.Health care lifestyle profile Ⅱ（HPLP-Ⅱ）was used to evaluate the health behavior of patients before and after the intervention and self-care ability scale for the elderly（SASE）was used to evaluate the ability of self-care,the incidence of complications of patients was recorded.Results After intervention,the health behavior and self-care ability of patients were significantly increased than those before intervention,at 1 month,at 2 months（P〈0.01）.During the intervention of 3 months,the incidence of complications of patients was 2.44%（1/41）.Conclusion Health education based on traMs-theoretical model can improve the health behaviors of elderly patients with complex kidney stones and selfcare ability,and the risk of complications is controlled.