多模式下健康宣教对泌尿系结石患者术后机体状况和结石复发率的影响

Effect of multi-mode health education on postoperative body condition and stone recurrence rate in patients with urinary calculi

目的观察多模式下健康宣教对泌尿系结石患者术后机体应激反应、心理状况、性生活质量及结石复发率的影响。方法前瞻性选取我院2018年2月至2019年2月收治的84例行手术治疗的泌尿系结石患者,以数字表法随机分为两组,各42例,对照组予以常规护理,实验组在其基础上予以多模式下健康宣教,比较两组干预前后机体应激状态[皮质醇(Cor)、去甲肾上腺素(NE)与肾上腺素(AD)]、心理状态[抑郁自评量表(SDS)评分、焦虑自评量表(SAS)评分]、健康知识掌握情况、健康促进生活方式量表(HPLP-II)评分、性生活满意度及结石复发率。结果两组术后3 d血清Cor、NE、AD水平均较术前显著升高(P<0.05),但实验组明显低于对照组(P<0.05);干预2周后,实验组SDS评分、SAS评分明显低于对照组(P<0.05),健康知识掌握评分明显高于对照组(P<0.05);实验组干预3个月后HPLP-II中健康责任、营养以及运动评分显著高于对照组(P<0.05);实验组性生活满意度明显优于对照组(P<0.05);实验组术后6个月、12个月结石复发率显著低于对照组(P<0.05)。结论多模式下健康宣教可有效减轻泌尿结石患者术后机体应激反应,增加其健康知识,改善心理状态与健康行为水平,降低结石复发率,获得满意性生活质量,具有积极实施价值。

Objective To explore the effect of multi-mode health education on postoperative stress response,psychological status,sexual life quality and stone recurrence rate of patients with urinary calculi.Methods A total of 84 patients with urinary calculi treated with surgery in the hospital between February 2018 and February 2019 were selected prospectively.They were divided into 2 groups by the random number table method,42 cases in each group.The control group were given routine nursing,and on this basis,the experimental group were given multi-mode health education.The stress state[cortisol(Cor),norepinephrine(NE),adrenaline(AD)],psychological status[self-rating depression scale(SDS)scores,self-rating anxiety scale(SAS)scores],mastery of health knowledge,health promoting lifestyle profile-II(HPLP-II)scores,satisfaction with sexual life and stone recurrence rate were compared between the two groups.Results Three days after surgery,the serum Cor,NE and AD levels in both groups were significantly increased(P<0.05),but the levels in experimental group were significantly lower than those in control group(P<0.05).After 2 weeks of intervention,SDS scores and SAS scores in experimental group were significantly lower than those in control group(P<0.05),while mastery of health knowledge scores were significantly higher than those in control group(P<0.05).After 3 months of intervention,scores of health responsibility,nutrition and exercise in HPLP-II of experimental group were significantly higher than those of control group(P<0.05).The satisfaction of experimental group of sexual life was significantly better than that of control group(P<0.05).The stone recurrence rates in experimental group at 6 and 12 months after surgery were significantly lower than those in the control group(P<0.05).Conclusion Multi-mode health education can effectively alleviate postoperative stress response of patients with urinary calculi,increase their health knowledge,improve their psychological status and healthy behaviors,reduce stone recurrence rate,and improve sexual life quality,with positive application value.