个体化健康教育对慢性肾小球肾炎患者的影响评价

Evaluation of the Impact of Individualized Health Education on Patients with Chronic Glomerulonephritis

目的研究对慢性肾小球肾炎(CGN)患者采取个体化健康教育的实施效果。方法于我院CGN患者中随机抽取76例,使用随机数表法分为对照组(常规健康宣教)和观察组(个体化健康教育),对比两组实施效果。结果观察组ALB(40.85±4.43)g/L,TRF(3.23±0.21)g/L,HB(75.46±5.52)g/L,高于对照组[ALB(37.90±4.26)g/L,TRF(2.70±0.26)g/L,HB(68.70±5.29)g/L](P<0.05)。观察组PSQI(4.24±0.82)分,SF-36(87.37±4.80)分,优于对照组[PSQI(6.42±1.14)分,SF-36(80.56±4.27)分](P<0.05)。观察组SAS(45.80±5.47)分,SDS(42.79±3.98)分,低于对照组[SAS(58.36±3.39)分,SDS(55.24±4.16)分](P<0.05)。观察组CHBMS(128.71±5.39)分,ESCA(129.32±5.15)分,高于对照组[CHBMS(103.84±4.37)分,ESCA(110.37±6.37)分](P<0.05)。观察组依从率(86.84%),知识知晓率(89.47%),高于对照组[依从率(50.00%)、知识知晓率(57.89%)](P<0.05)。结论对CGN患者采取个体化健康教育能够帮助患者针对性改善营养状态,提高患者对疾病知识的了解,改善患者情绪及睡眠问题,提高其自护能力以及健康信念,调动其自主性,从而提高其生活质量,更有利于身心健康。

Objective To study the implementation effect of individualized health education on patients with chronic glomerulonephritis(CGN).Methods Seventy-six CGN patients in our hospital were randomly selected and divided into a control group(conventional health education)and an observation group(individualized health education)using a random number table method.The implementation effects of the two groups were compared.Results The ALB(40.85±4.43)g/L,TRF(3.23±0.21)g/L,and HB(75.46±5.52)g/L in the observation group were higher than those in the control group[ALB(37.90±4.26)g/L,TRF(2.70±0.26)g/L,and HB(68.70±5.29)g/L](P<0.05).The observation group had PSQI(4.24±0.82)and SF-36(87.37±4.80)scores,which were better than the control group's PSQI(6.42±1.14)and SF-36(80.56±4.27)scores(P<0.05).The SAS(45.80±5.47)and SDS(42.79±3.98)scores in the observation group were lower than those in the control group[SAS(58.36±3.39)and SDS(55.24±4.16)](P<0.05).The CHBMS(128.71±5.39)and ESCA(129.32±5.15)scores in the observation group were higher than those in the control group[CHBMS(103.84±4.37)and ESCA(110.37±6.37)scores](P<0.05).The compliance rate(86.84%)and knowledge awareness rate(89.47%)of the observation group were higher than those of the control group(50.00%)(P<0.05).Conclusions Individualized health education for CGN patients can help them improve their nutritional status,enhance their understanding of disease knowledge,improve their emotional and sleep problems,enhance their self-care ability and health beliefs,mobilize their autonomy,and thus improve their quality of life,which is more conducive to physical and mental health.