LEARNS框架下的健康教育对慢性肾脏病患者的影响

The Influence of Health Education in the Framework of LEARNS on Patients with Chronic Kidney Disease

目的研究LEARNS框架下的健康教育对慢性肾脏病患者的影响。方法选取郑州大学第二附属医院2022年5月至2024年1月90例慢性肾脏病患者并进行随机分组,对常规组45例给予常规健康教育,对研究组45例给予LEARNS框架下的健康教育,对比两组患者的自我管理能力、肾功能、主观幸福感、生活质量。结果研究组干预后成年人健康自我管理能力评测量表(AHSMSRS)评分高于常规组(P<0.05);研究组干预后胱抑素C(CYSC)水平低于常规组,血肌酐(Scr)、尿素氮(BUN)水平高于常规组;研究组干预后总体幸福感量表(GWB)评分高于常规组(P<0.05);研究组干预后肾脏病生活质量量表(KDQOL-36)评分高于常规组(P<0.05)。结论LEARNS框架下的健康教育能够促进慢性肾脏病患者肾功能的恢复,提高患者的自我管理能力和生活质量。

Objective To study the influence of health education under the framework of LEARNS on patients with chronic kidney disease.Methods A total of 90 patients with chronic kidney disease from May 2022 to January 2024 in the Second Affiliated Hospital of Zhengzhou University were randomly assigned.45 patients in the conventional group were given routine health education,and 45 patients in the study group were given health education under the framework of LEARNS.The self-management ability,kidney function,subjective well-being and quality of life of the two groups were compared.Results The score of AHSMSRS in the study group was higher than that in the conventional group(P<0.05).After intervention,the levels of cystatin C(CYSC)in the study group were lower than those in the conventional group,and the levels of serum creatinine(Scr)and urea nitrogen(BUN)were higher than those in the conventional group.The overall well-being scale(GWB)score of the study group was higher than that of the conventional group(P<0.05).The score of kidney disease quality of life scale(KDQOL-36)in the study group was higher than that in the conventional group(P<0.05).Conclusion Health education under the framework of LEARNS can promote the recovery of kidney function,improve self-management ability and quality of life in patients with chronic kidney disease.