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目的:对基于贫困山区村卫生站的慢性肾病健康教育体系的效果进行研究。方法:便利抽取南充市4个贫困县的30个山区自然村属卫生站,建构慢性肾病患者自我管理健康教育体系,对在此居住的143例慢性肾病患者及其家属实施健康教育,对患者接受教育前后的自我管理水平及其社会支持进行比较。结果:入组患者接受教育前自我管理水平总分平均分为70.18±11.61分,接受健康教育5个月得分为130.57±16.08分,10个月得分为192.04±15.33分,统计学分析出现差异(P<0.01)。入组患者接受教育前社会支持总分平均分为26.43±3.47分,接受健康教育5个月得分为38.46±2.87分;10个月得分为45.72±1.40分。统计学分析出现差异(P<0.01,P<0.05)。结论:贫困山区村卫生站慢性肾病健康教育体系能有效提高患者自身的自我管理水平,且能大幅度改善患者的社会支持环境,具有实用性、全面性、经济性、被认可程度高等特点。
Objective: To study the effect of chronic kidney disease health education system based on poor mountain village health station. Methods: Thirty mountainous natural villages in four impoverished counties of Nanchong City were conveniently sampled to construct a self-managed health education system for patients with chronic kidney disease. Health education was conducted for 143 chronic kidney disease patients and their families living in the area, and the patients were educated Before and after the level of self-management and social support for comparison. Results: The total score of self-management level of pre-education patients was 70.18 ± 11.61 points, health education was 130.57 ± 16.08 points for 10 months and 192.04 ± 15.33 points for 10-month health education, with statistical analysis showing differences P <0.01). The total score of social support before receiving education was 26.43 ± 3.47 in average, 38.46 ± 2.87 in five months of receiving health education and 45.72 ± 1.40 in 10 months. Statistical analysis showed differences (P <0.01, P <0.05). Conclusion: The health education system of chronic kidney disease in rural health stations in poor mountainous areas can effectively improve patients’ self-management level and can greatly improve the social support environment of patients. It has the characteristics of practicability, comprehensiveness, economy and high recognition.