院前管理平台在泌尿系结石手术患者健康教育中的应用研究

doi:10.3761/j.issn.1672-9234.2024.08.014

摘要/Abstract

摘要：

目的探讨借助院前管理平台对泌尿系结石手术患者进行健康教育的方法及效果，为提升住院时间较短患者的健康教育效果提供借鉴。方法选取2022年8月—12月某三级甲等医院泌尿系上尿路结石拟行输尿管镜/输尿管软镜手术且住院时间≤3 d的患者作为研究对象。其中，经过该院院前管理平台收治入院的患者为试验组，门诊直接收治入院的患者为对照组。所有患者入院后给予常规健康教育；试验组在院前管理中心进行1次系统性健康教育。比较两组患者出院1个月的疾病知识水平和特异性生活方式依从性。结果试验组患者疾病知识得分高于对照组[17（16，18），12.5（10.5，14）；Z=10.162，P<0.001]，特异性生活方式依从性得分高于对照组[22（20，24），17（15，20）；Z=8.026，P<0.001]。结论基于院前管理平台开展健康教育有助于住院时间短的泌尿系结石手术患者掌握疾病相关知识，改善生活方式。

关键词: 健康教育, 院前管理平台, 泌尿系结石

Abstract:

Objective To explore the methods and effects of health education for urolithiasis surgery patients through the pre-hospital management platform，so as to provide references for improving the effect of health education for patients with short hospitalization time. Methods Patients admitted to a tertiary-level A hospital for upper urinary tract stones who were scheduled to undergo ureteroscopy/flexible ureteroscopy surgery and had a hospital stay of ≤3 days from August 2022 to December 2022 were selected as the study subjects. Among them，patients admitted through the hospital’s pre-hospital management platform were assigned to the experimental group，while those directly admitted through the outpatient department were assigned to the control group. All patients received routine health education upon admission；the experimental group underwent one systematic health education session at the pre-hospital management center. The disease knowledge level and specific lifestyle adherence of the two groups were compared one month after discharge from the hospital. Results Patients in the test group had higher disease knowledge scores than those in the control group [17（16，18） vs 12.5（10.5，14），Z=10.162，P<0.001]，and higher idiosyncratic lifestyle adherence scores than those in the control group[22（20，24） vs 17（15，20），Z=8.026，P<0.001]. Conclusion Health education through the prehospital management platform helps urolithiasis surgery patients with short hospitalization time to acquire disease-related knowledge and improve their lifestyle.

Key words: Health education, Pre-hospital management platform, Urinary calculi

卢嫡, 王璐, 李葆华, 乔海芹, 李丽, 薛小鹿, 刘春霞. 院前管理平台在泌尿系结石手术患者健康教育中的应用研究[J]. 中华护理教育, 2024, 21(8): 981-985.

LU Di, WANG Lu, LI Baohua, QIAO Haiqin, LI Li, XUE Xiaolu, LIU Chunxia. Application of prehospital management platform in health education for patients undergoing urinary stone surgery[J]. Chinese Journal of Nursing Education, 2024, 21(8): 981-985.

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