Application of situational health education in urological nursing
情景式健康教育在泌尿外科护理中的应用

摘要

目的 研究情景式健康教育在泌尿外科急进性肾炎患者中的应用价值。方法 选择我院在2019年1月至2021年1月期间收治的80例泌尿外科急进性肾炎患者作为本次研究的对象，然后按照随机数字表法对所选对象进行分组，分成对照组和观察组，各组均由40例患者组成，对照组患者通过常规护理，观察组患者采用情景式健康教育护理，比较两组患者的护理满意度；护理前后的生化免疫指标（TRIG（甘油三酯）、TCHO（总胆固醇）、Alb（白蛋白）、ApoE（载脂蛋白A）、IgG（免疫球蛋白）、IgM（免疫球蛋白M）；健康知识掌握水平（药物知识、健康饮食、健康生活、病症知识）。结果 观察组患者的护理满意度为97.5%（39/40），对照组患者的护理满意度为80.0%（32/40），差异有统计学意义（P＜0.05）；护理前，两组患者的TRIG、TCHO、Alb、ApoE、IgG、IgM比较，差异无统计学意义（P＞0.05），护理后，观察组患者的TRIG、TCHO、Alb、ApoE、IgG、IgM分别为：（0.68±0.25）mmol/L、（1.03±0.21）mmol/L、（31.16±5.15）g/L、（2.38±0.76）g/L、（2.98±1.05）g/L、（0.18±0.06）g/L均优于对照组患者（0.92±0.23）mmol/L、（1.62±0.43）mmol/L、（33.96±5.26）g/L、（2.98±0.82）g/L、（3.68±0.79）g/L、（0.32±0.09）g/L，差异有统计学意义（P＜0.05）；观察组患者的药物知识、健康饮食、健康生活、病症知识评分分别为：（88.96±3.68）分、（82.59±3.83）分、（81.91±4.14）分、（87.78±3.71）分均高于对照组患者（80.44±2.27）分、（74.36±3.50）分、（72.84±3.39）分、（78.15±2.41）分，差异有统计学意义（P＜0.05）。结论 急进性肾炎患者在治疗期间，采用情景式健康教育，能够有效提升患者的护理满意度，改善其生化免疫指标，应用价值高，值得推广。

Abstract

Objective To study the application value of situational health education in patients with acutely progressive nephritis in urology.
Methods 80 patients with acutely progressive nephritis in our hospital from January 2019 to January 2021 were selected as the subjects of this study, and then the selected subjects were divided into control group and observation group according to the random number table method. group, each group consisted of 40 patients, the patients in the control group received routine nursing care, and the patients in the observation group received situational health education nursing, and the nursing satisfaction of the two groups of patients was compared; , TCHO (total cholesterol), Alb (albumin), ApoE (apolipoprotein A), IgG (immunoglobulin), IgM (immunoglobulin M); mastery of health knowledge (drug knowledge, healthy diet, healthy life) , disease knowledge).
Results The nursing satisfaction of the patients in the observation group was 97.5% (39/40), and the nursing satisfaction of the patients in the control group was 80.0% (32/40), and the difference was statistically significant (P<0.05). There was no significant difference in TRIG, TCHO, Alb, ApoE, IgG, IgM between the two groups (P>0.05). After nursing, the TRIG, TCHO, Alb, ApoE, IgG, and IgM of the observation group were: (0.68±0.25) ) mmol/L, (1.03±0.21) mmol/L, (31.16±5.15) g/L, (2.38±0.76) g/L, (2.98±1.05) g/L, (0.18±0.06) g/L better than the control group patients (0.92±0.23) mmol/L, (1.62±0.43) mmol/L, (33.96±5.26) g/L, (2.98±0.82) g/L, (3.68±0.79) g/L, (0.32±0.09) g/L, the difference was statistically significant (P<0.05); the scores of drug knowledge, healthy diet, healthy life and disease knowledge of the observation group were: (88.96±3.68) points, (82.59±3.83) ) points, (81.91±4.14) points, (87.78±3.71) points were higher than the control group patients (80.44±2.27) points, (74.36±3.50) points, (72.84±3.39) points, (78.15±2.41) points, The difference was statistically significant (P<0.05).
Conclusion   During the treatment period of rapidly progressive nephritis patients, the use of situational health education can effectively improve the patient's nursing satisfaction and improve their biochemical immune indicators. It has high application value and is worthy of promotion.