肾病生命网对慢性肾脏病1～3期患者健康行为的影响

目的：探讨通过肾病生命网健康教育对慢性肾脏病1～3期患者的健康行为的影响。方法将98例慢性肾脏病1～3期患者采用随机抽样法分为干预组48例和对照组50例，对照组患者采用一般健康教育，干预组患者进行个体性、系统性、连贯性、重复性的生命网健康教育。干预时间为3个月，干预前后采用个人一般资料调查表、健康行为量表进行问卷调查。结果干预前，两组患者的健康行为评分差异无统计学意义（P＞0．05），干预后干预组患者的健康行为总分、健康责任感、营养、人际关系、躯体活动、心理健康，压力管理评分分别为（149．31±5．68），（20．45±3．71），（27．87±7．56），（26．37±1．54），（24．54±3．58），（23．55±7．21），（28．35±4．82）分，均优于对照组患者的（97．54±2．85），（16．35±5．11），（15．79±2．97），（17．82±4．98），（15．76±6．72），（12．39±2．18），（19．37±1．14）分，差异有统计学意义（ t值分别为-15．214，-10．154，-12．572，-19．475，-11．380，-17．511，-18．817；P＜0．01）。结论通过肾病生命网实施健康教育能有效地改善慢性肾脏病1～3期患者的健康行为，从而改善生活质量。

Effects of the life net work of health education for CKD on health behavior in patients with 1 to 3 stage of chronic kidney diseases

Objective To explore the effects of the life net work of health education on health behavior in patients with 1 to 3 stage of chronic kidney diseases （ CKD ） .Methods The study used an experimental design, and 98 patients were randomly allocated to the control group or the intervention group .The patients in the control group received routine nursing care .The patients in the intervention group received individual , systematic and continued CKD health education . The intervention time span was three months . Two questionnaires were used for data collection , which were a general information sheet of patients and health behavior questionnaire .Results Before the intervention , the health behaviors between groups had no significant differences （P〉0.05）.The average score on health behavior and the scores of healthy sense of responsibility , nutrition, interpersonal relations , physical activity , mental health and stress management of the control group were （149.31 ±5.68）, （20.45 ±3.71）, （27.87 ±7.56）, （26.37 ±1.54）, （24.54 ±3.58）, （23.55 ± 7.21） and （28.35 ±4.82）, respectively.Those scores of the control group were （97.54 ±2.85）, （16.35 ± 5.11）, （15.79 ±2.97）, （17.82 ±4.98）, （15.76 ±6.72）,（12.39 ±2.18） and （19.37 ±1.14）.There were significant differences between groups （P〈0.01）.Conclusions The life net work of health education for CKD patients can enhance patients ’ health behavior and then improve patients ’ quality of life .