健康教育在肾病综合征复发患者中的应用

目的探讨对肾病综合征复发患者实施健康教育的效果。方法选取60例肾病综合征复发患者分为实验组和对照组，每组30例。对照组采用一般健康教育模式，实验组根据患者病情再次复发的原因，实施针对性的健康教育，比较两组患者教育前后人血白蛋白（ALB）、24h尿蛋白定量水平及满意度，以及出院6个月后再住院情况。结果教育前两组患者的ALB和24h尿蛋白定量水平差异无统计学意义（P〉0．05）；教育后实验组患者ALB（30．57±4．01）g／L高于对照组（25．23±4．71）g／L，实验组24h尿蛋白定量（4．04±0．94）g/24h低于对照组（5，42±1．41）g／24h，差异均具有统计学意义（t分别为4．73，-4．47；P〈0．01）；实验组患者的满意度为100．0％，对照组为90．0％，差异具有统计学意义（X^2=7．29，P〈0．05）；6个月后再住院率实验组13．3％低于对照组30．0％，差异具有统计学意义（X^2=5．46，P〈0．05）。结论对肾病综合征复发患者实施健康教育，有利于患者获得相关健康知识，同时也减少了外源性因素导致疾病复发的可能，增加住院患者的护理满意度。

Application of health education on recurrence of nephrotic syndrome patients

Objective To explore the positive effect of nephrotic syndrome in patients with recurrent after carrying out health education intervention. Methods 60 cases were divided into the experimental group and control group （30 cases in each group）. In the control group, general health education mode was used; and the experimental group patients according to the reason of relapsing again, were implemented the targeted health education; compare two sets of patients＇ serum albumin （ ALB）, 24 h urine protein quantitative level and satisfaction, and six months after discharge from the hospital again. Results Before education the ALB and 24 h urine protein quantitative level of the two sets of patients was statistically insignificant （P 〉 0. 05 ）. After the experimental education for patients with ALB （30.57 ± 4.01） higher than those in the control group （25.23 ± 4.71 ） ; The 24 h urine protein for quantitative （4.04± 0.94） was significantly lower than the control group （5.42 ±1.41 ）, two groups of comparisons difference were statistically significant （t = 4. 73±4. 47, respectively;P 〈 0.01 ）. The satisfaction of patients was 100.0% in experiment group and 90.0% in the control group, and the difference was significant （ X^2 = 7.29, P 〈 0. 05 ） ; six months after discharge of experimental group＇s hospital admission rates significantly lower than those of the control group again （13.3% vs 30.0% ;X^2 = 5.46, P 〈 0. 05）. Conclusions Implementation of health education to the nephrotic syndrome in patients with recurrent is beneficial to access relevant health knowledge, but also reduce the external factors leading to disease recurrence and increase the care satisfaction of hospitalized patients.