首页|输尿管结石体外冲击波碎石术患者疾病认知水平及其影响因素分析

输尿管结石体外冲击波碎石术患者疾病认知水平及其影响因素分析

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目的 分析输尿管结石体外冲击波碎石术患者疾病认知水平及其影响因素.方法 选取行输尿管结石体外冲击波碎石术的230例患者作为研究对象进行调查.调查患者一般资料、疾病认知水平,分析影响输尿管结石体外冲击波碎石术患者疾病认知水平的因素.结果230例患者平均疾病认知水平得分为(65.49±18.68)分,患者既往获取疾病相关知识的途径主要以网络和电视为主,大多数患者希望通过护士宣教获得疾病相关知识.不同认知水平患者在年龄、文化程度、病程、职业、家庭月均收入和医疗费用支付方式上比较差异有统计学意义(P<0.05);logistics回归结果显示,年龄增加(OR=3.219)、病程>3年(OR=3.959)均为输尿管结石患者疾病认知水平为部分了解/不了解的影响因素,文化程度为大专及以上(OR=0.154)、职业为脑力劳动者(OR=0.260)、家庭月均收入>4 000元(OR=0.211)均为输尿管结石患者疾病认知水平为部分了解/不了解的保护因素(P<0.05).结论 输尿管结石体外冲击波碎石术的大部分患者疾病认知水平还有待提升,未来干预须加强对低文化水平、低收入、高年龄及病程长患者的疾病认知教育.
Analysis on disease cognition level and influencing factors in patients with ureteral calculi after extracorporeal shockwave lithotripsy
Objective To analyze disease cognition level and its influencing factors in patients with ureteral calculi after extracor-poreal shockwave lithotripsy.Methods A total of 230 patients with ureteral calculi which were undergone extracorporeal shockwave litho-tripsy were enrolled as the research objects.The general data and disease cognition level of patients were investigated.The influencing fac-tors of disease cognition level were analyzed by logistics regression analysis.Results In the 230 patients,average score of disease cogni-tion level was(65.49±18.68)points.The main way for patients to acquire disease-related knowledge were Internet and TV,and most patients hoped to acquire disease-related knowledge through nurses'education.There were differences in disease cognition level among patients with different age,educational levels,course of disease,occupations,average monthly family income and medical payment modes(P<0.05).The results of logistics regression analysis showed that older age(OR=3.219)and disease duration>3 years(OR=3.959)were influencing factors for the disease cognition level of ureteral calculi patients to be partially understood or not understood.College edu-cation or above(OR=0.154),occupation as mental worker(OR=0.260),and average monthly family income>4 000 yuan(OR=0.211)were all protective factors for the disease cognition level of patients with ureteral calculi(P<0.05).Conclusion Most patients undergoing extracorporeal shock wave lithotripsy for ureteral calculi have yet to improve their level of disease awareness,and future inter-ventions need to strengthen disease awareness education for patients of advanced age and long disease duration.

Ureteral calculiExtracorporeal shockwave lithotripsyDisease cognitionInfluencing factor

孔丽、牟江宁、张广涛、马永宏、刘晓瑜

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宁夏石嘴山市第二人民医院,宁夏石嘴山 753000

输尿管结石 体外冲击波碎石术 疾病认知 影响因素

宁夏回族自治区卫生健康系统科研高层次科技提升项目

2023-NWKYT-030

2024

宁夏医学杂志
中华医学会宁夏分会

宁夏医学杂志

影响因子:0.706
ISSN:1001-5949
年,卷(期):2024.46(8)