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不同健康教育模式对上海某社区居民肾脏疾病认知与行为的影响 |
薛 宁1,2,3,4△, 汪小燕1,3,4△, 丁小强1,2,3,4, 杨 璎5, 方 艺1,2,3,4, 宁 燕6*1
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1. 复旦大学附属中山医院肾内科,上海 200032
2. 上海市肾脏疾病临床医学中心,上海 200032
3. 上海市肾病与透析研究所,上海 200032
4. 上海市肾脏疾病与血液净化重点实验室,上海 200032
5. 枫林街道社区卫生服务中心,上海 200030
6. 上海市医学会,上海 200040
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摘要: |
目的:采用自行设计的肾脏健康问卷表,评估社区居民接受不同肾脏健康教育模式的效果,探讨适合上海社区居民的最佳肾脏健康教育方式。方法:入选60例受调查者,男性23例(38.3%),女性37例(61.7%),平均年龄 (73.33 ±10.10)岁。将受调查者随机分为3组,每组20例。对照组仅予问卷调查,手册组予问卷调查和发放肾脏健康手册,讲座组予问卷调查和2次肾脏疾病科普讲座。3个月后,对3组受调查者重复问卷调查。结果:进行问卷调查后,居民对肾脏病的关注率升高(22.0% vs 6.8%,P<0.05);手册组和讲座组受调查者对肾脏病的关注率分别为31.6%、30.0%,均高于对照组(5.0%,P<0.05);仅讲座组受调查者自愿行尿液检查率升高(95.0% vs 45.0%,P<0.05)。结论:开展社区肾脏健康知识讲座能增强社区居民防治肾脏病意识,减少肾脏病发生,延缓肾脏病进展。 |
关键词: 慢性疾病 慢性肾脏病 危险因素 社区健康教育 |
DOI: |
分类号:R 472 |
基金项目:上海市卫生和计划生育委员会项目(201540113),上海市科学技术委员会项目(18411960800),上海市肾脏疾病临床医学中心课题(2017ZZ01015) |
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Effects of different kidney health-related education methods on kidney diseases awareness and health behavior: questionnaire-based cross-sectional study among community residents in Shanghai |
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Abstract: |
Objective:To evaluate the effects of different education methods on awareness of chronic kidney diseases (CKD), and to explore the appropriate health education method for community residents in Shanghai, using self-designed kidney health-related questionnaire. Methods:A total of 60 residents participated in this study, of whom 38.3% were male (n=23), and 61.7% were female (n=37). The mean age of participants was (73.33 ±10.10) years old. Participants were randomly divided into three groups with 20 cases in each group. The control group was only given a questionnaire survey, the handbook group was given questionnaire survey and a handbook of kidney health education, and the lecture group was given questionnaire survey and two sessions of CKD education lectures. Three months later, the questionnaire survey was repeated for the three groups. Results:Of the 60 participants, attention rate of kidney disease increased significantly after 3 months’ intervention (22.0% vs 6.8%, P<0.05). The attention rates of the handbook group (31.6% vs 5.0%, P<0.05) and the lecture group (30.0% vs 5.0%, P<0.05) were much higher than that in the control group. The proportion of voluntary urine test was only increased in the lecture group (95.0% vs 45.0%, P<0.05). Conclusions:This study supports the necessity of conducting health-related education lectures in the community to strengthen the awareness of kidney disease, to decrease CKD incidence, and retard the progression of kidney diseases. |
Key words: chronic disease chronic kidney diseases risk factors community health education |