摘要
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>4000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。
Objective To analyze disease cognition level and its influencing factors in patients with ureteral calculi after extracorporeal shockwave lithotripsy.Methods A total of 230 patients with ureteral calculi which were undergone extracorporeal shockwave lithotripsy were enrolled as the research objects.The general data and disease cognition level of patients were investigated.The influencing factors of disease cognition level were analyzed by logistics regression analysis.Results In the 230 patients,average score of disease cognition 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 education or above(OR=0.154),occupation as mental worker(OR=0.260),and average monthly family income>4000 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 interventions need to strengthen disease awareness education for patients of advanced age and long disease duration.
作者
孔丽
牟江宁
张广涛
马永宏
刘晓瑜
KONG Li;MOU Jiangning;ZHANG Guangtao;MA Yonghong;LIU Xiaoyu(The Second People′s Hospital of Shizuishan,Shizuishan 753000,China)
出处
《宁夏医学杂志》
CAS
2024年第8期693-696,共4页
Ningxia Medical Journal
基金
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)。
关键词
输尿管结石
体外冲击波碎石术
疾病认知
影响因素
Ureteral calculi
Extracorporeal shockwave lithotripsy
Disease cognition
Influencing factor
