基于知信行模式的健康教育在社区慢性肾脏病患者中的应用研究

    Applied research of health education based on KAP model in patients with chronic kidney disease in a community

    • 摘要: 目的 探讨基于知信行模式的健康教育在社区慢性肾脏病(CKD)患者中的应用效果。方法 采用单纯随机抽样的方法,从北京市朝阳区潘家园第二社区卫生服务中心门诊入选84例CKD患者,按患者就诊的先后顺序分为观察组(42例)和对照组(42例),对照组采用常规的健康教育,观察组采用基于知信行模式的健康教育模式实施干预,2组患者均干预随访12个月,比较2组患者的健康教育效果。结果 观察组完成试验者40例,1例失访,1例信息不完整被剔除;对照组完成试验者40例,2例失访。干预前,两组患者在各项目方面比较,没有统计学差异。采用知信行模式的健康教育干预后,观察组患者对CKD相关知识的认知、CKD防治态度、自我管理行为、管控CKD进展高危因素及CKD危险分层下降等方面均显著高于对照组,差异均有统计学意义(P<0.05)。结论 基于知信行模式的健康教育可有效提高患者对CKD相关知识的认知水平、培养正确的防治意识和自我管理行为能力,管控CKD进展的高危因素,延缓CKD的进展。

       

      Abstract: Objective To explore the application of health education based on the knowledge-attitude-practices (KAP) model in patients with chronic kidney disease (CKD) in a community. Methods With simple random sampling method, 84 patients with CKD were enrolled from the outpatient clinic of Panjiayuan Second Community Health Service Center in Chaoyang District of Beijing. They were divided into observation group (42 cases) and control group (42 cases) according to the order of patient visits. The control group adopted routine health education, and the observation group health education based on the KAP model. Two groups of patients were followed up for 12 months, and the health education effects of the two groups were compared. Results In the observation group 40 patients completed the study, 1 patient lost follow-up, and 1 patient was removed due to incomplete information. In the control group 40 patients completed the study, and 2 ones lost follow-up. Before intervention, there was no statistically significant difference in each item between the two groups. After intervention, understanding of CKD related knowledge, attitude toward CKD prevention, self-management behavior, management and control of CKD progression risk factors and decreased CKD risk stratification in the observation group were significantly higher than those in the control group, with statistically significant difference (P<0.05). Conclusions Health education based on the KAP model can effectively improve patients' cognitive level of CKD-related knowledge, cultivate correct prevention and self-management behavior, manage high-risk factors of CKD progression, and delay progression of CKD.

       

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