Abstract
Objective To explore the application effect of problem-based health education mode in patients with upper urinary tract calculi. Methods Effect of two different health education modes for urolithiasis patients in Peking University Third Hospital were researched. The patients were divided into observation group with 104 cases and control group with 103 cases, according to their order of admission of odd and even numbers. Patients in the observation group were assessed by a self-designed questionnaire concerning urolithiasis knowledge (with full score 20 points). Health education was conducted according to the patients′ scores on key parts of the disease. Health education of the patients was recorded, according to which problem-based health education was conducted. Routine comprehensive health education mode was conducted to patients in the control group. When leaving hospital, routine discharge education and continuing nursing care were conducted to both groups. 4 weeks after the operation, satisfaction of patients were evaluated, and disease-related knowledge of the patients was evaluated again. Results Patients′ knowledge and attitude to health education were not statistically different (P>0.05). The patients′ scores of knowledge 4 weeks after the operation were (15.49±2.85) in the observation group, higher than those in the control group (10.22±3.41) (t=12.09, P<0.001). The patients′ scores of satisfaction were (9.97±0.17) in the observation group, higher than those in the control group (9.89±0.31) (t=2.249, P=0.026). Conclusions Assessment of the patients′ health knowledge by questionnaires when admitted to the hospital helps to determine their need of knowledge concerning the disease. Establishment of health education record helps to give prominence to the key points in the education. Consistent in content, fine in effect, health education has won high satisfaction among patients. Key words: Problem-based; Health education; Upper urinary tract calculi; Perioperative nursing
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