关键词: 老年, 复杂性肾结石, 跨理论模型, 健康教育, 健康行为

Abstract: ［Abstract］ Objective To explore the effect of trans?theoretical health education on health behaviors of elderly patients with complex renal calculi. Methods From January 2016 to June 2017， 93 elderly patients with complex renal calculi were randomly divided into the observation group （46 cases） and the control group （47 cases）. The control group received routine continuing health education， while the observation group received health education guided by trans?theoretical model. Their dietary status at one week and 12 months after discharge， status of behavioral change at one week and three months after discharge， relapse within 12 months after discharge were observed. Results The differences of dietary status at one week after discharge between two groups were not statistically significant （P>0.05）. At 12 months after discharge， daily drinking amount in the observation group was significantly more， the take of animal protein food and oxalate rich food in the observation group was significantly less， the differences were statistically significant （P<0.05）. The differences of status of behavioral change at one week after discharge between two groups were not statistically significant （P>0.05）. At 12 months after discharge， status of behavioral change in the observation group was significantly better， the difference was statistically significant （P<0.05）. The relapse rate in the observation group was significantly lower than that in the control group （P<0.05）. Conclusion Trans?theoretical model can promote the implementation of healthy behavior in elderly patients with complex renal calculi， which is helpful to reduce recurrence.

Key words: elderly, health education, complex renal calculi, healthy behavior, trans?theoretical model