原发性下肢静脉曲张患者知识、态度、行为和预后的相关性魏艳慧©【摘要】目的：探讨原发性下肢静脉曲张患者知识、态度、行为和预后的相关性。方法：选取2019年10月-2020年6月本院收治的120例原发性下肢静脉曲张患者为研究对象，患者均进行手术治疗。根据治疗后情况分为预后良好组89例，预后不良组31例。比较两组健康知识掌握情况、心理状态评分、HPLP-II评分，分析原发性下肢静脉曲张患者知识、态度、行为和预后的相关性。结果：预后良好组的健康知识总掌握率明显高于预后不良组，差异有统计学意义（P〈0.001）。预后良好组SDS、SAS评分均明显低于预后不良组，差异均有统计学意义（P<0.05）o两组人际关系、应对压力评分比较，差异均无统计学意义（P>0.05）；预后良好组营养、运动、健康责任、自我实现和IIPLP-II评分总分均明显高于预后不良组，差异均有统计学意义（PC0.05）。Pearson相关分析结果显示，人际关系、应对压力与原发性下肢静脉曲张预后情况无明显相关性（P>0.05）,健康知识掌握、运动、营养、健康责任、自我实现、HPLP-II评分总分与原发性下肢静脉曲张预后均呈正相关（PS.05）,SDS、SAS和原发性下肢静脉曲张预后均呈负相关（1*0.05）。结论：原发性静脉曲张患者的健康知识掌握情况、对待疾病的态度、健康行为与患者预后相关性具有显著关系，因此需在疾病治疗过程中调整心态，保持健康行为，提高预后情况。【关键词】原发性下肢静脉曲张健康行为知识预后CorrelationofKnowledge,Attitude,BehaviorandPrognosisinPatientswithPrimaryVaricoseVeinsofLowerExtremities/WEIYanhui.//MedicalInnovationofChina,2021,18（23）:114-117[Abstract]Objective:Toinvestigatethecorrelationbetweenknowledge,attitude,behaviorandprognosisofpatientswithprimaryvaricoseveinsoflowerextremities.Method:Atotalof120patientswithprimary1owerextremityvaricoseveinsadmittedtoourhospitalfromOctober2019toJune2020wereselectedastheresearchobjects,andallpatientsreceivedsurgicaltreatment.Accordingtothesituationaftertreatment,89casesweredividedintogoodprognosisgroupand31caseswerepoorprognosisgroup.Thehealthknowledge,mentalstatescoreandHPLP-IIscorewerecomparedbetweenthetwogroups,thecorrelationbetweenknowledge,attitude,behaviorandprognosisofpatientswithprimaryvaricoseveinsoflower1imbswereanalyzed.Result:Thetotalmasteryrateofhealthknowledgeinthegoodprognosisgroupwassignificantlyhigherthanthatinthepoorprognosisgroup,thedifferencewasstatisticallysignificant（P<0.001）.SDSandSASscoresinthegoodprognosisgroupweresignificantlylowerthanthoseinthepoorprognosisgroup,thedifferenceswerestatisticallysignificant（P<0.05）.Comparisonofinterpersonalrelationshipandcopingstressscoresbetweenthetwogroups,therewerenostatisticalsignificancebetweenthetwogroups（P〉0.05）.Thetotalscoresofnutrition,exercise,healthresponsibility,self-actualizationandHPLP-IIinthegoodprognosisgroupweresignificantlyhigherthanthoseinthepoorprognosisgroup,thedifferenceswerestatisticallysignificantiP<0.05）.Pearsoncorrelationanalysisshowedthattherewerenosignificantcorrelationsbetweeninterpersonalrelationship,copingstressandprognosisofprimaryvaricoseveinsoflowerlimbs（P〉0.05）.Healthknowledge,exercise,nutrition,healthresponsibility,self-actualization,HPLP-IIscorewerepositivelycorrelatedwiththeprognosisofprimary1owerextremityvaricoseveins（P<0.05）,andSDS,SASwerenegativelycorrelatedwiththeprognosisofprimary1owerextremityvaricoseveins：P<0.05）.Conclusion:Thereisasignificantcorrelationbetweenhealthknowledge,attitudetowardsdiseaseandhealthbehaviorandprognosisofpatientswithprimaryvaricoseveins.Therefore,itisnecessarytoadjustthementalattitude,intainhealthybehaviorandimprove...