【摘要】 目的 评估门诊胆囊结石患者的疾病认知水平及健康教育需求，为制定科学的健康教育策略提供数据支持。方法 采用便利抽样法通过一般资料调查问卷、疾病认知及治疗行为调查问卷、健康教育需求及知识获取途径调查问卷对就诊于石河子大学第一附属医院肝胆外科门诊的501例胆囊结石患者进行横断面调查。比较不同特征患者的疾病知晓率；分析患者的疾病认知及治疗行为现状、健康教育需求及知识获取途径。结果 疾病知晓率为31.34%；不同年龄、学历、职业、人均月收入、高血压、生活压力患者的疾病知晓率比较，差异有统计学意义（P<0.05）。64.87%不了解疾病病因，56.69%比较了解疾病症状，63.07%部分了解疾病诊断，84.03%部分了解疾病治疗。58.88%选择药物治疗。在健康教育需求方面，患者主要关注治疗方案和术后影响（均为80.64%）;96.21%的患者倾向于通过医务人员获取健康信息。结论 提高门诊胆囊结石患者的疾病认知，需在医疗机构推行分层健康教育、优化医患沟通，并在全社会层面共同加强健康宣教，提升公众健康素养与医疗资源配置效率，从而避免因认知不足引起的疾病进展、不当用药、盲目就医及医疗资源浪费。更多还原

【Abstract】 Objective To evaluate the disease cognition level and health education needs of outpatients with gallstones, so as to provide data support for formulating scientific health education strategies. Methods A cross-sectional survey was conducted on 501 patients with gallstones who were treated in the outpatient department of hepatobiliary surgery department of the First Affiliated Hospital of Shihezi University using general information questionnaire, disease cognition and treatment behavior questionnaire, health education needs and knowledge acquisition questionnaire by convenience sampling. The disease awareness rates of patients with different characteristics were compared; the status quo of patients’ disease cognition and treatment behavior, health education needs and knowledge acquisition methods were analyzed. Results The awareness rate of disease of patients was 31.34%; there were significant differences in disease awareness rate among patients with different age, educational background, occupation, monthly income per capita,hypertension and life stress(P<0.05). 64.87% of patients did not understand the etiology of the disease, 56.69%understood the symptoms of the disease, 63.07% partially understood the diagnosis of the disease, and84.03% partially understood the treatment of the disease. 58.88% of patients chose drug therapy. In terms of health education needs, patients mainly focused on treatment options and postoperative effects(both80.64%); 96.21% of patients tended to obtain health information through medical staff. Conclusion Improving the disease cognition of outpatient with gallstones, it is necessary to implement stratified health education, optimize doctor-patient communication in medical institutions, and jointly strengthen health education at the whole society level to improve public health literacy and medical resource allocation efficiency, so as to avoid disease progression, improper medication, blind medical treatment and waste of medical resources caused by insufficient cognition.更多还原