补水障碍和减少食用于预防结石:一项基于人群的研究,具有12个月的临床结果
1Urinary Surgery, The Third Affiliated Hospital of Zhejiang University of Traditional Chinese Medicine, Hangzhou, Zhejiang, China.
Frontiers in public health
|January 29, 2026
概括
坚持预防石的饮食,如减少和增加水分,是适度但具有挑战性的. 干预措施应解决障碍,并支持患者减少石头复发.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 预防医学 预防医学
- 行为科学 行为科学
背景情况:
- 在全球范围内,结石疾病 (KSD) 的患病率正在上升.
- 预防策略侧重于高尿量和低摄入量.
- 现实世界的坚持及其驱动因素是不太了解的,自我报告的行为与生物标志物的验证有限.
研究的目的:
- 评估遵守KSD预防建议 (水分和摄入量).
- 为了验证自我报告的坚持与24小时尿液生物标志物相比.
- 确定坚持和复发的行为,环境和职业预测因素.
主要方法:
- 一个单一中心,基于临床的横截面研究,涉及1723名成年人和12个月的随访.
- 管理结构化的知识-态度-实践问卷.
- 一个生物标志物子研究 (n=872) 验证了自我报告的尿液体积和尿液水平的坚持.
主要成果:
- 补水剂的坚持率为56.5%,的坚持率为3.0%. 对于这两种行为,自我报告的准确性都很高.
- 咨询,知识和自我效能提高了坚持;障碍物减少了它.
- 轮班工人和工作场所的水/所接入有限,水分坚持度较低. 通过水合和粘附,复发减少了.
结论:
- 观察到对限制的低坚持和对水分的适度坚持,通过生物标志物验证.
- 坚持受到咨询,知识,自我效能以及环境/职业因素的影响.
- 建议采取综合干预措施,包括监测和支持,以减少KSD的复发.
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