目的 探讨基于四维度创新模型的“互联网+”健康教育模式在泌尿结石患者中的应用效果。方法 采用便利抽样法选取2022年3-7月于浙江省某三级甲等医院泌尿结石中心出院的200例确诊泌尿结石患者为研究对象，按照随机数字表法将其分为对照组和观察组各100例，对照组给予常规出院后健康教育，观察组在对照组的基础上采用基于四维度创新模型的“互联网+”健康教育模式。干预12个月后，比较两组患者的健康信念得分、自我管理能力得分及结石复发率。结果 干预后，观察组患者的健康信念评分、自我管理能力评分均高于对照组，结石复发率低于对照组，差异均有统计学意义（均P＜0＜05）。结论 基于四维度创新模型的“互联网+”健康教育模式，能够提高泌尿结石患者的健康信念和自我管理能力，并降低结石复发率。

Objective To explore the application effect of “Internet+” health education based on the four-dimensional innovation model in patients with urinary calculus.Methods Convenience sampling method was used to select 200 patients with urinary calculus who were discharged from a tertiary A hospital in Zhejiang Province from March to July 2022.They were divided into the control group and the intervention group by random number method，with 100 patients in each group.The conventional post-discharge health education was used in the control group.On the basis of the control group，the “Internet+” health education model based on the four-dimensional innovation model was used in the intervention group.After 12 months of intervention，the health belief scores，health behavior scores，and stone recurrence rates of patients were compared between the two groups. Results After the intervention，the score of health belief scale and health behavior scale of patients in the intervention group were higher than those of the control group，and the stone recurrence rates were lower than those of the control group，with statistical significance (all P＜0.05).Conclusions The “Internet+” health education model based on the four-dimensional innovation model can improve the health beliefs and self-management efficacy of patients with urinary calculus and reduce the recurrence rate.

R47-05

浙江省医药卫生科技项目（2022KY051）；浙江省医药卫生科技项目（2023KY486）