摘要
目的:探讨全面护理干预对分化型甲状腺癌(DTC)术后大剂量核素131I治疗患者遵医行为及生活质量的影响。方法:选择2018年1-12月笔者所在医院收治的DTC术后服用131I治疗的患者90例,随机分为试验组和对照组,各45例。对照组实施常规护理,试验组在对照组基础上实施全面护理干预,干预时间为入院到出院后1个月;对两组心理状态、遵医行为及生活质量进行比较。结果:入院时两组消极心理检出率比较差异无统计学意义(P>0.05),出院时及出院1个月后试验组患者消极心理检出率(31.11%、4.44%)均低于对照组(55.56%、51.11%),差异均有统计学意义(P<0.05)。干预后对照组遵医行为总分为(9.26±1.17)分,低于试验组的(11.56±1.42)分,差异有统计学意义(P<0.05)。干预后试验组躯体功能、角色功能、认知功能、情绪功能、社会功能评分、总评分均高于对照组,差异均有统计学意义(P<0.05)。结论:全面护理干预能减轻甲状腺癌术后大剂量核素131I治疗患者的消极心理,提高了遵医行为,改善生活质量,值得推广和应用。
Objective:To explore the effect of comprehensive nursing intervention on compliance behavior and quality of life of patients with differentiated thyroid cancer(DTC)treated with high dose 131 I after operation.Method:Ninety patients treated with 131 I after DTC in our hospital from January to December 2018 were randomly divided into the experimental group and the control group with 45 cases in each group.The control group was given routine nursing,while the experimental group was given comprehensive nursing intervention on the basis of the control group.The intervention time was one month after admission and discharge.The psychological distress,compliance behavior and quality of life of the two groups were compared.Result:There was no significant difference in the negative psychological detection rate between the two groups at admission(P>0.05).The negative psychological detection rate of the experimental group(31.11%,4.44%)was lower than that of the control group(55.56%,51.11%)at discharge and one month after discharge(P<0.05).After intervention,the total score of compliance behavior in the control group was(9.26±1.17)points,which was lower than that in the experimental group(11.56±1.42)points,the difference was statistically significant(P<0.05).After intervention,the scores of physical function,role function,cognitive function,emotional function,social function and total score in the experimental group were significantly higher than those in the control group(P<0.05).Conclusion:Comprehensive nursing intervention can alleviate the psychological pain of patients with thyroid cancer treated with high-dose 131 I after operation,improve the compliance behavior,improve the quality of life,and is worthy of promotion and application.
作者
施海燕
张晨
SHI Haiyan;ZHANG Chen(First Affiliated Hospital of Nanjing Medical University,Nanjing 210029,China)
出处
《中外医学研究》
2019年第30期91-93,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
分化型
甲状腺癌
131I
遵医行为
生活质量
Differentiated type
Thyroid cancer
131I
Medical compliance behavior
Quality of life
