医师参与的宣教和随访对食管癌患者术后生存质量的影响

Effectiveness of clinician-involving predischarge and follow-up health education for patients with esophageal cancer

选择2015年9月至2016年9月淮安市第一人民医院胸外科共183例局部晚期食管癌手术治疗患者,随机分为观察组(91例)和对照组(92例),分别行医师参与和传统宣教方式的随访,观察两组术后生存质量、出院后3个月内综合治疗的就医率。出院后3周观察组患者生活质量问卷核心30总体健康状况评分为(58.6±14.7)分,优于对照组的(52.5±13.9)分(P<0.05),出院后3个月入院就医率82.4%(75/91),高于对照组的67.4%(62/92),差异有统计学意义(χ2=5.49,P=0.02)。提示医师参与的出院前宣教和随访能够改善患者术后生活状况和生命质量,提高术后治疗的依从性。

One hundred and eighty three patients with esophageal cancer admitted from September 2015 to September 2016 were randomly divided into two groups:91 patients received clinician-involving pre-discharge and postoperative follow-up health education (study group) and 92 patients received traditional health education (control group). The quality of life and the compliance rate of comprehensive treatment within 3 months after discharge were evaluated and compared between two groups. The overall scores of quality of life in study group was significantly better than those of the control group (P<0.05), and the compliance rate of comprehensive treatment after discharge in study group was significantly higher than that of control group [82.4%(75/91) vs. 67.4%(62/92), χ2=5.49, P=0.02]. It is suggested that clinician participating in the pre-discharge and follow-up health education can improve the quality of life of patients, and improve the compliance of comprehensive treatment after discharge.