强化健康教育对宫颈癌病人调强放疗依从性的影响

Influence of enhanced health education on compliance of patients with cervical cancer to intensity modulated radiation therapy

[目的]探讨强化健康教育对宫颈癌病人调强放疗依从性的影响。[方法]将宫颈癌术后病人130例,随机分为强化教育组和普通教育组,各65例。强化教育组对病人进行详细的治疗前、中、后评估,根据评估情况对病人进行有计划的全程强化教育和针对性强化教育;普通教育组则按照医院、科室健康教育安排,进行相关内容讲述,不刻意考察病人及家属对治疗的认知程度。依从性考察内容包括肠道、膀胱的治疗前准备,放疗时体位保持、饮食、皮肤护理、阴道冲洗。观察两组病人放疗前、放疗中、放疗结束时的依从性、负面情绪及放疗毒副反应的发生情况。[结果]治疗前强化教育组和普通教育组完全依从程度分别为46.2%、10.8%(P<0.01),治疗中两组完全依从程度分别为64.6%、35.4%(P<0.01),治疗后两组完全依从程度分别为78.5%、66.2%(P>0.05),强化教育组和普通教育组均未有Ⅲ级以上毒副反应发生。[结论]通过强化健康教育能改进宫颈癌术后病人对调强放疗的依从性,保证治疗计划的顺利完成。

Objective：To probe into the influence of enhanced health education on the intensity modulate radiotherapy compliance of the patients with uterine cervical cancer.Methods：A total of 130 patients with postoperative cervical cancer were divided into enhanced health education group（EHE）and general health education group（GHE）,65 cases in each.All patients in EHE group were evaluated during their radiotherapy.According to their individual conditions,the stereo enhanced health education and individual enhanced health education were given.The patient＇s incompliance habit was modified immediately whenever it was found in order that the patients could actively cooperate and successfully accomplish their treatment plan in their mentality and practice.All patients in GHE group were only given general education arranged from their hospital and department without any special education.The compliance status included rectum and bladder preparation before radiotherapy,accurate body position during radiotherapy,unhealthy mood,diet regulation,skin nursing,vagina sanitation.The compliance included full compliance and incomplete compliance.The compliance and side effect were observed during radiotherapy.Results：The full compliance rate in EHE and GHE were 46.2% and 10.8% before treatment（P〉0.01）;64.6% and 35.4%in the middle of treatment（P〈0.01）;78.5% and 66.2% after treatment（P〈0.05）;respectively.Side effect≥Ⅲ°had not been observed in two groups.Conclusion：The intensity modulate radiotherapy compliance of the patients with postoperative uterine cervical cancer can be improved by enhanced health education.