无缝隙健康教育在放射性^(131)I治疗甲状腺癌患者中的应用

Application of whole health education in hyroid cancer patients using ^(131)I treatment

目的探讨无缝隙健康教育在放射性^(131)I治疗甲状腺癌患者中的应用效果。方法选择2013年2月—2015年12月于同济大学附属第十人民医院行放射性^(131)I治疗的患者200例,以2014年7月—2015年12月的100例患者为观察组,采用全程无缝隙健康教育;回顾性分析2013年2月—2014年6月的100例患者为对照组,采用传统的健康教育模式。比较两组患者健康教育问卷调查结果及服药后并发症发生情况。结果观察组在服药前准备充分、各阶段的依从性、掌握防辐射知识、并发症及时处理和总体满意度方面均优于对照组;观察组恶心、呕吐、颈部肿胀、腮腺肿胀等并发症的发生情况少于对照组,差异均有统计学意义(P<0.05)。结论无缝隙健康教育可提高放射性^(131)I治疗甲状腺癌患者的治疗依从性,降低其用药后并发症发生情况。

Objective To investigate the nursing patients using ^131Ⅰ treatment after surgery. Methods efficacy of the whole health education on thyroid cancer Two hundred thyroid cancer cases using ^131Ⅰ treatment after surgery from Shanghai Tenth People＇s Hospital, Tongji University were enrolled. They were divided equally into two groups （100 cases in each group） from February 2013 to December 2015. The control group （hospitalized from February 2013 to June 2014 ） was given the traditional health education while the observation group （hospitalized from July 2014 to December 2015 ） was given the whole health education. Results Compared with the control group, the observation group showed better outcomes in the aspects of preparation of ^131Ⅰ treatment, compliance at each stage, mastering of radiation protection knowledge, management of complications and overall satisfaction （ P 〈 0.05 ）. The incidence rate of complications in the observation group was also lower than that in the control group （ P 〈 0.05 ）. Conclusion The implementation of whole health education in thyroid cancer patients using ^131Ⅰ treatment after surgery will definitely improve the patient compliance and reduce the incidence of complications.