电话随访对托里消毒散联合干扰素治疗宫颈HPV感染的护理效果研究

Study on the nursing effect of telephone follow-up on tuoli xiaodu powder combined with interferon in the treatment of cervical HPV infection

目的观察电话随访护理干预对托里消毒散联合干扰素治疗宫颈HPV感染的效果。方法选择2014年1~12月住院行HPV检测阳性患者214例,按照随机数字表法随机分成研究组112例和对照组102例,研究组对患者进行电话跟踪随访,进行有针对性的治疗性健康教育,在饮食、休息、活动、精神等方面给出正向的引导,持续的心理干预、复诊提醒及不良反应的应对措施等护理干预。对照组按常规主管医生门诊定期随访复诊,未进行电话随访护理干预。结果研究组患者治疗后HPV转阴率3个月100例(89.3%),6个月106例(95.0%),12个月104例(92.8%),TCT未见NILM 3个月100例(89.3%),6个月100例(89.3%),12个月104例(92.8%),两组比较,差异有统计学意义(P<0.01或P<0.05);对照组与研究组在对HPV感染焦虑程度上有显著性差异(P<0.05);对照组与研究组在性行为史相关知识的认识上差异无显著性(P>0.05),在避孕史、年龄、卫生习惯、免疫功能营养状况、吸烟饮酒、HPV感染有传染性相关知识的认识上均有显著性差异(P<0.05);研究组和对照组患者坚持规律用药、定期复査、改变不良生活习惯等依从性方面比较,差异有统计学意义(P<0.05)。结论电话随访护理干预可提高托里消毒散联合干扰素治疗宫颈HPV感染者的依从性,患者能正确认识HPV感染的重要性以及正确掌握HPV易感因素知识,通过护理干预减轻了过度焦虑者的焦虑程度,增进护患关系。

Objective To observe the effect of telephone follow-up nursing intervention on Tuoli Xiaodu Powder combined with interferon in the treatment of cervical HPV infection.Methods 214 hospitalized patients who were positive in HPV test from January to December 2014 were selected.According to the random number table method,the patients were randomly divided into the study group of 112 cases and the control group of 102 cases.The patients in the study group were followed up by telephone.The targeted therapeutical health education was carried out.Positive guidance was given in terms of the diet,rest,activities,mental health and other aspects,and continuous psychological intervention,referral reminder and measures against adverse reactions were performed.The patients in the control group were followed up regularly in the outpatient by the doctor in charge,without the nursing interventioin of telephone follow-up.Results In the study group,there were 100 cases（89.3%） of HPV negative rate observed in 3 months,106 cases（95.0%）in 6 months,and 104 cases（92.8%） in 12 months after the treatment.After TCT,there were 100 cases（89.3%） not observed NILM in 3 months,100 cases（89.3%） in 6 months,and 104 cases（92.8%） in 12 months.The differences compared between the two groups were statistically significant（P〈0.01 or P〈0.05）;there were significant differences between the control group and the study group in the degree of anxiety due to HPV infection（P〈0.05）;there was no significant difference between the control group and the health education group in the knowledge of sexual history（P〈0.05）.There were significant differences in the awareness of the history of contraception,age,health habits,nutritional status of immune function,smoking and drinking,and knowledge of HPV infection（P〈0.05）;there were significant differences between the study group and the control group in the adherence to regular medication,regular review,change of bad living habits and other compliances（P〈0.05）.Conclusion Telephone follow-up nursing intervention can improve the compliance of the patients with cervical HPV infection treated with Tuoli Xiaodu Powder combined with interferon.Patients can correctly understand the importance of HPV infection and correctly grasp the knowledge of HPV susceptibility factors.Through nursing intervention,the degree of anxiety is reduced in the patients with excessive anxiety,and the nurse-patient relationship is enhanced.