NCCN指南情况说明书在肺结节初筛患者健康教育中的应用与评价

Application and Evaluation of NCCN Patient Guidance Fact Sheet in Health Education for Primary Screening Patients with Pulmonary Nodules

目的探讨NCCN指南情况说明书在肺结节初筛患者健康教育中的应用效果。方法基于NCCN指南情况说明书,选择2021年1月至2023年12月在牡丹江医学院附属红旗医院胸外科门诊和体检科确诊为肺结节的患者62例,运用随机数字表法将试验对象分为试验组31例,对照组31例。试验组采用NCCN指南情况说明书对肺结节初筛患者进行干预,对照组采用科室常规门诊管理。在入组当天填写一般资料、状态焦虑量表和疾病不确定感成人量表,第30天填写状态焦虑量表和疾病不确定感成人量表,进行干预效果的评价。结果干预前,两组患者的一般资料比较,差异无统计学意义(P>0.05)。干预后,试验组焦虑得分(41.52±4.35)分明显低于对照组(50.42±4.15)分(P<0.05)。重复测量方差分析显示,两组患者在干预前后焦虑得分的时间效应和交互效应显著(P<0.05)。干预后,试验组患者的疾病不确定感评分(59.48±7.80)分明显低于对照组(70.97±11.18)分(P<0.05)。重复测量方差分析显示,两组患者在干预前后的疾病不确定感评分的时间效应和交互效应显著(P<0.05)。结论NCCN指南情况说明书在肺结节初筛患者健康教育中的运用可以帮助门诊肺结节患者正确认识疾病,减轻焦虑情绪和疾病不确定感。

Objective To explore the effectiveness of the NCCN guideline fact sheet in health education for patients with primary screening for lung nodules.Methods Based on the NCCN patient guideline fact sheet,62 patients diagnosed with pulmonary nodules from January 2021 to December 2023 in the thoracic surgery outpatient clinic and physical examination department of Hongqi Hospital affiliated to Mudanjiang Medical College were selected,and the subjects were divided into 31 experimental cases and 31 control cases using the random number table method.The experimental group used the NCCN patient guideline fact sheet to intervene in patients with primary screening for lung nodules,while the control group was managed in the regular outpatient clinic of the department.General information,the State Anxiety Scale and the Illness Uncertainty Adult Scale were completed on the day of entry and the State Anxiety Scale and the Illness Uncertainty Adult Scale were completed on day 30 to evaluate the effectiveness of the intervention.Results There was no statistically significant difference between the general information of the two groups before the intervention,and the two groups were comparable(P>0.05).After the implementation of the intervention,the anxiety score of the intervention group(41.52±4.35)was significantly lower than that of the control group(50.42±4.15)(P<0.05).A repeated measures ANOVA revealed statistically significant differences in the time and interaction effects of anxiety scores between the two groups before and after the intervention(P<0.05).After the implementation of the intervention,the patients in the intervention group had a significantly lower disease uncertainty score(59.48±7.80)than the control group(70.97±11.18)(P<0.05).A repeated measures ANOVA revealed statistically significant differences in the time and interaction effects of the disease uncertainty scores for both groups before and after the intervention(P<0.05).Conclusions The NCCN Patient Guideline Fact Sheet in Health Education for Patients with Primary Screening Lung Nodules can help outpatients with lung nodules to understand the disease properly and reduce anxiety and uncertainty about the disease.