“生命网小组”对肝癌介入治疗患者健康教育效果的影响  

Application of “Life Network Group” in health education for patients undergoing interventional treatment for hepatocellular carcinoma

作　　者：宋丽娜[1] 代林林[1] 刘冰[1] 丛珊[1] 李慧[1] 冯立明[1] 曲学华[1] 

机构地区：[1]哈尔滨医科大学附属第四医院特需病房,150001

出　　处：《中华全科医学》2015年第4期621-623,共3页Chinese Journal of General Practice

摘　　要：目的对肝癌介入治疗患者采用"生命网小组"的方法 ,使健康教育满足连续性、系统性和个性化的要求。方法组织"生命网小组",拟定具体管理制度,682例接受肝癌介入治疗的入网患者,随机等分为观察组和对照组,各341例。观察组在对照组进行普通的传统健康教育,对照组的基础上引入"生命网小组"健康教育,针对组员情况,集中加强肝癌、肝癌介入治疗等相关知识的系统培训以及学习,并撰写相关宣教健康教育文稿。开办门诊与健康知识讲坛,方便入网患者的随访与调理工作。门诊随访和知识讲坛主要由医师负责,资料采集、资料库完善主要由护士负责。运用问卷的形式,调查341例肝癌介入治疗的入网患者的效果情况,比较其入网前与入网后6个月对护士的满意程度、用药依从率、戒烟率和饮食控制率。结果在用药依从性、吸烟嗜好、饮食控制等方面,患者入网前后的差异具有统计学意义(P<0.05),而且其对护士的满意程度也大幅提高。结论合理运用生命网小组,对肝癌介入治疗患者进行健康教育,对其治疗的参与积极性有显著调动作用,能使其遵医意愿得到有效提高,使医护工作的质量大幅提升。Objective To discuss the utility of ＂Life Network Group＂ in the health education for patients undergoing in- terventional treatment for hepatocellular carcinoma. Methods ＂Life network group＂ was organized, and the specific man- agement system was developed. 682 patients undergoing the interventional treatment for hepatocellular carcinoma who were recruited in this retrospective study were randomly divided into observation group and control group with 341 cases in each. The control group received the traditional health education, while the observation group received additional ＂life net- work group＂ health education on the basis of traditional health education. The ＂life network group＂ health education in- cluded ： system training on the knowledge of liver cancer and liver cancer interventional treatment, writing the health arti- cles, running the clinics and health knowledge forum which was convenient to the follow-up of patients in network. The physicians were primarily responsible for the outpatient follow-up and knowledge forums, the nurses were mainly for the data collection and database improvement. 341 patients were surveyed by the questionnaire. The satisfaction of patients to nurses, medication compliance rates, smoking-quitting rate and rate of patients with diet control before taking part in the network and 6 months after taking part in the network were compared. Results The difference in medication compliance rates, smoking-quitting rate and rate of patients with diet control before taking part in the network and 6 months after taking part in the network was statistically significant（ P 〈 0.05 ）, and the satisfaction of patients to nurses was improved obviously. Conclusion ＂Life Network Group＂ in the health education for patients undergoing interventional treatment for hepatocellular carcinoma can improve their activity taking part in the treatment,increase patient compliance to treatment, and promote dramatically the quality of health care work.

关 键 词：生命网小组 肝癌介入治疗 健康教育 效果影响 

分 类 号：R735.7[医药卫生—肿瘤] R193[医药卫生—临床医学]