网络同伴教育对甲状腺癌患者^131I治疗期间依从性的影响  

Effect of network peer education on the ^131I treatment adherence in patients with thyroid cancer

作　　者：贡亦军[1] 刘爱丽[2] 毛翔[1] 黄雪飞[1] 李彦丽[1] 

机构地区：[1]湖北医药学院附属东风总医院甲状腺外科,十堰442008 [2]湖北医药学院附属东风总医院护理部,十堰442008

出　　处：《中国实用护理杂志》2015年第19期1447-1449,共3页Chinese Journal of Practical Nursing

摘　　要：目的 探讨网络同伴教育对甲状腺癌患者行^131I隔离治疗期间的治疗依从性的影响.方法 选取2012年4月至2014年4月甲状腺癌行^131I治疗的患者120例,按住院病房单双号分为干预组61例和对照组59例,对照组进行常规健康教育,干预组采取网络同伴教育.出院前采用调查问卷和检查数据相结合的方法从生活习惯、药物治疗、相关知识的掌握、核素排放4个方面对患者的治疗依从性进行调查比较.结果 干预组生活习惯依从性良好率、药物治疗依从性良好率、相关知识掌握良好率和核素排放达标率分别为96.7％（59/61）、98.4％（60/61）、96.7％（59/61）、100.0％（61/61）,均优于对照组的54.2％ （32/59）、76.3％（45/59）、79.7％（47/59）、89.8％（53/59）,差异有统计学意义,χ^2=29.54、13.38、8.47、4.56,P＜0.01或＜0.05.结论 对甲状腺癌患者^131I治疗期间采取网络同伴教育可以有效提高患者的治疗依从性,对于治疗有积极意义.Objective To study the effect of network peer education on the 131I treatment adherence in patients with thyroid cancer.Methods A total of 120 patients with thyroid cancer who performing ^131 I treatment from April 2012 to April 2014.They were divided into intervention group 61 cases and control group 59 cases according to the hospital ward number.Control group was given routine health education and intervention group was given network peer education.The data from the habits,drug therapy,grasp the situation,the equivalent monitoring of the relevant knowledge of 4 different dimensions of treatment adherence for patients were investigated and compared before discharge by using questionnaire and examination method.Results The incidence of the good habits,drug therapy,grasp the situation,and the equivalent monitoring reaching the standard were 96.7%（59/61）,98.4%（60/61）,96.7%（59/61）,100.0%（61/61） in intervention group,and 54.2%（32/59）,76.3%（45/59）,79.7%（47/59）,89.8%（53/59） in control group,there were significant differences,χ^2=29.54,13.38,8.47,4.56,P〈0.01 or 〈0.05.Conclusion Network peer education for patients with thyroid cancer during the ^131I treatment can effectively improve the patient＇s treatment adherence,has positive significance for the treatment.

关 键 词：甲状腺肿瘤 碘同位素 病人依从 网络同伴教育 

分 类 号：R473.73[医药卫生—护理学]