专题讨论会对血液透析并发恶性肿瘤患者健康教育效果的影响  

Effect of symposium on health education efficacy in patients undergoing hemodialysis with concurrent cancer

作　　者：武素珍[1] 赵建荣[1] 赵晨[1] Wu Su-zhen Zhao Jian-rong Zhao Chen(Blood Purification Center, Department of Internal Medicine, The Affiliated Hospital of Inner Mongolia Medical University,Huhehaote 010050, China)

机构地区：[1]内蒙古医科大学附属医院肾内科血液净化中心,呼和浩特010050

出　　处：《中国肿瘤临床与康复》2017年第1期107-110,共4页Chinese Journal of Clinical Oncology and Rehabilitation

摘　　要：目的探讨专题讨论会对血液透析并发恶性肿瘤患者健康教育效果的影响。方法选取2014年2月至2016年1月间内蒙古医科大学附属医院收治的158例血液透析并发恶性肿瘤患者,采用随机数字表法分为观察组(专题讨论会)与对照组(常规健康教育),每组79例,比较两组患者的心理健康状况、生活质量和治疗依从性。结果教育前,两组患者的心理健康评分差异无统计学意义(P>0.05);教育后,观察组患者的躯体化、强迫、人际关系、忧郁、焦虑、敌对、恐惧、偏执和神经病性评分均明显降低,与对照组比较,差异均有统计学意义(均P<0.05)。教育前,两组患者的生活质量评分差异无统计学意义(P>0.05);教育后,观察组患者的躯体功能、物质功能、心理功能和社会功能评分均明显升高,与对照组比较,差异均有统计学意义(均P<0.05)。教育后,观察组患者的治疗依从性均明显高于对照组,差异均有统计学意义(均P<0.05)。结论以专题讨论会为形式的健康教育能够明显改善血液透析并发恶性肿瘤患者的心理健康状况,提高患者生活质量和治疗依从性,值得临床推广。Objective To investigate the effects of symposium on health education efficacy in patients undergoing hemodialysis with concurrent cancer.Methods Select 158 patients undergoing hemodialysis with concurrent cancer at The Affiliated Hospital of Inner Mongolia Medical University from February 2014 to January 2016.Using random number table method,patients were divided into an observation group（symposia） and a control group（conventional health education）.Self-report symptom inventory,symptom checklist,90（SCL-90） and general quality of life inventory（GQOLI） scores and treatment compliance were compared between the two groups.Results Before ducation,there was no significant difference in mental health scores between the two groups（P〉0.05）.After education,somatization,compulsion,interpersonal sensitivity,depression,anxiety,hostility,fear,paranoia and neurological scores were significantly lower in the observation group than in the control group（P〈0.05）.Before education,there was no significant difference in quality of life score between the two groups（P〉0.05）.After education,physical,material,psychological and social function scores were significantly higher in the observation group than in the control group（P〈0.05）.Treatment compliance was significantly higher in the observation group than in the control group（P〈0.05）.Conclusion Health education preferably in the form of symposium can significantly improve mental health,quality of life and treatment compliance in patients undergoing hemodialysis with concurrent cancer.

关 键 词：专题讨论会 血液透析 恶性肿瘤 健康教育 

分 类 号：R473.73[医药卫生—护理学]