同伴教育对甲状腺癌患者术后服用放射性^(131)I治疗效果的影响  

Effects of peer education on treatment among patients using ^(131)I with thyroid cancer after surgery

作　　者：范素云[1] 贾彦彦[1] 施雁[2] 

机构地区：[1]上海市第十人民医院核医学科,上海市200072 [2]上海市第十人民医院护理部,上海市200072

出　　处：《中华护理杂志》2017年第3期285-288,共4页Chinese Journal of Nursing

基　　金：国家自然科学基金(71373177)

摘　　要：目的探讨同伴教育对甲状腺癌患者术后服用^(131)I治疗效果的影响。方法选择2014年6月—2016年5月甲状腺癌术后服用^(131)I治疗的患者80例,随机分为试验组和对照组各40例。试验组实施同伴教育,干预时间为入院到出院后1个月;对照组实施常规护理。对两组患者的心理痛苦程度、并发症的发生率及相关知识掌握程度进行比较。结果试验组出院及出院1个月时,心理痛苦检出率显著低于入院时(P<0.05);出院时试验组并发症的发生率及知识的掌握程度均优于对照组,差异有统计学意义(P<0.05)。结论甲状腺癌术后进行放射性^(131)I治疗的患者心理痛苦程度明显,同伴教育可有效改善患者的心理痛苦程度,减少服药后并发症的发生率,使患者更好地掌握相关知识。Objective To investigate the effects of peer education on treatment among patients using 131I with thyroid cancer after surgery. Methods A total of 80 patients using 131 I therapy after surgery of thyroid can cerhospitalized from June 2014 to May 2016 were enrolled and randomly divided into two groups. The control group were given routine health care including hospitalized treatment,education,and follow-up examination after discharge from hospital, while the experimental group were given peer education, and the intervention was provided from admission to one month after discharge. Distress level, complication rates and knowledge mastering were compared between two groups. Results The differences of distress level, complication rates and knowledge mastering between two groups were statistically significant（P〈0.05）. Conclusion Patients using 131 I with thyroid cancer after surgery suffer from significant distress. Peer education can greatly reduce patients＇ distress,complications after 131I treatment, and improve mastering knowledge.

关 键 词：甲状腺肿瘤 手术后医护 放射疗法 同伴教育 

分 类 号：R473.73[医药卫生—护理学]