基于健康信念的延续性护理在甲状腺癌患者术后内分泌治疗中的应用效果  

Application effect of continuous nursing based on health belief in endocrine therapy of thyroid cancer patients after operation

作　　者：肖薇[1] 谭艳芳[1] 王珩[1] 王丹 何德[1] XIAO Wei;TAN Yanfang;WANG Heng;WANG Dan;HE De(Department of Breast and Thyroid Surgery,Pingxiang People's Hospital,Jiangxi Province,Pingxiang337000,China)

机构地区：[1]江西省萍乡市人民医院甲乳外科,江西萍乡337000

出　　处：《中国当代医药》2023年第20期168-171,共4页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(202212145)。

摘　　要：目的探讨基于健康信念的延续性护理在甲状腺癌患者术后内分泌治疗中的应用效果。方法选取2020年1月至2022年5月萍乡市人民医院收治的100例甲状腺癌患者作为研究对象,按照随机数字表法分为对照组(50例)与研究组(50例)。对照组采用常规护理方法,研究组采用基于健康信念的延续性护理方法。比较两组的促甲状腺激素(TSH)水平、健康信念问卷(HBQ)评分、Morisk用药依从性问卷(MMAS-8)评分以及生命质量量表(EORTC QLQ-30)评分。结果研究组患者干预后1、3、6个月TSH水平达标率均高于对照组,差异有统计学意义(P<0.05)。两组干预后1、3、6个月HBQ评分均低于干预前,差异有统计学意义(P<0.05);研究组干预后1、3、6个月HBQ评分均低于对照组,差异有统计学意义(P<0.05)。两组干预后1、3、6个月MMAS-8评分均高于本组干预前,差异有统计学意义(P<0.05);研究组干预后1、3、6个月MMAS-8评分均高于对照组,差异有统计学意义(P<0.05)。干预前,两组患者的认知、情绪、角色、社会、躯体评分比较,差异无统计学意义(P>0.05);干预后,两组患者的认知、情绪、角色、社会、躯体评分高于本组干预前,且研究组患者的认知、情绪、角色、社会、躯体评分高于对照组,差异有统计学意义(P<0.05)。结论甲状腺癌患者术后内分泌治疗过程应用构建基于健康信念的延续性护理策略,可提高TSH水平达标率,提高健康信念及服药依从性,改善生命质量。Objective To explore the effect of continuous nursing based on health belief in endocrine therapy of thyroid cancer patients after operation.Methods A total of 100 patients with thyroid cancer admitted to Pingxiang People's Hospital from January 2020 to May 2022 were selected as the study subjects.They were divided into the control group(50 cases)and the study group(50 cases)according to the method of random number table.The control group used conventional nursing methods,and the study group used continuous nursing methods based on health beliefs.The thyroid stimulating hormone(TSH)level,health belief questionnaire(HBQ)score,Morisk drug compliance questionnaire(MMAS-8)score and quality of life scale(EORTC QLQ-30)score of the two groups were compared.Results The compliance rate of TSH level in the study group was higher than that in the control group 1,3 and 6 months after intervention,and the differences were statistically significant(P<0.05).HBQ scores at 1,3 and 6 months after intervention were lower in both groups than those before intervention,the differences were statistically significant(P<0.05).The HBQ score of the study group was lower than that of the control group at 1,3 and 6 months after intervention,and the differences were statistically significant(P<0.05).MMAS-8 scores in two groups at 1,3 and 6 months after intervention were higher than those before intervention,and the differences were statistically significant(P<0.05).The MMAS-8 score of the study group was higher than that of the control group at 1,3 and 6 months after intervention,and the differences were statistically significant(P<0.05).Before intervention,there were no significant differences in cognitive,emotional,role,social and physical scores between the two groups(P>0.05).After intervention,the cognitive,emotional,role,social and physical scores of the two groups were higher than those before intervention,and the cognitive,emotional,role,social and physical scores of the study group were higher than those of the control group,the diffe

关 键 词：健康信念 甲状腺癌 内分泌治疗 延续性护理 

分 类 号：R736.1[医药卫生—肿瘤]