系统化健康教育在行全身骨显像检查晚期乳腺癌患者中的应用  

Application of systematic health education in advanced breast cancer patients undergoing whole body bone imaging

作　　者：秦乡音 赵娜[1] 张会娟[1] QIN Xiangyin;ZHAO Na;ZHANG Huijuan(Department of Nuclear Medicine,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,He’nan,China)

机构地区：[1]郑州大学第一附属医院核医学科,郑州4500000

出　　处：《癌症进展》2024年第19期2159-2162,2197,共5页Oncology Progress

摘　　要：目的探讨系统化健康教育在行全身骨显像检查晚期乳腺癌患者中的应用效果。方法将130例行全身骨显像检查的晚期乳腺癌患者依据干预方法的不同分为常规组(n=68)和系统组(n=62),常规组采取常规健康教育,系统组采取系统化健康教育。对比两组患者负性情绪[抑郁自评量表(SDS)、焦虑自评量表(SAS)评分]、生理应激指标[舒张压(DBP)、收缩压(SBP)、心率(HR)]、检查依从性、全身骨显像图像质量及检查不良事件发生情况。结果干预后,两组患者SDS、SAS量表评分均较干预前降低,且系统组患者SDS、SAS量表评分均低于常规组,差异均有统计学意义(P<0.05)。干预后,常规组患者HR、SBP、DBP均高于干预前和系统组,差异均有统计学意义(P<0.05)。系统组患者检查依从性高于常规组,全身骨显像图像质量优于常规组,差异均有统计学意义(P<0.05)。两组患者检查不良事件总发生率比较,差异无统计学意义(P>0.05)。结论系统化健康教育能改善行全身骨显像检查的晚期乳腺癌患者的负性情绪,并能有效稳定其生理应激反应,以全面提高检查依从性,对于提高全身骨显像成像质量有一定意义。Objective To explore the application effect of systematic health education in advanced breast cancer patients undergoing whole body bone imaging.Method A total of 130 patients with advanced breast cancer who underwent whole body bone imaging were divided into conventional group(n=68)and systematic group(n=62)according to different intervention methods.The conventional group received routine health education and the systematic group re-ceived systematic health education.Negative emotions[self-rating depression scale(SDS),self-rating anxiety scale(SAS)scores],physiological stress indicators[diastolic blood pressure(DBP),systolic blood pressure(SBP),heart rate(HR)],examination compliance,whole body bone imaging image quality and adverse events were compared between the two groups.Result After intervention,the scores of SDS and SAS scales in two groups were lower than those before intervention,and the scores of SDS and SAS scales in systematic group were lower than those in conventional group,the differences were statistically significant(P<0.05).After intervention,HR,SBP and DBP in the conventional group were higher than those before intervention and systematic group,the differences were statistically significant(P<0.05).The examination compliance in the systematic group was higher than that in the conventional group,and the whole body bone imaging image quality was better than that in the conventional group,the differences were statistically significant(P<0.05).There was no significant difference in the total incidence of adverse events between the two groups(P>0.05).Conclusion Systematic health education can improve the negative emotions of advanced breast cancer patients undergoing whole body bone imaging,and effectively stabilize their physiological stress response,so as to comprehensively improve the compliance of the examination,and have certain significance for improving the imaging quality of whole body bone imaging.

关 键 词：系统化健康教育 晚期乳腺癌 全身骨显像 负性情绪 

分 类 号：R737.9[医药卫生—肿瘤]