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专职随访对甲状腺癌患者碘131治疗出院后服药依从性、自护能力、生活质量的影响
闫首珍      徐峰▲
江苏省宿迁市第一人民医院影像核医学科,江苏宿迁   223800
Effect of full-time follow-up on medication compliance, self-care ability, and quality of life of thyroid cancer patients discharged after iodine-131 treatment
YAN Shouzhen   XU Feng▲
Department of Image Nuclear Medicine Discipline, Suqian First People’s Hospital, Jiangsu Province, Suqian   223800, China
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摘要 目的 探讨专职随访对甲状腺癌患者碘131治疗出院后服药依从性、自护能力、生活质量的影响。 方法 选取江苏省宿迁市第一人民医院2020年6月至2022年5月收治的行碘131治疗的甲状腺癌患者92例,按随机数字表法分为对照组和观察组,每组46例。对照组出院后予以常规延续干预,观察组予以专职随访护理干预模式。比较两组干预前与干预3个月后的服药依从性、自护能力及生活质量。 结果 随访3个月,观察组服药依从性优于对照组,差异有统计学意义(P<0.05)。干预后,两组自我技能、自护责任感、自我概念、健康知识水平及自我护理能力测量表总分高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。干预后,两组社交功能、躯体症状、情绪管理、疾病认知、角色适应、总体健康高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。 结论 专职随访护理干预模式可有效提高甲状腺癌碘131治疗出院患者的自护能力,提高其服药依从性,改善生活质量。
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闫首珍 徐峰▲
关键词 甲状腺癌碘131治疗专职随访自护能力生活质量
    
Abstract:Objective To investigate the effect of full-time follow-up on medication compliance, self-care ability, and quality of life of patients with thyroid cancer after discharge after iodine-131 treatment. Methods Ninety-two patients with thyroid cancer who received iodine-131 treatment in Suqian First People’s Hospital from June 2020 to May 2022 were selected and divided into control group and observation group according to random number table method, with 46 cases in each group. The control group was given routine continuous intervention after discharge, and the observation group was given full-time follow-up nursing intervention mode. Medication compliance, self-care ability, and quality of life were compared between the two groups before intervention and three months after intervention. Results After three months of follow-up, the medication compliance of the observation group was better than that of the control group, and the difference was statistically significant (P<0.05). After intervention, the self-skill, self-care responsibility, self-concept, health knowledge level, and the exercise of self-care agency scale total score of the two groups were higher than before intervention, while those of the observation group were higher than those of the control group, and the differences were statistically significant (P<0.05). After intervention, the social function, physical symptoms, emotion management, disease cognition, role adaptation, and overall health of two groups were higher than before intervention, while those of the observation group were higher than those of the control group, and the differences were statistically significant (P<0.05). Conclusion Full-time follow-up nursing intervention mode can effectively improve the self-care ability of discharged patients treated with iodine-131 for thyroid cancer, improve their medication compliance, and improve the quality of life.
Key wordsThyroid cancer    Iodine-131 therapy    Full-time follow-up    Self-care ability    Quality of life
    
通讯作者: ▲通讯作者   
引用本文:   
闫首珍 徐峰▲. 专职随访对甲状腺癌患者碘131治疗出院后服药依从性、自护能力、生活质量的影响[J]. 中国医药导报, 2023, 20(9): 165-168,180.
YAN Shouzhen XU Feng▲. Effect of full-time follow-up on medication compliance, self-care ability, and quality of life of thyroid cancer patients discharged after iodine-131 treatment. 中国医药导报, 2023, 20(9): 165-168,180.
链接本文:  
https://www.yiyaodaobao.com.cn/CN/10.20047/j.issn1673-7210.2023.09.36     或     https://www.yiyaodaobao.com.cn/CN/Y2023/V20/I9/165

 

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