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目的探究持续动机性访谈对出院甲状腺功能亢进患者长期治疗依从性的影响。方法选取2013年1月-2016年1月期间我院收治的112例甲状腺功能亢进患者为研究对象,将患者采用随机数表法分为对照组(n=56)和观察组(n=56)。对照组患者采用常规健康教育和电话随访,观察组患者在此基础上进行住院动机性访谈和出院继续动机性访谈。分析两组患者服药依从性不佳的原因分布,并对两组患者的依从性和生活质量进行比较。结果出院后12个月观察组和对照组各有38例和44例患者服药依从性不佳,两组患者服药依从性不佳的主要原因均为甲亢用药知识缺乏、恐惧药物副作用、用药缺乏管理。两组患者均无一例失访,出院后3个月、6个月和12个月观察组患者的治疗依从性均显著优于对照组患者,观察组患者出院12个月后的各项生活质量评分均显著优于对照组患者,差异具有统计学意义(P<0.05)。结论给予出院甲状腺功能亢进患者持续动机性访谈能够显著改善长期治疗依从性和生活质量。
Objective To investigate the effect of continuous motivation interview on the long-term compliance of discharged patients with hyperthyroidism. Methods A total of 112 cases of hyperthyroidism admitted to our hospital from January 2013 to January 2016 were enrolled in this study. Patients were divided into control group (n = 56) and observation group (n = 56) by random number table. . Patients in the control group received routine health education and telephone follow-up. Patients in the observation group conducted in-hospital motivation interviews and discharged motivational interviews. Analysis of the two groups of patients with poor compliance due to drug distribution, and two groups of patients compliance and quality of life were compared. Results In the 12 months after discharge, 38 cases and 44 cases in the observation group and the control group had poor compliance. The main reasons for the poor compliance in both groups were lack of knowledge of hyperthyroidism, side effects of fear drugs and lack of medication . No patients were lost to follow-up in both groups, and the treatment compliance of the observation group was significantly better than that of the control group at 3 months, 6 months and 12 months after discharge. The quality of life after 12 months of discharge in the observation group The score was significantly better than the control group, the difference was statistically significant (P <0.05). Conclusion Continuous motivated interviews with patients with discharged hyperthyroidism can significantly improve long-term treatment adherence and quality of life.