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目的探讨专题讨论会对血液透析并发恶性肿瘤患者健康教育效果的影响。方法选取2014年2月至2016年1月间内蒙古医科大学附属医院收治的158例血液透析并发恶性肿瘤患者,采用随机数字表法分为观察组(专题讨论会)与对照组(常规健康教育),每组79例,比较两组患者的心理健康状况、生活质量和治疗依从性。结果教育前,两组患者的心理健康评分差异无统计学意义(P>0.05);教育后,观察组患者的躯体化、强迫、人际关系、忧郁、焦虑、敌对、恐惧、偏执和神经病性评分均明显降低,与对照组比较,差异均有统计学意义(均P<0.05)。教育前,两组患者的生活质量评分差异无统计学意义(P>0.05);教育后,观察组患者的躯体功能、物质功能、心理功能和社会功能评分均明显升高,与对照组比较,差异均有统计学意义(均P<0.05)。教育后,观察组患者的治疗依从性均明显高于对照组,差异均有统计学意义(均P<0.05)。结论以专题讨论会为形式的健康教育能够明显改善血液透析并发恶性肿瘤患者的心理健康状况,提高患者生活质量和治疗依从性,值得临床推广。
Objective To discuss the effect of symposium on the effect of health education on hemodialysis patients with malignant tumor. Methods A total of 158 hemodialysis patients with malignant tumors admitted to the Affiliated Hospital of Inner Mongolia Medical University from February 2014 to January 2016 were randomly divided into observation group (symposium) and control group (general health education) , 79 cases in each group. The mental health status, quality of life and treatment compliance of the two groups were compared. Results Before education, there was no significant difference in mental health scores between the two groups (P> 0.05). After education, the somatization, compulsion, interpersonal relationship, depression, anxiety, hostility, fear, paranoid and neuropathic score Were significantly lower than the control group, the difference was statistically significant (P <0.05). Before education, there was no significant difference in quality of life between the two groups (P> 0.05). After education, the physical, physical, psychological and social function scores of the observation group were significantly higher than those of the control group The differences were statistically significant (all P <0.05). After education, the treatment compliance of the observation group was significantly higher than that of the control group, the differences were statistically significant (P <0.05). Conclusion Health education in the form of a symposium can significantly improve the mental health status of patients with hemodialysis complicated with malignant tumors and improve the quality of life and treatment compliance of patients and is worthy of clinical promotion.