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目的探讨无缝隙健康教育在放射性~(131)I治疗甲状腺癌患者中的应用效果。方法选择2013年2月—2015年12月于同济大学附属第十人民医院行放射性~(131)I治疗的患者200例,以2014年7月—2015年12月的100例患者为观察组,采用全程无缝隙健康教育;回顾性分析2013年2月—2014年6月的100例患者为对照组,采用传统的健康教育模式。比较两组患者健康教育问卷调查结果及服药后并发症发生情况。结果观察组在服药前准备充分、各阶段的依从性、掌握防辐射知识、并发症及时处理和总体满意度方面均优于对照组;观察组恶心、呕吐、颈部肿胀、腮腺肿胀等并发症的发生情况少于对照组,差异均有统计学意义(P<0.05)。结论无缝隙健康教育可提高放射性~(131)I治疗甲状腺癌患者的治疗依从性,降低其用药后并发症发生情况。
Objective To explore the effect of seamless health education in patients with thyroid cancer treated with radioactive 131I. Methods From February 2013 to December 2015, 200 patients were treated with radioactive 131I in Tenth People’s Hospital affiliated to Tongji University. From July 2014 to December 2015, 100 patients were selected as observation group. The whole course of seamless health education was adopted. A retrospective analysis of 100 patients from February 2013 to June 2014 was used as the control group, using the traditional health education model. The results of questionnaire about health education in two groups were compared and the complication occurred after taking medicine. Results The observation group was better than the control group before medication, compliance at all stages, knowledge of radiation protection, timely treatment of complications and overall satisfaction. In the observation group, complications such as nausea, vomiting, swelling of the neck and parotid gland swelling Less than the control group, the difference was statistically significant (P <0.05). Conclusion The gapless health education can improve the therapeutic compliance of radioactive 131I treatment for patients with thyroid cancer and reduce the incidence of postoperative complications.