健康教育对甲亢患者服药依从性及生活质量的影响

发布时间：2019-04-11 20:40

【摘要】：目的探讨健康教育对甲亢患者服药依从性及生活质量的影响,为更好地开展甲亢患者健康教育工作提供依据。方法选择2014年1月—2015年1月原发甲亢住院患者216例,随机分成对照组和观察组各108例。对照组给予常规护理,观察组在此基础上实施针对性健康教育,比较2组患者服药依从性及生活质量变化情况。结果干预后,观察组甲亢基本知识(90.7%)、甲亢典型临床表现(90.7%)、甲亢常见并发症(88.0%)、常用药物及服药方法(85.2%)、甲亢药物的主要副作用(88.0%)、需要定期复查(89.8%)、饮食原则(92.6%)、低钾相关知识(95.4%)等方面的知识知晓率均高于干预后对照组和干预前自身(P0.05);观察组服药依从性好的人数比例(39.8%)高于对照组(23.1%)(P0.05);观察组SF-36总分(598.26±7.93)高于对照组(564.03±8.27)(P0.05);观察组护理满意度(82.4%)高于对照组(70.4%)(P0.05);观察组并发症发生率(7.4%)、甲亢复发率(2.8%)低于对照组(P0.05)。结论对甲亢患者进行健康教育,可以有效地提高患者对疾病相关知识的认知水平,提升服药依从性,提高生活质量与治疗效果,健康教育可作为甲亢患者临床治疗中的一项常规措施。
[Abstract]:Objective to explore the effect of health education on compliance and quality of life in patients with hyperthyroidism and to provide evidence for better health education in patients with hyperthyroidism. Methods 216 inpatients with primary hyperthyroidism from January 2014 to January 2015 were randomly divided into two groups: control group (n = 108) and observation group (n = 108). The patients in the control group were given routine nursing, and in the observation group, targeted health education was carried out on the basis of which, the changes of the drug compliance and the quality of life of the two groups were compared. Results after intervention, the basic knowledge of hyperthyroidism in the observation group (90.7%), typical clinical manifestations of hyperthyroidism (90.7%), common complications of hyperthyroidism (88.0%), commonly used drugs and methods of taking medicine (85.2%). The main side effects of hyperthyroidism drugs (88. 0%) need to be reviewed regularly (89. 8%) and diet principles (92. 6%). The knowledge rate of low potassium related knowledge (95.4%) was higher than that of control group and pre-intervention group (P0.05). The proportion of patients with good drug compliance in the observation group (39.8%) was higher than that in the control group (23.1%) (P0.05), and the total score of SF-36 in the observation group (598.26 卤7.93) was higher than that in the control group (564.03 卤8.27) (P0.05). The nursing satisfaction of the observation group (82.4%) was higher than that of the control group (70.4%) (P0.05), the incidence of complications (7.4%) and the recurrence rate of hyperthyroidism (2.8%) in the observation group were lower than those in the control group (P0.05). Conclusion Health education for patients with hyperthyroidism can effectively improve the cognitive level of disease-related knowledge, improve the compliance with medication, improve the quality of life and the therapeutic effect of patients with hyperthyroidism. Health education can be regarded as a routine measure in the clinical treatment of hyperthyroidism.
【作者单位】：苏州大学附属第一医院内分泌科;
【分类号】：R473.5

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