【摘要】：目的探討健康教育對甲亢患者服藥依從性及生活質(zhì)量的影響,為更好地開展甲亢患者健康教育工作提供依據(jù)。方法選擇2014年1月—2015年1月原發(fā)甲亢住院患者216例,隨機分成對照組和觀察組各108例。對照組給予常規(guī)護理,觀察組在此基礎(chǔ)上實施針對性健康教育,比較2組患者服藥依從性及生活質(zhì)量變化情況。結(jié)果干預(yù)后,觀察組甲亢基本知識(90.7%)、甲亢典型臨床表現(xiàn)(90.7%)、甲亢常見并發(fā)癥(88.0%)、常用藥物及服藥方法(85.2%)、甲亢藥物的主要副作用(88.0%)、需要定期復(fù)查(89.8%)、飲食原則(92.6%)、低鉀相關(guān)知識(95.4%)等方面的知識知曉率均高于干預(yù)后對照組和干預(yù)前自身(P0.05);觀察組服藥依從性好的人數(shù)比例(39.8%)高于對照組(23.1%)(P0.05);觀察組SF-36總分(598.26±7.93)高于對照組(564.03±8.27)(P0.05);觀察組護理滿意度(82.4%)高于對照組(70.4%)(P0.05);觀察組并發(fā)癥發(fā)生率(7.4%)、甲亢復(fù)發(fā)率(2.8%)低于對照組(P0.05)。結(jié)論對甲亢患者進行健康教育,可以有效地提高患者對疾病相關(guān)知識的認知水平,提升服藥依從性,提高生活質(zhì)量與治療效果,健康教育可作為甲亢患者臨床治療中的一項常規(guī)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 鹵7.93) was higher than that in the control group (564.03 鹵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.
【作者單位】： 蘇州大學(xué)附屬第一醫(yī)院內(nèi)分泌科;
【分類號】：R473.5

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