摘要
目的 探讨系统性健康宣教对肺癌合并糖尿病肾病患者希望水平及治疗依从性的影响.方法 将82例肺癌合并糖尿病肾病患者根据干预方式的不同分为观察组(n=45,常规干预+系统性健康宣教)和对照组(n=37,常规干预).比较两组患者负性情绪[汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)]、希望水平(希望水平量表)、生活质量[生活质量综合评定问卷(GQOLI-74)]、治疗依从性和满意度.结果 干预后,两组患者HAMA、HAMD量表评分均较干预前降低,且观察组患者HAMA、HAMD量表评分均低于对照组,差异均有统计学意义(P﹤0.05).干预后,两组患者亲密关系、积极态度、行为态度评分均较干预前升高,且观察组患者亲密关系、积极态度、行为态度评分均高于对照组,差异均有统计学意义(P﹤0.05).干预后,两组患者心理功能、躯体功能、社会功能、物质生活状态评分均较干预前升高,且观察组患者心理功能、躯体功能、社会功能、物质生活状态评分均高于对照组,差异均有统计学意义(P﹤0.05).干预后,观察组患者遵医运动、遵医复查、遵医用药、日常生活注意事项评分均明显高于对照组,差异均有统计学意义(P﹤0.01).观察组患者满意度高于对照组,差异有统计学意义(P﹤0.05).结论 肺癌合并糖尿病肾病患者应用系统性健康宣教,能够改善患者负性情绪,提高患者希望水平、生活质量、治疗依从性和满意度,值得临床推广.
Abstract
Objective To investigate the effect of systematic health education on hope level and treatment compli-ance in patients with lung cancer complicated with diabetic nephropathy.Method A total of 82 patients with lung cancer complicated with diabetic nephropathy were divided into observation group(n=45,routine intervention+systematic health education)and control group(n=37,routine intervention)according to different intervention methods.Negative emotion[Hamilton anxiety scale(HAMA),Hamilton depression scale(HAMD)],hope level(hope level scale),quality of life[ge-neric quality of life inventory-74(GQOLI-74)],treatment compliance and satisfaction were compared between the two groups.Result After intervention,the HAMA and HAMD scales scores of both groups were lower than those before in-tervention,and the HAMA and HAMD scales scores of the observation group were lower than those of the control group,the differences were statistically significant(P<0.05).After intervention,the scores of intimate relationship,positive atti-tude and behavioral attitude of both groups were higher than those before intervention,and the scores of intimate relation-ship,positive attitude and behavioral attitude of observation group were higher than those of control group,the differenc-es were statistically significant(P<0.05).After intervention,the scores of psychological function,physical function,so-cial function and material life status of two groups were higher than those before intervention,and the scores of psycho-logical function,physical function,social function and material life status of observation group were higher than those of control group,the differences were statistically significant(P<0.05).After intervention,the scores of the respect of medi-cal exercise,medical review,medical medicine and matters needing attention in daily life in the observation group were significantly higher than those in the control group,the differences were statistically significant(P<0.01).The satisfac-tion in observation group was higher than that in control group,and the difference was statistically significant(P<0.05).Conclusion The application of systematic health education in patients with lung cancer complicated with diabetic ne-phropathy can improve the negative emotions,level of hope,quality of life,treatment compliance and satisfaction,and is worthy of clinical promotion.
维普
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