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低级别胶质瘤术后不同阶段健康教育需求调查分析

Investigation and analysis of the demand for health education in various postoperative stages of patients with low grade gliomas

摘要:

目的 探讨低级别胶质瘤复查患者术后不同时间阶段的需求特点,也为开展个性化的健康教育和延续护理提供理论依据.方法 采用方便抽样法,选取首都医科大学附属北京天坛医院神经外科门诊患者175例,最后有效问卷患者170例.应用自行设计的调查问卷,于2017年4-5月对研究对象进行问卷调查.结果 170例低级别胶质瘤术后患者的总需求率为100%,其中对复发知识的需求最高,占91.8%.距离术后时间越长,患者的总需求越低,在术后>12个月时最低,为24(17,39)分,而对复发知识的需求越高,在术后>12个月时最高,为16(11,16)分;患者通常采取解决疾病问题的途径和希望采取解决疾病问题的方式均为咨询医务人员(分别为95.3%和95.9%).结论 低级别胶质瘤术后患者对健康教育有需求但需求程度并不高,其中对复发知识的需求相对较高.低级别胶质瘤患者在术后不同阶段的需求不同.不同性别、年龄、婚姻状况、目前工作状态和胶质瘤级别的低级别胶质瘤患者需求不同.患者最愿意采取的健康教育形式为咨询医务人员.

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abstracts:

Objective To explore the characteristics of demand of reexamination of patients with low grade gliomas in various stages postoperative, so as to satisfy the demand and increase efficiency for health education of discharged patients with low grade gliomas as well as provide basis for personalized health education and continuous nursing. Methods The convenient sampling was conducted during the outpatients in Neurosurgical department of Beijing Tiantan Hospital Affiliated to Capital Medical University from April to March in 2017. The 170 outpatients were surveyed with the author designed questionnaire. Results The total rate of demand in 170 patients was 100% . Patients had the highest demand for the knowledge of recurrence, which rate was 91.8% . The longer the postoperative time, the lower the overall demand. The lowest rate was more than 12 months after operation, which scored 24 (17, 39). The higher the demand for the knowledge of recurrence. The highest rate was more than 12 months after operation, which scored 16 (11, 16). Professional consultation was a normal and expected way for patients to solve health problems (respectively 95.3% and 95.9% ). Conclusions The demand of postoperative patients with low grade gliomas are not high, but relatively have more demand on the knowledge of recurrence. They have different demand in different postoperative stages, genders, age groups, marital status, current employment status, glioma grades. Professional consultation was a method of health education which patients most willing to take.

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