护理干预在131I治疗Graves病合并精神障碍中应用的效果

目的探讨护理干预在131I治疗Graves病合并精神障碍中的临床效果。方法Graves病合并精神障碍患者76例，随机分为对照组和干预组，对照组36例，应用131I治疗，常规告知服药前后注意事项，实验组40例，应用131I治疗前后，配合护理干预措施。于护理干预前后用生活质量量表（SF-36健康量表）评价患者生活质量；观察比较两组患者出院时的满意度、对放射防护、正确服药方法掌握程度，以及精神障碍回复情况。结果出院时实验组患者的满意度比较差异有统计学意义（满意100．00％比88．90％，X2=47．56，P〈0．01）；干预后实验组患者防护知识得分高于对照组，差异有统计学意义（7．04±1．48）分比（4．67±1．56）分，t=6．792，P〈0．01]；正确服药方法的掌握程度明显高于对照组，两者比较差异具有统计学意义（2．96±0．92）分比（1．56±1．02）分，t=14．38，P〈0．01]。护理干预后，实验组患者的生活质量明显好于对照组，两者比较差异具有统计学意义（P〈0．05）。两组患者对甲亢和精神障碍治愈率比较差异无统计学意义（P〉0．05），精神障碍表现为明显进步的患者比较，差异具有统计学意义（P〈0．05），实验组治疗效果明显好于对照组。结论护理干预在131I治疗Graves病合并精神障碍患者中具有十分重要的临床意义。

Clinical effect of nursing intervention on 131I treatment of Graves disease combined with mental disorders

Objective To discuss the clinical effects of nursing intervention on 131I treatment of Graves Disease combined with mental disorders.Methods 76 patients were diagnosed with Graves disease combined with mental disorders at our hospital and treated with 131I. The patients were randomly divided into two groups: 36 cases in the control group, routinely informed with notes before and after 131I treatment, and 40 cases in the intervention group, with nursing interventions before and after 131I treatment. SF-36 health scale was used before and after the intervention to measure quality of life. Patient satisfaction, knowledge on the radiological protection and the proper method of taking medicine, and recovery of mental disorders were compared between the two groups.Results The intervention group had higher level of patient satisfaction than the control group100.00% vs 88.90%,χ2=47.56, P<0.01], knowledge on the radiological protection were higher than the control group(7.04±1.48) vs (4.67±1.56)score, t=6.792, P<0.01] and the proper method of taking medicine were higher than the control group(2.96±0.92) vs (1.56±1.02) score, t=14.38, P<0.01].After nursing intervention, the quality of life of patients in the intervention group was better than the control group. The difference was significant (P<0.05). There was no significant difference in the cure rate of mental disorders (P>.05). Among patients with obvious advancement, the intervention group exhibited better treatment effect than the control group. The difference was statistically significant.Conclusions Nursing intervention has important clinical significance in 131I treatment of Graves disease combined with mental disorders.