互联网平台的延续干预对甲状腺机能亢进患者心理健康、服药依从性、并发症发生率的影响被引量：9

Effects of internet platform based continuous intervention on psychological health,medication compliance and incidence of hyperthyroidism complications in hyperthyroidism patients

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摘要目的:探讨基于互联网平台的延续干预对甲亢患者心理健康、服药依从性、甲亢并发症发生率的影响。方法:选取本院2017年5月-2018年11月120例甲亢患者,随机分为观察组与对照组各60例,对照组给予常规延续干预措施,观察组给予基于互联网平台的延续干预,比较两组患者干预前后心理健康、服药依从性、生活质量、甲亢并发症发生率。结果:观察组患者干预后心理状况焦虑自评量表(SAS)评分低于对照组(t=-5.591,P<0.05);抑郁自评量表(SDS)评分低于对照组(t=-5.276,P<0.05)。观察组患者服药依从性较佳比率85.00%高于对照组68.33%,差异有统计学意义(χ^2=4.658,P<0.05)。观察组干预后生理机能评分高于对照组(t=5.617,P<0.05);生理功能评分高于对照组(t=7.359,P<0.05);躯体疼痛评分高于对照组(t=5.308,P<0.05);躯体活力评分高于对照组(t=10.305,P<0.05);精神健康评分高于对照组(t=5.467,P<0.05);社会功能评分高于对照组(t=4.318,P<0.05);情感职能评分高于对照组(t=4.126,P<0.05);总体健康评分高于对照组(t=7.614,P<0.05)。观察组患者并发症发生率8.33%低于对照组21.67%,差异有统计学意义(χ^2=4.183,P<0.05)。结论:基于互联网平台的延续干预有利于减轻甲亢患者心理焦虑、抑郁状态,增加患者服药依从性,提高生活质量,降低甲亢并发症发生率。 Objective:To explore the effects of internet platform based continuous intervention on psychological health,medication compliance and incidence of hyperthyroidism complications in hyperthyroidism patients.Methods:A total of 120 hyperthyroidism patients in the hospital from May 2017 to November 2018 were enrolled.They were randomly divided into observation group and control group,60 cases in each group.The control group was given routine continuous intervention measures.The observation group was given internet platform based on continuous intervention.The psychological health,medication compliance,quality of life,and incidence of hyperthyroidism complications before and after intervention were compared between the two groups.Results:After intervention,SAS score of psychological status in observation group was lower than that in control group(t=-5.591,P<0.05),and SDS score was lower than that in control group(t=-5.276,P<0.05).The rate of medication compliance in observation group was higher than that in control group(85.00%vs 68.33%)(χ^2=4.658,P<0.05).After intervention,physiology score of observation group was higher than that of control group(t=5.617,P<0.05),physiological function and body pain score was higher than that of control group(t=7.359,5.306;P<0.05),body viability score was higher than that of control group(t=10.305,P<0.05),mental health score was higher than that of control group(t=5.467,P<0.05),social function score was higher than that of control group(t=4.318,P<0.05),emotional role score was higher than that of control group(t=4.126,P<0.05),and overall health score was higher than that of control group(t=7.614,P<0.05).The incidence of complications in observation group was lower than that in control group(8.33%vs 21.67%)(χ^2=4.183,P<0.05).Conclusion:Internet platform based continuous intervention is beneficial to alleviate psychological anxiety and depression of hyperthyroidism patients,increase their medication compliance,improve quality of life,and reduce incidence of hyperthyroidism complications.