Influence of follow-up telephone on the effect of GnRH-a treatment among uterine adenomyoma postoperative patients
10.3760/j.issn.1674-2907.2014.32.015
- VernacularTitle:电话随访对子宫腺肌瘤术后 GnRH-a治疗效果的影响
- Author:
Xiang LAN
1
;
Jingui XU
;
Jin LI
;
Lihua XIA
;
Junying SHU
;
Xiao YU
;
Ping LI
;
Xiebin WANG
Author Information
1. 324000 浙江中医药大学附属衢州中心医院妇科
- Keywords:
Follow-up study;
Nursing intervention;
Uterine adenomyoma;
GnRH-a treatment
- From:
Chinese Journal of Modern Nursing
2014;20(32):4072-4075
- CountryChina
- Language:Chinese
-
Abstract:
Objective By means of telephone follow-up care intervention, we aimed to explore the effect of clinical efficacy and the ability to cope with adverse reaction among uterine adenomyoma postoperative patients after receiving GnRH-a treatment.Methods From January 2009 to December 2011, 115 patients who underwent uterine adenomyoma surgery combined with GnRH-a treatment were divided into two groups.The research group of 55 patients received positive guidance of food, rest, activities, life, spirit and so on through telephone, also a continuous psychological intervention of subsequent visit reminding and the solutions to adverse reactions.Then the 60 cases in the control group only received the conventional outpatient follow-up at regular intervals according to their competent doctor, without any telephone follow-up of nursing intervention.Results In the research group, the dysmenorrhea of 53 patients ( 96.36%) was relieved or disappeared, 52 patients (94.54%) did not relapse after surgery.The menstrual blood volume was decreased and the period of the menstrual was reduced within 52 patients (94.54%).Those values of the control group were 49(89.09%), 51(92.72%) and 50(90.90%).There was no significant difference between groups (χ2 =1.21, 0.00, 0.13, respectively;P >0.05).After the treatment of GnRH-a, the adverse reactions such as hot flashes, night sweats, skin rash as well as acne, and the compliance were significantly improved (χ2 =6.15, 6.15, 4.45, 5.04, 4.25, 4.25, respectively; P<0.05).There were also significant differences in keeping medication, regular examine, changing bad habits and the compliance of coping with the adverse reaction (χ2 =5.49, 7.31, 14.31, 10.45, respectively;P<0.05).Conclusions Telephone follow-up care intervention can improve the compliance of uterine adenomyoma postoperative patients receiving GnRH-a treatment, reduce the adverse reaction and help patients cope with adverse reactions effectively in the right way, and lead to better relationship between nurses and patients.
